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- Manager, Risk Adjustment, Medical Coding This position is flexible and must be based in a KP location, CA, OR, CO, WA, GA, MD, VA, HI or D.C... ...Information Management Association OR Certified Professional Coder from American Academy of Professional Coders Additional Requirements...RiskWork experience placementFlexible hours
$75k - $85k
Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment... ...through informal discussion and overread assignments; support coder training and orientation as requested by manager May assist or...RiskWork at officeMonday to Friday$75k - $85k
Risk Adjustment Coding Specialist II (Central Maryland) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1668 S. Garfield... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or...RiskFull timeWork at officeMonday to Friday$135k - $150k
About the Role Risk Adjustment Manager is responsible for leading and optimizing risk adjustment operations across all lines of business and entities, including Medicare Advantage, Marketplace, and other affiliated health plans, medical groups, and MSO functions. This role...RiskFull time$70k - $85k
Risk Adjustment Coding Specialist II (San Gabriel Valley, CA) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $70,000 - $85,000 / year Description We are currently seeking a highly...RiskFull time$71.3k - $82.6k
...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure...RiskFull timeWork experience placement- ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Engage with data analysis to drive improvements in Medicaid risk...RiskRemote jobImmediate start
- ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Analyze and synthesize data to make a significant impact on Medicaid...RiskRemote jobImmediate start
- Job Description Job Summary The Analyst, Risk Adjustment-Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to support Molina’s Prospective and Retrospective Interventions...RiskWork at office
- ...South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary... ...the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient...RiskWork at office
- ...accurately to maintain compliance, and minimize risk and denials. Contributes to overarching... ...to provider network regarding risk adjustment and coding updates related to risk adjustment... ...and experience. Certified Professional Coder (CPC). Certified Coding Specialist (CCS)....RiskWork at office
- ...Staffing & Recruiting Firm by 2x Sign in to set job alerts for “Coder” roles. Regional Professional Services Coder I PT20 HIM Coder... ...III - The Angeles Clinic and Research Institute Manager, Risk Adjustment, Medical Coding Clinical Documentation Improvement Specialist...RiskFull timeContract workRemote workFlexible hours
$98.3k - $185.1k
...Zurich is currently looking for a Senior Risk Engineering Consultant OR Risk Engineering Specialist with extensive experience in power... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeVisa sponsorshipZurich Insurance Company Ltd.
Long Beach, CA21 hours ago$30 - $33 per hour
...Thursday - Friday Remote Part B ~ Wednesday - Friday Onsite / Monday - Tuesday Remote We are looking for HCC Risk Adjustment Auditors/Coders to join our team! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and...RiskHourly payFull timeCasual workWork at officeRemote workRelocation packageMonday to FridayFlexible hours$120k - $160k
...standardized work plans and methods are adhered to, safety and risk management policies are followed, daily and weekly schedule and... ...salary ranges are made in good faith. CSI reserves the right to adjust ranges depending on the selected candidate's qualifications. Amazing...RiskWeekly payTemporary workImmediate start$129.9k - $194.9k
...scope, and manages change through control board activities Develop and adhere to master plans and schedules Conduct thorough risk & opportunity management practices including identification, mitigation and realization Basic Qualifications: ~ Bachelor’s degree...RiskContract workRelocationShift work$22.12 per hour
...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the... ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading...RiskHourly payFull timeTemporary workApprenticeshipWork experience placementSummer workWork at officeLocal areaRemote workVisa sponsorship2 days per week3 days per weekZurich Insurance Company Ltd.
Los Angeles, CA6 days ago- .... This role requires strong leadership, strategic planning, and risk management skills. Essential Functions: Plans, organizes and manages... ...vision, peripheral vision, depth perception, and the ability to adjust focus. If you are an experienced Project Manager with a strong...RiskContract work
- ...Job Description Job Description The Hospital Claims Adjuster is responsible for the adjusting of hospital risk claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the Hospitals/IPAs. Research, reviews, and contacts...Risk
$2,500 - $2,700 per week
...Manage and monitor therapeutic drug levels and clinical dosing adjustments. Support interdisciplinary teams with medication therapy management... .... Experience in: Anticoagulants, Antibiotics, and High-Risk Medications Pharmacokinetic, Renal, and Geriatric Dosing...RiskPart timeLocal areaShift workNight shiftPride Health
Whittier, CA1 day ago$110k - $130k
...implementation of investment ideas, pacing plans, policies, and risk management systems; Providing high quality and forward-looking... ...programmatic joint ventures that will provide superior risk- adjusted investment returns; Developing and implementing asset monitoring...RiskWork at officeRemote work3 days per weekRCLCO
Los Angeles, CA16 days ago- ...all closeout binders ~ Attend and participate in WEO Quarterly Risk Management (QRM) Trainings ~ Participate in WEO networking... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Performing this job requires use of hands to finger, handle...RiskPermanent employmentContract workTemporary workWork at office
W.E. O'Neil Construction
Los Angeles, CA17 days ago - ...and members, identifying areas for improvement. # Evaluate all risk exposures and collaborate with teammates on the best paths to... ...enhancements to processes, systems, and outcomes. # Tracks progress, adjusts plans as needed, and ensures measurable results. # KEY...RiskTemporary workWork at officeWork visaShift workRotating shift
CENIC
La Mirada, CA6 days ago $45k - $60k
...claims process, providing guidance and facilitating communication between clients and claims adjusters. - Monitor and follow up on claims to ensure timely resolution. Risk Management: - Identify potential risks and provide risk management advice to clients. -...RiskWork experience placementWork at officeMonday to FridayHumina Resource
Cypress, CA3 days ago- ...crucial role in enhancing the quality of data submissions for CMS Risk Adjustment and Quality Incentive programs. The successful candidate will... .... The ideal candidate will be a Certified Professional Coder (CPC) with at least three years of experience in medical group...RiskHourly payFull timeShift work
- Risk Manager Job Duties : Leads the identification, communication, measurement, and management of company-wide risk. Manages insurance... ...participates in negotiations, conferences and mediations with adjusting companies, outside legal counsel, staff, claimants, and other...Risk
$30 - $37 per hour
...priority. Contribute. General Manager to manage a profitable store by tracking sales and overseeing the day to day operations and risk management. Help the store with tasks, ideas and support store growth operationally. Be Creative. Visual merchandising and...RiskHourly payTemporary workLocal areaThe Coffee Bean and Tea Leaf
Santa Ana, CA23 days ago- Overview Job Description Job Summary The AVP, Quality & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and Quality for all lines of business, ensuring alignment of strategy and activities with Enterprise, acting as the Risk Adjustment...RiskContract workLocal areaImmediate start
- ...Commercial GL Claim Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North... ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskTemporary work
$60.5k - $104.5k
...) Business Control Managers ("BCM"s) and Business Control Senior Analyst and or Lead for Consumer Banking and will partner with the Risk Framework leadership team. Responsibilities will encompass understanding controls required for compliance with applicable regulations...RiskWork at officeRemote workCity National Bank
Los Angeles, CA1 day ago
