Risk Adjustment Specialist

About the RoleThis position requires a seasoned professional with expertise in risk adjustment strategies and analytics to drive business growth and improve financial performance.The Risk Adjustment Strategy Developer will collaborate with cross-functional teams to design, develop, and implement comprehensive risk adjustment strategies that enhance our...

At Blue Shield of California, we are seeking a skilled Clinical Risk Adjustment Strategist to join our team. In this role, you will have the opportunity to make a significant impact on the success of our Risk Adjustment Program.Company OverviewOur company is a leading health insurance provider in California, dedicated to delivering high-quality care to our...

Job OverviewRisk Adjustment Coders work closely with healthcare providers to ensure accurate coding and reimbursement. As a Senior Coding Specialist, you will be responsible for managing HCC coding processes, training staff, and analyzing data to improve accuracy and efficiency.Key Responsibilities* Review medical records to identify potential coding issues*...

ResponsibilitiesIn this pivotal role as Risk Adjustment Coder- Admin, you will be responsible for several critical tasks:Reviewing medical record information to identify, collect, assess, monitor, and document claims and encounter coding information related to Hierarchical Condition Categories (HCC)Auditing provider documentation of CPT, ICD-9, and ICD-10...

Join Blue Shield of California as a Risk Adjustment Consultant, where you will play a pivotal role in driving the success of our risk adjustment programs. As a seasoned professional with a passion for analytics and leadership, you will be responsible for analyzing complex data sets, developing strategic plans, and collaborating with cross-functional teams to...

HCC Coding and Management ExpertIn this challenging and rewarding role, you will lead our HCC coding and management efforts, developing and implementing best practices to ensure accuracy and efficiency. Your expertise will help us stay ahead of industry trends and maintain our position as a leader in healthcare management.Key Responsibilities* Develop and...

At Sedgwick, we believe in the value of caring for our colleagues and clients alike. Our mission is to provide exceptional service and support to those who need it most.What We Offer:We offer a comprehensive benefits package that includes medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or...

Care Management Specialist**Overview of Role**The Blue Shield of California team is seeking a dedicated Clinical Services Coordinator to play a vital role in outreach and engagement efforts with our members. The successful candidate will interact telephonically with members to assist with simple care coordination needs and facilitate connections between...

About the RoleWe are seeking a skilled Risk Management Specialist to join our Legal team at Impulse Space. As a key member of our team, you will be responsible for negotiating and overseeing commercial contracts and ensuring the requisite compliance.Key ResponsibilitiesDraft, negotiate, and manage all inbound and outbound commercial agreements, including...

Schedule Management Responsibilities:The Primavera P6 Specialist will be responsible for schedule development and maintenance, project coordination, risk management, reporting and analysis, forecasting and recovery plans, and documentation and compliance.The ideal candidate should have a minimum of 5 years of experience in project scheduling for large-scale...

Job Summary: We are seeking a highly skilled Claims Resolution Specialist to join our team at Rocket, a part of United Pacific. The ideal candidate will have a strong background in risk management and claims administration, with excellent communication and analytical skills.The Claims Resolution Specialist will be responsible for overseeing the Incident...

We are seeking a highly motivated Recreation Specialist to join our team at PACS Inc. As a Recreation Specialist, you will be responsible for creating engaging experiences for our residents through planning and conducting individual, small, and large group activities. If you have a passion for recreation and leisure activities, we encourage you to...

Job Summary: As a Commercial Banking Relationship Specialist at City National Bank, you will develop and manage relationships with business banking clients in assigned segments and geographic areas. Your primary responsibility will be to ensure the attainment of regional and individual goals while maintaining credit quality and risk management guidelines.Key...

Job Title: Claims Resolution SpecialistEstimated Salary: $85,000 - $110,000 per yearWe are seeking a highly skilled Claims Resolution Specialist to join our team at United Pacific. This role is responsible for overseeing the incident reporting and claims process to achieve early claim resolution and avoid litigation in a cost-effective and time-efficient...

**Electro Tech Machining is Hiring a CNC Machinist Specialist!**About the RoleWe are seeking an experienced CNC Machinist to join our team at Electro Tech Machining. As a CNC Machinist Specialist, you will be responsible for setting up and operating various lathe jobs without supervision.Key ResponsibilitiesSet up and operate CNC machines with Fanuc and HAAS...

PIMCO, a global leader in active fixed income, seeks a Risk Manager to join our Portfolio Risk Management team in Newport Beach, California. As part of our team, you will be responsible for assessing portfolio strategies, collaborating with portfolio managers, and engaging with credit analysts to analyze investment risks and identify potential risk...

PIMCO is a leading global fixed income investment manager with decades of experience in navigating complex debt markets. Our team of experts invests client capital across a range of traditional and non-traditional fixed income and credit opportunities, leveraging our deep relationships with issuers to provide innovative solutions for companies seeking...

PIMCO is a global leader in active fixed income, offering innovative solutions for companies and investors alike. With deep expertise across public and private markets, we provide tailored investment strategies to meet the unique needs of our clients.We are currently recruiting for a Portfolio Risk Manager to join our team in Newport Beach, California. As a...

About United PacificAs a part of United Pacific, you will join one of the largest independent owners, operators of gas stations and convenience stores in the Western United States. Our company operates over 500 retail locations across California, Oregon, Washington, and Colorado, employing over 3,000 associates.We are committed to providing exceptional...

We are excited to offer an opportunity for a highly motivated and passionate individual to join our team as a Youth Violence Prevention Specialist. This internship will provide valuable experience in assisting individuals and families who are facing various challenges and barriers within the community.As a member of our team, you will work closely with...