Director, Risk Adjustment Specialist

Job Summary:The primary purpose of the Director, Risk Adjustment Compliance is to provide oversight and maintenance of a high-quality, effective, best practices risk adjustment compliance program to prevent and detect violations of law and other misconduct and to promote ethical practices and a commitment to compliance with applicable federal, state, and...

Job SummaryThe Director of Risk Adjustment Compliance will oversee and maintain a high-quality, effective, best practices risk adjustment compliance program to prevent and detect violations of law and other misconduct and to promote ethical practices and a commitment to compliance with applicable federal, state, and local laws, rules, regulations, and...

About the RoleWe are seeking a highly skilled and experienced Director of Risk Adjustment and Compliance to join our team at Altais Health Solutions. As a key member of our organization, you will be responsible for ensuring the accuracy and completeness of our risk adjustment and HEDIS/STARS data.Key ResponsibilitiesDevelop and implement comprehensive risk...

Job Opportunity: Nurse Practitioner - Part-TimeHueman Risk Adjustment is seeking a skilled Nurse Practitioner to join our team on a part-time basis. As a Health Risk Assessment Specialist, you will have the opportunity to work with Medicare and Medicaid members in and around Oakland, CA, conducting in-home Health Risk Assessments (HRAs).This unique...

Job Title: Senior Coding Analyst, Risk AdjustmentAbout the Role:We are seeking a highly skilled Senior Coding Analyst, Risk Adjustment to join our team at Altais. As a key member of our Clinical Performance team, you will be responsible for coding medical records for HCC reimbursement, training, education, and compliance. Your expertise will play a critical...

Job OpportunityHueman Risk Adjustment is seeking a skilled Nurse Practitioner to join our team in providing in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in the Oakland, CA area.This unique opportunity offers a flexible schedule, allowing you to balance your professional goals with your personal preferences. As a Nurse...

Job Title: Senior Coding Analyst, Risk AdjustmentAbout the Role:We are seeking a highly skilled Senior Coding Analyst, Risk Adjustment to join our team at Altais. As a key member of our Clinical Performance team, you will play a critical role in ensuring the accuracy and compliance of our risk adjustment coding efforts.Key Responsibilities:Review and audit...

About Our CompanyAt Altais, Inc., we're a mission-driven organization that's revolutionizing the healthcare system for physicians, patients, and the clinical community. Our team is passionate about enabling better healthcare experiences and building breakthrough clinical support tools, technology, and services.About Your TeamWe're a high-performing,...

About the Role:The Associate Director, Enterprise Risk Management will report to the VP, Enterprise Transformation Projects. As the Associate Director, you will lead the organization's risk management initiatives, conducting project-based risk assessments and managing the enterprise risk assessment process to identify, evaluate, and mitigate risks across the...

About CloroxClorox is a leading consumer goods company committed to growth and excellence. Our purpose and values guide our actions, and we strive to make a positive impact on consumers, communities, and teammates.Your Role at CloroxThe Associate Director, Enterprise Risk Management will report to the Vice President, Enterprise Transformation Projects. As a...

Job Title: Risk Management Analyst, Workers' CompensationAt Talantage, LLC, we are seeking a highly skilled Risk Management Analyst to join our team. As a key member of our insurance and claims management team, you will provide administrative support and assistance to the Risk Manager in the areas of claims management, safety, and general insurance...

Job Title: Associate Director, Risk ManagementAt The Clorox Company, we're committed to growth – for our people and our brands. Guided by our purpose and values, and with people at the center of everything we do, we believe every one of us can make a positive impact on consumers, communities, and teammates.Your Role:This Associate Director, Risk Management...

{"Job Title: Compliance and Risk Management SpecialistJob Summary: We are seeking a highly skilled Compliance and Risk Management Specialist to join our team at PG&E Corporation. The successful candidate will be responsible for supporting the risk/compliance framework, investigating potential regulatory code noncompliance issues, and preparing reports...

About the RoleWe are seeking a highly skilled Procurement Risk Management Specialist to join our team at Blue Shield of California. As a key member of our Global Business Services organization, you will play a critical role in leading the Enterprise Procurement practice and advancing environmental, social, and governance outcomes of supplier...

Executive Director Workers' CompensationAnother Source's client, the University of California, Office of the President, is seeking an Executive Director, Workers' Compensation and Employment Practices Liability, to join their team in Oakland, CA.This is a unique opportunity to shape the future of risk management at a prestigious institution renowned for its...

Job SummaryThis role supports the development and implementation of the risk/compliance framework, enabling Pacific Gas and Electric Company to operate in compliance with applicable standards, laws, and regulations. The successful candidate will investigate potential regulatory code noncompliance issues, prepare reports summarizing findings, and identify,...

Job SummaryWe are seeking a highly skilled Compliance and Risk Consultant to join our team at PG&E Corporation. As a key member of our Electric Operations Safety and Compliance Strategy department, you will play a critical role in ensuring the company's compliance with applicable standards, laws, and regulations.The ideal candidate will have a strong...

Job Title: Nonprofit Finance DirectorWestCoast Children's Clinic is seeking a highly skilled and experienced Nonprofit Finance Director to join our team. As a key member of our leadership team, you will be responsible for overseeing all financial operations, including cash management, invoicing/accounts receivable, payables, payroll, general ledger,...

Job Summary:This individual contributor is primarily responsible for providing support for researching and determining the likelihood of financial risk to the organization, reviewing actuarial documentation for accuracy, supporting product line evaluation and actuarial modeling, and supporting financial risk and opportunity analyses.Key...

Job Title: Director of Credentialing and ComplianceAt Altais Health Solutions, we're seeking a highly skilled and experienced Director of Credentialing and Compliance to join our team. As a key member of our organization, you will be responsible for developing and implementing processes and procedures to ensure compliance with National Committee for Quality...