Senior Risk Adjustment Professional Role

Risk Adjustment Consultant, Senior Job DescriptionThe Senior Risk Adjustment Consultant plays a critical role in enhancing risk adjustment processes in collaboration with provider groups and cross-functional teams. This position involves analyzing data to identify opportunities for improvement, implementing strategies to boost coding accuracy, and providing...

Overview of the RoleThe Risk Adjustment Provider Partnership team at Blue Shield of California plays a crucial role in supporting various functions within the risk adjustment program, including collaboration with cross-functional teams and contracted provider groups.This senior-level position reports directly to the Manager, Risk Adjustment Provider...

About Our Team: We are a dynamic team dedicated to providing essential support to all functions within the risk adjustment program. Our mission is to deliver exceptional results through collaboration, innovation, and expertise.In this role, you will have the opportunity to work with various cross-functional teams within Blue Shield and contracted Provider...

Risk Adjustment Consulting ServicesThe Disability Solutions team provides expert consulting services to healthcare providers, helping them navigate complex regulatory requirements and optimize their risk adjustment programs.Implement effective risk adjustment strategies, leveraging machine learning algorithms to analyze large datasets and identify...

Actuarial Career Opportunities at Blue Shield of CaliforniaThe position of Senior Actuarial Data Analyst plays a key role in providing analytical support for various programs, with a focus on Medi-Cal. This involves working closely with risk adjustment models, member targeting and tracking, financial forecasting, and other analytical requests.Your Role as a...

Company OverviewBlue Shield of California is a leading healthcare organization that aims to bring healthcare into the digital age. Our Risk Adjustment team plays a crucial role in delivering industry-leading results by leveraging data analytics and business operations expertise.Your RoleIn this role, you will enhance our data-driven decision-making process...

About the RoleThe Blue Shield of California is seeking an experienced Associate Actuarial Analyst to join our Risk Adjustment Analytics and Reporting team. In this role, you will create and own various analytical projects that assist providers in accurately capturing the risk score of their populations.Key Responsibilities:Learn and apply various actuarial...

**Job Summary**We are seeking an experienced Senior Actuarial Associate to join our team at Kaiser Permanente. In this role, you will be responsible for conducting financial analysis, developing actuarial models, and collaborating with business partners to inform strategic decisions.**Essential Responsibilities**Apply advanced actuarial methods to analyze...

We are seeking an experienced Process Safety Engineer to join our team at Sila. As a key member of our team, you will be responsible for ensuring the safe operation of our processes and facilities.Job SummaryIn this role, you will work closely with our engineering and manufacturing teams to identify and mitigate process safety risks. You will also develop...

Company OverviewSeniorDoc is a dynamic healthcare organization dedicated to providing personalized medical care to seniors in the comfort of their own homes.Salary and BenefitsWe offer a competitive annual salary range of $150,000 to $300,000, depending on experience, as well as comprehensive benefits including health, dental, and vision insurance, and a...

About Our CompanyAt Altais, Inc., we're seeking a highly skilled and compassionate Senior Palliative Care Professional to join our growing team. As a bold and curious innovator, you'll be part of a mission-driven organization dedicated to revolutionizing the healthcare system for physicians, patients, and the clinical community.We're building breakthrough...

At PsiNapse Technology, Ltd., we offer competitive compensation and customized benefits to qualified temporary and career professionals looking for employment.We are seeking a highly skilled Senior Financial Analyst to join our team in Oakland and provide expert-level support across various areas, including budgeting, finance, payroll, and...

Your RoleCompliance Program OversightThe Compliance Audit Services team at Blue Shield of California Promise Health Plan is responsible for ensuring the effective implementation and maintenance of our Compliance Program. As a Compliance Risk Management Specialist, you will report to the Senior Director, Compliance Audit Services, and play a key role in...

TheraEx Staffing Agency Job OpportunityWe are seeking a skilled Nursing Professional to join our team at TheraEx Staffing Agency. This is a unique opportunity to work with our esteemed clients in a high-stakes environment.Company Overview:At TheraEx, we pride ourselves on being the go-to partner for healthcare professionals like you. We strive to provide an...

About the RoleAs a seasoned environmental risk assessment professional, you will play a key leadership role in supporting clients with strategic and technical expertise. This position entails significant responsibilities for client engagement, project management, and staff development.The ideal candidate will provide creative technical support in applying...

About the RoleWe are seeking a highly skilled Principal Risk & Compliance Analyst to join our team at PG&E Corporation. The ideal candidate will have 10+ years of experience in risk or compliance management, utility operations, or related field.In this role, you will serve as a subject matter expert (SME) for the Data, Information, & Records Management...

Join Our TeamBecoming a Senior Automotive Professional at Bridgestone Americas means being part of a team that values its employees and offers them opportunities to grow and develop their skills. With a strong focus on employee development, we provide formal training, performance incentives, paid vacation and holidays, competitive healthcare packages, and a...

Job Description:As a Regulatory Strategist with our team, you will play a critical role in supporting key regulatory filings, including RAMP, General Rate Case (GRC), and Wildfire Mitigation Plan (WMP). You will work closely with the Wildfire Risk organization's leadership, Regulatory team, Investment Planning, and Business Finance teams on the development...

About the RoleThe Risk Management Expert will be responsible for expanding the company's book of business by selling various types of insurance policies to new and existing clients. A strong ability to build rapport with clients, negotiate effectively, and prioritize tasks is essential for success in this role.

At J Edward Staffing LLC, we are seeking a highly skilled Senior Nursing Professional to join our team as a Utilization Review RN Specialist. This is a full-time, contract position that offers a competitive salary range of $60.00 - $65.00 per hour.About the RoleThis clinical role requires a minimum of 2 years of experience in utilization review within a...