Remote Risk Management Lead – Risk Adjustment
3 weeks ago
A national healthcare company is seeking a Risk Management Lead to oversee risk management and compliance in California. This role involves evaluating business processes, conducting audits, and collaborating with teams to drive improvement initiatives. Ideal candidates will have 3+ years of project leadership and 2+ years of audit experience. The position offers a range of $104,000 - $143,000 annually and benefits that promote overall wellness.#J-18808-Ljbffr
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Risk Adjustment – Risk Management Lead
3 weeks ago
California, United States Humana Inc Full timeRisk Adjustment – Risk Management Lead page is loaded## Risk Adjustment – Risk Management Leadlocations: Remote Nationwidetime type: Full timeposted on: Posted Todayjob requisition id: R- # **Become a part of our caring community and help us put health first**The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs...
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Public Risk Management Advisor – Travel Required
2 weeks ago
California, United States Public Agency Risk Management Association Full timeA public entity risk management organization based in the United States is seeking a Risk Control Advisor. The successful candidate will develop and support risk management programs, conduct assessments, and ensure compliance with health and safety regulations. Candidates must possess a relevant degree and certification, along with strong writing skills. The...
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Head of Risk Adjustment
41 minutes ago
California, United States Altais Inc. Full timeResponsible for ensuring the organization has a comprehensive, efficient and compliant documentation integrity program (risk adjustment and HEDIS/Stars Quality measure documentation). Works directly with clinicians, certified coders, IT, enterprise analytics, network management and physicians. Owns accountability for ensuring our members’ medical record is...
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Risk Adjustment QA Specialist
4 days ago
California, United States Astrana Health Full timeLocation: 600 City Parkway West 10th Floor, Orange, CA 92868Compensation: $80,000 - $90,000 / yearDepartment: Quality - Risk AdjustmentAstrana Health is seeking an experienced Risk Adjustment QA Specialist to join our team. In this role, you will ensure accurate and compliant documentation through chart audits, provider education, and ongoing monitoring. You...
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Director of Risk Adjustment
41 minutes ago
California, United States Altais Inc. Full timeA prominent healthcare organization in California seeks a dedicated individual for the role of Manager in Risk Adjustment. This position requires strong leadership and analytical skills, focusing on ensuring comprehensive documentation and improving educational resources for providers. Applicants should have over 10 years of related experience, with a robust...
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Risk Business Partner Lead — Fintech
2 hours ago
California, United States Block, Inc. Full timeA leading financial technology company is seeking a Risk Business Partner Team Lead in California. This role involves leading a team of risk analysts and serving as a strategic bridge between analytical capabilities and business needs. Ideal candidates will have over 8 years of experience in fintech risk management and proven leadership skills. Flexible...
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Risk Business Partner Lead — Fintech
18 minutes ago
California, United States Block, Inc. Full timeA leading financial technology company is seeking a Risk Business Partner Team Lead in California. This role involves leading a team of risk analysts and serving as a strategic bridge between analytical capabilities and business needs. Ideal candidates will have over 8 years of experience in fintech risk management and proven leadership skills. Flexible...
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Risk Assurance Manager
5 days ago
California, United States Business Process Management, Inc. Full timeBPM – where caring and community is in our company DNA; we are always striving to be our best selves; and we’re compelled to ask the questions that lead to innovation. The rapid rise of the blockchain and digital assets is disrupting and transforming how we do business today and it will change how we do business tomorrow. There is not a better time to...
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Risk Assurance Manager
3 weeks ago
California, United States Business Process Management, Inc. Full timeBPM – where caring and community is in our company DNA; we are always striving to be our best selves; and we’re compelled to ask the questions that lead to innovation. The rapid rise of the blockchain and digital assets is disrupting and transforming how we do business today and it will change how we do business tomorrow. There is not a better time to...
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Nurse Director of Risk Management
3 weeks ago
California, United States Clinical Management Consultants Full timeNurse Director of Risk Management Compensation Range: $146,880.00/yr – $181,270.00/yr The Nurse Director of Risk Management will lead a high‑impact patient safety and quality strategy at a progressive Southern California hospital, elevating outcomes, protecting patients, and strengthening regulatory excellence. This role partners with the Chief Quality...