- The Hartford (San Francisco, CA)
- …by focusing on the intersection of underwriting, data science, risk finance, risk engineering, technology, and claims . Our team takes a nimble and creative ... intersection of underwriting, data science, risk finance, risk engineering, technology, and claims . + Spearhead...guiding the actions of underwriters in writing and retaining quality business. + Inspire team to achieve profit and… more
- Evolent (Sacramento, CA)
- …You'll Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the ... Risk Adjustment Coding Support team. Evolent Care Partners' mission...and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure… more
- The Hartford (San Francisco, CA)
- …by focusing on the intersection of underwriting, data science, risk finance, risk engineering, technology, and claims . Our team takes a nimble and creative ... Join our team as we help shape the future. Y- Risk , as an underwriting company of The Hartford, partners...with regulatory and underwriting standards. + Establishes & maintains quality submission pipeline. + Manages book of business to… more
- Grant Thornton (Los Angeles, CA)
- As a Healthcare Process Risk Senior Associate, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their ... business risks and assist in addressing risk in both proactive and responsive contexts...to revenue cycle optimization, including billing, coding, reimbursement, and claims processing, with a focus on improving financial performance… more
- UCLA Health (Los Angeles, CA)
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful department ... used in both internal and external reporting. You will: + Ensure data quality and accuracy through rigorous assurance checks. + Develop and maintain reports, from… more
- Grant Thornton (Newport Beach, CA)
- As a Process Risk Manager, you will have the opportunity to grow and contribute to our clients' success by helping them identify and understand their business risks. ... role in both proactively addressing and responding to these risks within our Risk Advisory Practice, supported by the resources and environment necessary for your… more
- Ankura (Los Angeles, CA)
- …and seeks to gain additional opportunities for development in a variety of risk adjustment related areas. Qualifications: + Certified in Risk Adjustment Coding ... (CRC) with at least five (5) recent years of experience in HCC/ Risk Adjustment and/or RADV Audit Methodology + Associate's or Bachelor's degree preferred, but not… more
- Actalent (Irvine, CA)
- …and validation efforts with internal project team. + Investigate and validate marketing claims by tracing them to engineering analyses, risk assessments, and ... Job Title: Design Quality Engineer Job Description We are seeking a...critical in ensuring the integrity and compliance of marketing claims associated with our medical devices. The ideal candidate… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …and Metrics:** Design and maintain dashboards and metrics to monitor Quality performance and drive data-driven decision-making. Maintain risk management ... **Job Summary** The Senior Director of Quality Strategy and Operations will be responsible for...role will also encompass document management, learning and development, risk management, data integrity and process excellence. The ideal… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for leading a ... global team focused on R&D Quality . This global role includes direct reports in the...Company policy and strategy and gain a consensus of risk mitigation approaches. **Key Responsibilities:** + **Inspection Readiness:** Ensure… more