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Update all education materials based on CMS-HCC Model and ICD-10 annual changes Suggest, update, and enhance clinical educational materials to assist in training physicians and clinical staff on Risk Adjustment Healthcare Programs including CMSHCC Models, Clinician Chart Reviews, and Encounter Documentation.
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Oversee third-party risk assessments related to PAM/IAM, ensuring vendors follow proper security protocols. PAM, Privilege Access management, CyberArk, Beyond Trust, Active Directory, IAM, SSO, MFA, SailPoint.
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Beginning coursework toward certification in area of expertise preferred; appropriate certifications could include Associate in Underwriting (AU), Chartered Property Casualty Underwriter (CPCU), Certified Insurance Counselor (CIC), Program in General Insurance (INS) or Associate of Risk Management (ARM.
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This position has been identified as a NERC/CIP impacted position – Prior to being hired, the successful candidate must pass a Personnel Risk Assessment (PRA) or Background Investigation. Job Description Join the Clean Energy Revolution Become an Outage Management System (OMS) Advisor at Southern California Edison (SCE) and build a better tomorrow.
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Our Labor and Delivery unit is 17 beds and offers 24-hour on-site OB anesthesia, OB triage, OB operating rooms and high-risk antepartum care. The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between.
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Conduct outreach to members for the completion of initial and annual Health Needs Assessments (HNA) or Health Risk Assessments (HRA). Language Skills: Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese.
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Must hold experience with Care and Population Management & EMR Systems, such as, EPIC, Meditech, Cerner, Allscripts Care Management, knowledge of diagnosis related group (DRG), value based, risk based (capitation) and per diem payment methodologies.
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Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
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3+ years in production management with a focus on set safety advising, risk assessment, and hazard mitigation. Supervise and monitor regulatory requirements in accordance with the SAG-AFTRA signatory process and film permitting process.
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We offer a full spectrum of services, from training and risk assessments to armed security guards. As a company with two decades of experience, our clients include the Department of Homeland Security, Federal Protective Services (DHS/FPS), Department of Defense, Pentagon Force Protection Agency (DoD/PFPA), Department of the Army, and Department of State, Bureau of Diplomatic Security (DoS/DS) National Aeronautics and Space Administration (NASA), Environmental Protection Agency (EPA) and Department of Energy (DOE.
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Assists underwriters in managing their portfolios through risk evaluation including assessment of risk control reports, financials, audits, loss experience, competitive environment and by taking action when peculiarities or deficiencies are noted.
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Our core expertise is in Project Controls which includes Scheduling, Cost Controls, Document Management and Controls, Budget tracking and monitoring, Estimating, Risk Analysis, Claims avoidance and Mitigation, Change Management and Earned Value Management.
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Perform risk and contract management responsibilities as required, and report findings to Chief Estimator and Division Manager. Experience Excellent writing, presentation, and computer skills3 to 10+ years of Structures or Earthwork estimating for civil projects (Highway, Rail, Underground, Paving, Materials Manufacturing, Bridge and Airport infrastructure.
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Experience Excellent writing, presentation, and computer skillsMinimum of 3 years of Structures or Earthwork estimating for civil projects (Highway, Rail, Underground, Paving, Materials Manufacturing, Bridge and Airport infrastructure.
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Fellows will rotate through a high-risk Labor & Delivery unit as well as consulting in Emergency Room and other units at the University Hospital, in addition to having significant exposure to a community-based private practice population.
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risk job in Placentia, CA
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