Chief risk officer • hayward ca
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools des... Show more
Licensed Clinical Program Manager.Adult Behavioral Health - Hayward, CA 94545.Salary/year Position Type Full Time Education Level Graduate Degree Travel Percentage Up to 25% Category Nonprofit - So... Show more
Role Overview** - Mercor is seeking senior HR professionals to build evaluation tasks for AI systems operating in talent management, employee relations, and organizational design contexts.The workf... Show more
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Assistant Finance Officer Capital Finance, Grants & Business Services.The East Bay Regional Park District invites applications for the position of Assistant Finance Officer Capital Finance, Grant... Show more
This position is located within the District Business & Advisory Services Department and reports directly to the Director, District Advisory Services.The Director I, Fiscal Advisor is responsible f... Show more
The Area Finance Officer (AFO) serves as the senior financial leader for the San Leandro and Fremont Medical Centers, providing strategic financial direction and operational oversight in support of... Show more
Senior Medical Director Of Clinical Services.Tiburcio Vasquez Health Center is a mission-driven Federally Qualified Health Center (FQHC) serving the East Bay through ten primary care clinics, four ... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools des... Show more
Chief Operating Chief Clinical Officer Full Time.Kindred Hospital San Francisco Bay Area.Kindred Hospital San Francisco Bay Area is a 99-bed long-term acute care hospital offering the same in-depth... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools des... Show more
Kindred Hospital San Francisco Bay Area is a 99-bed long-term acute care hospital offering the same in-depth care you would receive in a traditional hospital, but for an extended recovery period.We... Show more
Career Advancement Opportunities.We are looking for Security Officers interested in working.Nightclub security personnel are responsible for maintaining a safe and orderly environment for patrons a... Show more
This industry can be brutal when you're on an island.You ask a question and wait two days for an answer.When you finally get one, it comes with an attitude that makes you feel stupid for asking.The... Show more
Controller Position At RRM Design Group.Are you a strategic financial leader ready to make a meaningful impact? RRM Design Group is seeking an experienced Controller to help guide our financial ope... Show more
Department of Veterans Affairs Medical Center in San Francisco, CA as a Physician - Chief of Microbiology!.The Section Chief of Microbiology is part of the key leadership of Lab Medicine Service an... Show more
Alameda Health Consortium is the association of community health centers in Alameda County, California.The Consortium supports the involvement of communities in achieving comprehensive, accessible ... Show more
If you are customer focused, enjoy building relationships and providing financial advice to your clients, a role as a Business Relationship Manager is for you.As a Business Relationship Manager I (... Show more
Asian Health Services, founded in 1974, provides medical, dental, and behavioral health services to more than 50,000 patients.Our approach to well-being focuses on "whole patient health" for all.We... Show more
The average salary range is between $ 129,900 and $ 204,500 year , with the average salary hovering around $ 161,946 year .
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools designed to improve risk score accuracy and coding completeness in Medicare Advantage, Medicaid managed care, and ACA markets. Your expertise in hierarchical condition category (HCC) methodology, RADV audit preparation, and risk adjustment coding will directly shape AI systems that enhance documentation capture and risk score integrity. **Responsibilities** - Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and/or ACA risk adjustment programs. - Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance. - Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation. - Conduct and oversee retrospective and prospective chart reviews for risk score optimisation. - Manage RADV (Risk Adjustment Data Validation) audit preparation and response processes. - Monitor risk adjustment KPIs including HCC capture rates, risk score accuracy, and chart retrieval rates. - Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes. - Ensure compliance with CMS risk adjustment guidelines (RAPS, EDGE submissions) and Official Coding Guidelines. - Annotate AI outputs and provide structured coding feedback to support AI training datasets. **Requirements** - 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role. - Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies. - Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment. - Experience with RADV audit preparation and CMS compliance requirements. - Familiarity with RAPS and EDGE submission processes. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs. **Preferred Qualifications** - CRC (Certified Risk Coder), CCS, CPC, or RHIA credential. - Experience with risk adjustment analytics platforms and chart retrieval systems. - Background in health plan, Medicare Advantage organisation, or value-based care setting. - Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content. - Experience presenting risk adjustment performance to actuarial or executive teams. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in risk adjustment and value-based care. - Opportunity to work on high-impact projects shaping the future of healthcare AI.
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