- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk ... and actionable reports to solve problems, provide data-driven guidance, and monitor risk adjustment performance. Provide analytical support on various strategies… more
- Martin's Point Health Care (Portland, ME)
- …Position Summary **NEW REMOTE POSITION** **Health Plan Operations** **APPLY TODAY!** The Senior Risk Adjustment Analyst analyzes data, reviews findings, and ... hoc reporting used in complex conceptual analyses for all departments within Risk Adjustment Operations + Develops systematic reporting processes and procedures… more
- VNS Health (Manhattan, NY)
- OverviewSupports initiatives that will impact the Risk Adjustment programs and operations. Collaborates with internal departments and external vendors on risk ... resources to increase knowledge and improve return on investment (ROI) of risk adjustment activities. Understands risk adjustment models in emerging… more
- The Cigna Group (Houston, TX)
- ** Risk Adjustment Provider Educator - Houston** **Must reside in Houston, TX - Field based** **Requires travel to provider offices in and around coverage area.** ... This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned...along the engagement continuum within an assigned market. Lead Analyst will be primary contact for provider groups on… more
- Point32Health (Canton, MA)
- …Data Analyst will assist in managing vendor relationships, monitoring risk adjustment program operations, performing detailed analysis and synthesizing ... this individual will support the operations and analysis of risk adjustment strategy across Point32Health business lines....and program performance. This person will also provide the risk adjustment department with operational support as… more
- Corewell Health (Grand Rapids, MI)
- …Location SITE - Priority Health - 1231 E Beltline - Grand Rapids Department Name Risk Adjustment Employment Type Full time Shift Day (United States of America) ... Weekly Scheduled Hours 40 Hours of Work 8 am to 5 pm Days Worked Monday to Friday Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health… more
- Elevance Health (St. Louis, MO)
- …actuarial studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements risk ... background. **Preferred skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience is strongly preferred. Please be… more
- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment ... monitoring of key performance indicators to enable operational excellence within the risk adjustment department. You will be responsible for coordinating mock… more
- Bristol Myers Squibb (Princeton, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Senior Analyst , Corporate Security Risk Intelligence provides key support to ... responsible for providing in-depth situational awareness on global security risk trends and specific threats that could directly impact...+ Strong knowledge of Power Point, Excel, Word, i2 Analyst Notebook, and other tools to leverage in the… more
- Truist (Atlanta, GA)
- …Risk 'VaR', Greeks, stress tests, Potential Future Exposure 'PFE', Credit Valuation Adjustment 'CVA', etc.) using complex quantitative risk models. 9. Work ... (Credit valuation Adjustment ) and FVA (Funding Valuation Adjustment ) concepts. 7. Must possess knowledge of risk... Adjustment ) concepts. 7. Must possess knowledge of risk management and control processes, especially of the applicable… more
- New York State Civil Service (Albany, NY)
- …Financial Services, Department of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crime Risk ), SG-23) ... in one (1) of the following:* Evaluating financial institution financial crime risk (BSA/AML, CIP, OFAC/Sanctions, CTF) in a management, compliance, or audit… more
- Pacificorp (Salt Lake City, UT)
- Insurance Analyst (Mid/Sr. Levels) - Salt Lake City, UT - #112960 **Date:** Nov 14, 2024 **Location:** SALT LAKE CITY, UT, US, 84116 **Company:** PacifiCorp **JOIN ... and initiatives with major risks. Identify and assess areas of potential risk to the assets, earning capacity, or success of organization. Develop, recommend… more
- BP Americas, Inc. (Houston, TX)
- …Finance Group **Job Description:** **About the Role** The Valuations Team within Commodity Risk / Product Control group is a key middle-office, risk , and ... activities are conducted within a robust control framework. The Senior Valuations Analyst plays a key role in accomplishing the middle-office goals and encompasses… more
- Citigroup (Tampa, FL)
- …provisioned by Data Services improve in data quality as part of the major adjustment reduction program. The analyst will assess, evaluate, and analyze data ... results. This is a role within the CSCO Controllers Adjustment Reduction program with a focus on aggregator applications....focus on aggregator applications. We partner with Finance and Risk to understand their data requirements for regulatory and… more
- RELX INC (Alpharetta, GA)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk...About our Team: We are looking for a Business Analyst who will be the vital link between our… more
- The Cigna Group (Sunrise, FL)
- …on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. + Schedules, prepares for and ... **Role Summary** The Provider Performance Enablement Lead Analyst is a key member of the market...to Health Services, Medical Economics, Sales, and Sales & Risk Adjustment in order to develop solutions… more
- General Dynamics Information Technology (Reston, VA)
- …None **Job Family:** Cyber Security **Skills:** Cybersecurity,Cybersecurity Risk Assessment,MITRE ATT&CK Framework **Certifications:** CompTIA - Security+ ... Yes **Job Description:** How A Cyber Threat Intelligence (Fusion) Analyst Will Make an Impact + The successful applicant...expected to identify potential cyber threats, determine levels of risk , and produce analytical reports for a variety of… more
- BP Americas, Inc. (Chicago, IL)
- …Retail Group **Job Description:** We currently have an exciting opportunity for Business Analyst to join the Network and Portfolio Management team. The Underwriting ... Analyst reports to the Head of Network & Portfolio...opportunities. Provide analytical support by evaluating site data, performing risk assessments, and assisting in evaluating the financial and… more
- Citigroup (O'Fallon, MO)
- The Finance Reporting Senior Lead Analyst is a senior level position responsible for the generation, analysis and submission of financial reports in coordination ... activities including the closing of books and sub-ledgers, passing appropriate required adjustment entries and consolidating financials at the end of each accounting… more
- New York State Civil Service (Albany, NY)
- …Financial Services, Department of Title Virtual Currency Senior Policy Analyst (Financial Services Specialist 2 (Policy Analysis), SG-23) Occupational Category ... Law, Mathematics, Political Science, Public Administration, Public Health, Public Policy, Risk Management or Statistics and three (3) years of specialized experience… more