- CVS Health (New Albany, OH)
- …of business. You will also perform statistical analyses to generate risk adjustment reporting and provide data -driven insights. Join this exciting ... . Your will be responsible for provider/vendor/network outreach, production management, and reporting for the Risk Adjustment Retrospective Program for… more
- The Cigna Group (Bloomfield, CT)
- …compliance and audit projects. **Principal Duties:** + Perform required tracking and reporting for all Risk Adjustment overpayments including: ... to support overpayment reporting and managing reconciliation reporting of all requested risk adjustment...on any phase of the team Risk Adjustment analysis project activities. + Leverage data … more
- CareFirst (Baltimore, MD)
- …suite of analytic capabilities and actionable reports to solve problems, provide data -driven guidance, and monitor risk adjustment performance. Provide ... **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Analyst assumes a pro-active...innovative approaches to create or improve automation and optimize data and analytic processes as well as reporting… more
- Highmark Health (Columbus, OH)
- …ensuring accurate and timely data flow across systems. + **Oversee risk adjustment processes and ensure compliance with regulations:** Stay abreast of ... evolving regulatory requirements and implement best practices to ensure accurate risk adjustment calculations and reporting . + **Drive continuous improvement… more
- Point32Health (MA)
- …here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the direction of the Risk Adjustment Supervisor/Manager, performs accurate and timely review and ... Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider documentation of… more
- Health First (Rockledge, FL)
- *POSITION SUMMARY* This role contributes to Health First Health Plans' (HFHP) Risk Adjustment data collection, supporting compliance with regulatory and ... business. This individual will ensure the integrity of HFHP risk adjustment data by critically...updates. 7. Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements.… more
- Principal Service Solutions (De Soto, KS)
- …+ Work closely with System Engineers and Project Managers on equipment installation reporting back shipping issues, design issues and other changes that may have ... for company equipment in the customer's facility. + Input data to various computer programs. + Data ...is occasionally exposed to toxic or caustic chemicals and risk of electrical shock. + The noise level in… more
- Molina Healthcare (NE)
- …experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 6+ years of data analysis experience utilizing technical ... Risk and Quality leaders to improve outcomes by managing Risk /Quality data collection strategy, analytics, and reporting , including but not limited to: … more
- Citigroup (New York, NY)
- …platforms and results. This is a leadership role within the CSCO Controllers Adjustment Reduction, EUC and Data Initiatives organization responsible for managing ... direction of the enterprise, combined with a solid conceptual/practical grounding in Data Quality and Reporting and related subject areas. Excellent… more
- Molina Healthcare (Richmond, KY)
- …experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 2+ years of data analysis experience utilizing technical ... leaders to improve outcomes by managing Risk /Quality data collection strategy, analytics, and reporting , including...2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years… more
- BP Americas, Inc. (Houston, TX)
- …growth of the portfolio. This is achieved through timely, rigorous, and accurate reporting and analytics of exposure, market risk , costs, gross margin, cash ... Shipping Team and advance your career as a Commodity Risk Lead. **Role Synopsis** Trading & Shipping (T&S) is...This position is accountable for delivering daily exposure, P&L reporting , month end close process and providing analytics to… more
- PNC (Raleigh, NC)
- …Models, Risk Appetite **Competencies** Bank Quantitative Analysis, Consulting, Data Gathering and Reporting , Effective Communications, Predictive Analytics, ... the company's success. As a Quantitative Analytics/Modeling Expert within PNC's Model Risk Management organization, you can be based in Pittsburgh, PA; Tysons… more
- AON (MA)
- …submission, preparation and coordination with claims consultants, financial tracking and reporting for accounting and status reporting on recovery. ... Responsibilities Handle/manage the property loss claim process involving claim reporting , investigation, claim preparation, claim submission, and claim payments. +… more
- Bank of America (Atlanta, GA)
- … Risk Modeling + Technical Documentation + Adaptability + Collaboration + Problem Solving + Risk Management + Test Engineering + Data Modeling + Data and ... methods, data analytics, or quantitative research + Experience in Risk , Credit, Collections or Financial Operations with demonstrated track record of generating… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …**Job Summary** Under limited supervision, mitigate institutional investors' construction risk and keep them knowledgeably informed on multiple low income ... identifying any potential exposure to investment and credit delivery risk . * Maintain high level of client contact and...removing consultants from the directory if necessary. 2. CONSULTANT REPORTING MANAGEMENT - a) The DRM must know when… more
- New York State Civil Service (New York, NY)
- …No Agency Financial Services, Department of Title Financial Crimes Blockchain Analytics Risk Associate (Financial Services Specialist 4 (Financial Crime Risk ), ... have been at a supervisory level:* Evaluating financial institution financial crime risk (BSA/AML, CIP, OFAC/Sanctions, CTF) in a management, compliance or audit… more
- Molina Healthcare (UT)
- …other provider engagement teams within Molina. + Possesses a strong knowledge in risk adjustment programs and processes, data acquisition processes, HEDIS ... include serving as the subject matter expert in all functional areas in risk , data capture and quality improvement, coordinating national and local operations… more
- New York State Civil Service (Albany, NY)
- …Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crime Risk ), SG-23) Occupational Category Other Professional Careers Salary Grade 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
- Citigroup (Tampa, FL)
- …conducted in accordance with regulatory and internal standards. **US Regulatory & Corporate Reporting - Country Risk Reporting ** Our commitment to diversity ... The Financial Reporting Senior Analyst will be part of the...Citigroup. This position will require preparation and analysis of data for the quarterly CER and FSB filing as… more
- Bristol Myers Squibb (Princeton, NJ)
- …in developing and maintaining the data infrastructure that underpins our risk analytics and reporting capabilities. You will work closely with senior ... Supervise and administer the comprehensive data infrastructure, tools, analytics, and reporting mechanisms for Enterprise Risk and Compliance & Ethics (C&E)… more