- 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
- Health First (Rockledge, FL)
- …Plan Customer Service* **Organization:** **HF Administrative Plan Inc* **Title:** *HFHP Associate Risk Adjustment Analyst * **Location:** *Florida - Brevard ... *POSITION SUMMARY* This role contributes to Health First Health Plans' (HFHP) Risk Adjustment data collection, supporting compliance with regulatory and… 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
- 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
- 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
- Baylor Scott & White Health (Columbus, OH)
- **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end encounter ... management workflow. Supports program management activities around risk adjustment data management and submissions to government agencies such as Centers for… 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
- The Cigna Group (Bloomfield, CT)
- **Job Summary:** The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, ... and any additional applicable rule set. * Utilize HHS' Risk Adjustment Model to confirm accuracy of...needed. **Education & Experience:** The Quality Review & Audit Analyst will have a high school diploma and at… more
- Bank of America (Atlanta, GA)
- Senior Quantitative Financial Analyst - Consumer Credit Risk Charlotte, North Carolina;Chicago, Illinois; Atlanta, Georgia **Job Description:** At Bank of ... loss forecast associates, model operations, model developers, Allowance, Finance, Enterprise Stress Testing, Risk and the Front Line Unit. The Analyst should be… 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
- 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
- Aston Carter (Jacksonville, FL)
- Job Title: Sr. Credit Risk Analyst Hello! Our client in the financial services industry is in need of a consultant to assist in allowed credit loss (ACL) and ... ACL process. + Designs, implements, and maintains internal controls to mitigate risk . + Develops relationships across the organization and within other teams within… more
- AON (Boston, MA)
- …property claim matters. + Coordinate preparation and submission of claims and adjustment and recovery phases with insurance adjuster. + Assist and coordinate data ... preferably with area of study in Business, Finance, or Risk Management + This role requires previous property claims...matters. + Coordinate preparation and submission of claims and adjustment and recovery phases with insurance adjuster. + Assist… more
- Intermountain Health (Columbus, OH)
- …role will have the responsibility of advising and mentoring caregivers on the Risk Adjustment coding team and ensuring efficient workflow and quality results. ... They provide expert-level proficiency in the areas of Risk Adjustment Coding for highly regulated government...and provides education and training to the HCC Coding Analyst team as well as other internal departments, providers… more
- The Cigna Group (Seattle, WA)
- …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 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
- BP Americas, Inc. (Chicago, IL)
- …we continue to grow as the world's leading energy company! The Commercial Analyst Refined Products Trading Americas (RPTA) is a key strategic front office position ... as the main contact point for Trading, Operations, Commodity Risk , and support functions for their respective books. The...and support functions for their respective books. The Commercial Analyst will collaborate across these groups to deliver a… 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
- 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
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