- 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...groups along the engagement continuum within an assigned market. Lead Analyst will be primary contact for… more
- 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 ... data warehouse as key sources of data. The Senior Analyst uses their extensive content knowledge and analytical expertise...planning processes + Subject matter expert in CMS HCC Risk Adjustment modeling + May lead… more
- Elevance Health (Norfolk, VA)
- ** Risk Adjustment Advanced Analyst ...is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... one of our Elevance Health PulsePoint locations.** **Preferred Location: Norfolk, VA.** The ** Risk Adjustment Advanced Analyst Senior** is responsible for… 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
- The Cigna Group (Sunrise, FL)
- **Role Summary** The Provider Performance Enablement Lead Analyst is a key member of the market that assists in the growth and development of the provider ... the individual that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst 's responsibilities include: + Most likely to have… 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 ... controls + Lead regulatory exams, internal audits, and address external analyst questions + Conduct research and analysis of regulatory reporting and other… more
- Citigroup (Tampa, FL)
- The Data Integration Lead Analyst is responsible for facilitating / executing the day-to-day activities that support the execution, enablement and adoption of ... is responsible for many run-the-bank and change-the-bank processes. We partner with Risk and Finance to understand their data requirements for regulatory and… more
- Citigroup (New York, NY)
- The Finance Reporting Lead Analyst is senior professional position responsible for driving the generation, analysis, and submission of reports to various ... Assist with closing the books and sub-ledgers, including passing appropriate required adjustment entries and consolidating financials at the end of each accounting… more
- General Dynamics Information Technology (Arlington, VA)
- …of related experience **US Citizenship Required:** Yes **Job Description:** Financial Analyst Support mission-critical initiatives and enable the growth of our ... business as a Financial Analyst at GDIT. Working on the Finance team, you'll...functions such as budgeting, auditing, forecasting and analysis. + Lead the creation of monthly and quarterly financial business… more
- General Dynamics Information Technology (Herndon, VA)
- …mission-critical initiatives and enable the growth of our business as a Financial Analyst Advisor at GDIT. Working on the Finance team, you'll become an integral ... At GDIT, people are our differentiator. As a Financial Analyst Advisor you will help ensure today is safe...functions such as budgeting, auditing, forecasting and analysis. + Lead the creation of monthly and quarterly financial business… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …data visualizations from structured and unstructured data. * Collaborate with the Lead Analyst and Product team to support analytical architecture for ... Job Title: Senior Data Analyst Summary: The Senior Data Analyst ...production-ready, client-facing visualizations to derive insights from Pareto Intelligence's risk - adjustment solutions. This role requires technical expertise… more
- RELX INC (Oklahoma City, OK)
- …the excitement of working in a fast-paced environment. About the Role: The Data Analyst at LexisNexis Risk Solutions is responsible for inputting and verifying a ... About the Business: LexisNexis Risk Solutions is the essential partner in the...are completed efficiently and accurately. + Acting as a lead , coordinating the work of others, and providing guidance… more
- Point32Health (Canton, MA)
- …care claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment . In-depth health care reimbursement and managed care business ... direction of the Director or Senior Manager, the Senior Analyst will be part of a team responsible for... may also serve as a project manager and/or lead cross functional teams for certain related projects. **Key**… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Payment Models, including but not limited to concepts such as risk adjustment , member-to-provider attribution methodologies, episodic groupers, and the ... time zone hours.** **Primary Function/General Purpose of Position** Sr. Financial Analyst - Alternative Payment Models, leads reporting and analytics for Bon Secours… more
- Health First (Rockledge, FL)
- …Underwriting. * Has demonstrated an ability to work directly with Underwriting, Risk Adjustment , Finance, Decision Support, Group Services and/or Senior ... statistical data analysis/support and construct probability tables to forecast risk and liability. Support product rate filings, reserve calculations, group… more
- Aston Carter (Philadelphia, PA)
- Actively looking to hire a Financial Analyst that has experience in the non profit or health care setting. This is a 100% remote role, but is a long term consulting ... working in the non- profit or healthcare industry! Job Description This Financial Analyst will have extensive interaction with all levels of the organization and… more
- Molina Healthcare (MI)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- Bristol Myers Squibb (Princeton, NJ)
- …Read more: careers.bms.com/working-with-us . The **Associate Director, Development Strategy Analyst ** is an experienced clinical research professional skilled in ... decisions fully independent. + Critical Thinking: proactively recognizes and mitigates risk based on industry trends, best practices and/or potential risks that… more
- Aston Carter (Westminster, CA)
- Senior Financial Analyst Responsibilities + Develop, install, and maintain risk -based reporting structures for lending areas. + Prepare and analyze month-end ... and data analysis and PC programs. + Ability to lead and cooperate with others, inspire confidence, and work...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process… more
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