- MVP Health Care (Schenectady, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a Risk Adjustment Analyst to join #TeamMVP. This is the ... prospective and retrospective objectives in population health management including focus on Risk Adjustment efforts. Design targeting based upon disparate data… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity ... of key risk adjustment performance metrics through coordination of analytical processes, investigation and interpretation of HHS risk score methodology, … more
- MVP Health Care (Rochester, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Risk Adjustment Analyst ** to join #TeamMVP. This is the ... prospective and retrospective objectives in population health management including focus on Risk Adjustment efforts. + Design targeting based upon disparate data… more
- Elevance Health (West Des Moines, IA)
- ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement:** **Hybrid 1;** **This role requires associates to be in-office 1 - 2 ... for employment, unless an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** is responsible for… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... integrity of key risk adjustment performance metrics through coordination of analytical processes, investigation and interpretation of regulated markets risk … more
- Centene Corporation (Jefferson City, MO)
- …the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1 ... and complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical documentation gaps, assesses risk… more
- Molina Healthcare (Mesa, AZ)
- …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment… more
- Ventura County (Ventura, CA)
- Workers' Compensation Risk Analyst Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5142408) Apply Workers' Compensation Risk Analyst ... role of Risk Management within a county-wide environment. PAYROLL TITLE: Risk Analyst AGENCY/DEPARTMENT: County Executive Office/ Risk Management -… more
- New York State Civil Service (Albany, NY)
- …Financial Services, Department of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crimes Risk ), SG-23) ... seeking candidates for the position of Virtual Currency Senior Blockchain Analytics Analyst , (Financial Services Specialist 2 (Financial Crimes Risk )) in Virtual… more
- Aston Carter (Kansas City, MO)
- We are seeking a Third-Party Vendor Risk Management Analyst for a great client ours on a six-month contract, with the potential for permanent hire. This role ... involves executing the Third-Party Risk Management program by conducting vendor risk ...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process… more
- Amazon (Austin, TX)
- …services company on Earth! Amazon Web Services (AWS) is seeking a Senior Third-Party Risk Intelligence Analyst as part of its Supplier Governance team. In this ... people who want to help. You'll join a diverse team of Risk Intelligence analysts, security engineers, and technical Program Managers. You'll collaborate with… more
- Intermountain Health (Montpelier, VT)
- **Job Description:** This Position is an entry-level role in Risk Adjustment and will learn to demonstrate general proficiency in the areas of Risk ... (MA), Medicaid, and the Affordable Care Act (ACA). This analyst will audit approved clinical documentation post-visit to ensure...to ensure accurate coding practices according to general and risk adjustment coding guidelines as established by… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …audit and analysis of data. In this role, you'll leverage your knowledge of risk adjustment and healthcare data (primarily Medicare Advantage, Medicaid, and ACA ... stakeholders across the enterprise. The ideal candidate will have experience with risk adjustment , Medicare Advantage, Medicaid, ACA commercial, clinical coding,… more
- Northrop Grumman (Melbourne, FL)
- …and evaluating Requests for Equitable Adjustment (REAs). The Proposal Analyst will provide valuable insight into supplier risk , negotiation positions, ... Grumman Aerospace Systems (NGAS)** is currently seeking a **Principal Price/Cost Proposal Analyst Level 3** to join our team! This position will be located… more
- General Dynamics Information Technology (Falls Church, VA)
- …the business, helping drive profitable growth, identify opportunities for improvement and risk mitigation. + Manage revenue and cost adjustment submissions, ... enable the growth of our business as a **Financial Analyst Principal** at GDIT. Working on the Finance team,...the operations team. + Prepare and communicate monthly forecast, risk assessment and variance analysis to senior management. +… more
- Insight Global (Virginia Beach, VA)
- …SlicerDicer (Preferred) * Familiarity with CMS quality programs, HEDIS measures, and risk adjustment (Preferred). * Familiarity with CMS quality programs, HEDIS ... highly skilled and motivated Epic Healthy Planet Lead IT Analyst to join our IT team. This role is...measures, and risk adjustment . * Knowledge of SQL or...measures, and risk adjustment . * Knowledge of SQL or other data query… more
- New York State Civil Service (Albany, NY)
- …HELP Yes Agency Information Technology Services, Office of Title Technology Analyst 2 (Rapid Application Development) (.Net skills) Occupational Category IT ... Under the direction of the Information Technology Architect 2, the Technology Analyst 2 (Rapid Application Development) will be responsible for designing and… more
- RELX INC (Alpharetta, GA)
- …You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/insurance About the Role The Business Analyst I is responsible for ... About the Business LexisNexis Risk Solutions is the essential partner in the...Requirements + 1+ years of experience as an Business Analyst . We prefer up to 3 yrs of experience.… more
- RELX INC (Alpharetta, GA)
- …. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/insurance About the Role The PMO Project Analyst plays a key role ... About the Business LexisNexis Risk Solutions is the essential partner in the...deliver actionable insights through reporting and analytics. The Project Analyst ensures project integrity, facilitates communication, and supports project-level… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …providing needed data and reporting, and partner with actuaries to resolve related risk adjustment issues. The ideal candidate will have experience with ... and Blue Shield of Minnesota Position Title: Senior Data Analyst Location: Hybrid | Eagan, Minnesota Career Area: Data...BI, and will have experience partnering with actuaries on risk adjustment issues. Your Responsibilities * Performs… more
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