- 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
- 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 (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
- 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
- Truist (Atlanta, GA)
- …Risk 'VaR', Greeks, stress tests, Potential Future Exposure 'PFE', Credit Valuation Adjustment 'CVA', etc.) using complex quantitative risk models. 4. Provide ... description:** As a member of the Market & Liquidity Risk Management (MRLM) team within the Risk ...6. Knowledge of derivatives valuation including CVA (Credit valuation Adjustment ) and FVA (Funding Valuation Adjustment ). 7.… 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
- MUFG (New York, NY)
- …from its markets business (eg interest rate/FX swaps). We are hiring an analyst for the team to perform the following: **Responsibilities** + Work with senior ... traders on MUFG's loan hedging and Credit Valuation Adjustment desk (CVA). + Develop a thorough understanding of financial markets + Oversee trade booking process… 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 + Minimum three years in claim management...matters. + Coordinate preparation and submission of claims and adjustment and recovery phases with insurance adjuster. + Assist… more
- The Cigna Group (Bloomfield, CT)
- …and provider relations to develop, implement and manage a detailed and thorough risk adjustment coding education & training program for both internal coding ... _The ideal candidate will have experience and understanding of risk adjustment rules & regulations, coding guidelines,...and HCC analysis._ _The Quality Review and Audit Lead Analyst will be instrumental in serving as a key… 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
- 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
- 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
- Aerotek (Tempe, AZ)
- **Overview:** **Aerotek has an immediate opening for an Entry Level Credit Analyst at the corporate office in Tempe, AZ.** **Job Summary:** Reporting to the ... Corporate Credit Manager, the Credit Analyst is responsible for ensuring high quality accounts receivable....+ Represent initial point of contact regarding acceptable credit risk of potential clients as well as maintaining responsibility… more
- New York State Civil Service (Albany, NY)
- …No Agency Financial Services, Department of Title Virtual Currency Senior Analyst (Financial Services Specialist 2 (Compliance), SG-23) Occupational Category Other ... Financial Services is seeking candidates for the position of Virtual Currency Senior Analyst , SG-23, in the Virtual Currency Unit within the Research & Innovation… more