- 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 adjustment performance metrics through coordination of...the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… more
- Corewell Health (Grand Rapids, MI)
- …Location SITE - Priority Health - 1231 E Beltline - Grand Rapids Department Name Risk Adjustment Employment Type Full time Shift Day (United States of America) ... and understands the implications for existing technology. + Provides mentorship to less senior team members, and is accountable as a role model for customer service… more
- Martin's Point Health Care (NY)
- …as well as the data warehouse as key sources of data. The Senior Analyst uses their extensive risk adjustment content knowledge and analytical expertise ... "Great Place to Work" since 2015. Position Summary The Risk Adjustment Reporting and Data Analystanalyzes data,.... Reviews data, develops recommendations and reviews findings with senior leadership . Analyzes and extracts data from the… more
- Point32Health (Canton, MA)
- …Data Analyst will assist in managing vendor relationships, monitoring risk adjustment program operations, performing detailed analysis and synthesizing ... of Consulting and Operations, this individual will support the operations and analysis of risk adjustment strategy across Point32Health business lines. The… more
- Molina Healthcare (NM)
- …+ Support the development of reports and analysis for senior management; effectively communicate results. **JOB QUALIFICATIONS** **Required Education** Bachelor's ... Degree in Mathematics, Statistics, or Economics **Required Experience** 0-1 Year **Required License, Certification, Association** Must have passed at least 1 actuarial exam. **Preferred Experience** Internship - 2 Years To all current Molina employees: If you… more
- New York State Civil Service (Albany, NY)
- …Services, Department of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crime Risk ), SG-23) ... Department of Financial Services is seeking candidates for the position of Virtual Currency Senior Analyst in the Virtual Currency Unit. Duties include, but are… more
- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment ... monitoring of key performance indicators to enable operational excellence within the risk adjustment department. You will be responsible for coordinating mock… more
- Amazon (Seattle, WA)
- …Strategy and Operations team is looking for a smart, motivated, and analytical Credit Risk Analyst to join our underwriting and portfolio management team. The ... understanding of underwriting and related systems, as well as portfolio risk management experience. This role involves high judgment decision making, use/creation… more
- Amazon (Tempe, AZ)
- …of engineering machine learning and big data solutions that revolutionize financial risk mitigation models? Do you have a solid analytical mindset, make data-driven ... simplify? We are looking for top-notch and experienced Business Analyst to join our Disbursement Trust team. This role...models that optimize the resources, inputs & outputs of risk operations business. - Own the design, development, and… more
- The Cigna Group (Bloomfield, CT)
- …predictable health care solutions to our customers. The Quality Review and Audit Senior Analyst role supports Cigna's Individual and Family Plan's (IFP) Business ... Operations' Risk Adjustment and Quality Management program and...required. **_Primary Functions:_** The Quality Review and Audit Lead Analyst has daily responsibility for coding reviews and audits… more
- AdventHealth (Altamonte Springs, FL)
- …against the data warehouse to derive insights on medical cost opportunities, risk adjustment accuracy opportunities, quality opportunities, and overall financial ... ** Senior Medicare Data & Finance Analyst **...trending all aspects of Medicare business, CMS Revenue, Enrollment, Risk Adjustment , cost trend, and quality +… more
- New York State Civil Service (Albany, NY)
- …of Financial Services is seeking candidates for the position of Virtual Currency Senior Analyst , SG-23, in the Virtual Currency Unit within the Research ... & Innovation Division. The Virtual Currency Senior Analyst serves as a specialist for...licensing reviews and supervision and examination work on higher risk , complex BitLicensees, Virtual Currency Trust Company charters, and… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Virtual Currency Senior Analyst (Financial Services Specialist 2 (Compliance), SG-23) Occupational ... of Financial Services is seeking candidates for the position of Virtual Currency Senior Analyst , SG-23, in the Virtual Currency Unit within the Research… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... 3 days at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating… more
- MUFG (New York, NY)
- …arising 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… more
- Robert Half Finance & Accounting (Jupiter, FL)
- …of standard methods for measuring healthcare utilization, spending, quality, outcomes, risk adjustment , and provider profiling. * Manage multiple projects ... Description We are seeking a Senior Data Analyst to join our...of the healthcare industry is desirable. * Experience in risk analytics is preferable. Robert Half is the world's… more
- Amazon (Seattle, WA)
- …and join our team! The Selling Partner Support Finance team is looking for its Senior Financial Analyst FP&A. In this role, you will be partnering with our ... is critical to ensure controllership in execution and collecting risk and opportunities and translate them in financial insights...Americas Customer Service Finance team is looking for its Senior Financial Analyst FP&A. In this role,… more
- Providence (OR)
- …Medicare Advantage plans + Have a deep understanding of Medicare Advantage regulations, risk adjustment methodologies, and a strong analytical background + Be ... must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will:**...the pricing process + Staying informed of changes in risk adjustment methodologies and assess their implications… more
- CVS Health (Richmond, VA)
- …**Position Summary** We are seeking a highly skilled and motivated Senior Analyst , Informatics to join our expanding Medicare risk adjustment analytics ... analytics processes. **Preferred Qualifications** + Prior experience in healthcare analytics, risk adjustment , HEDIS, claims/EHR and other care management data.… more
- Elevance Health (Nashville, TN)
- …Virtual; Within 50 miles of any Elevance Health PulsePoint office The **Coding Analyst Senior ** is responsible for reviewing, auditing, and coding medical ... and anatomy strongly preferred. + Experience with the most current CMS Risk Adjustment Model strongly preferred. + AAPC Certified Risk Adjustment… more
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