- 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 and Coding programs. Support management in ensuring that key risk adjustment performance metrics and business objectives are defined and… more
- The Cigna Group (Denver, CO)
- …capabilities, and enable analytics. You will work closely with colleagues across the Risk Adjustment business , data science, and data analytics teams ... **Summary** The Medicare Risk Adjustment Advanced Analytics team is...are curious and enjoy exploring data and understanding the business implications behind your deliverables. You excel at translating… more
- Molina Healthcare (Richmond, KY)
- **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive ... with research, development,and completion of special projects. **Knowledge/Skills/Abilities** + Assist Risk Adjustment Data Analytics Leaders in Prospective and… more
- Independent Health (Buffalo, NY)
- …or external decision makers. + Stays informed of changes in risk adjustment methodologies and their implications to the business and maintains continuing ... and commitment to diversity and inclusion. **Overview** As a Risk Revenue Analyst -Senior the incumbent will provide...+ Establish and implement claims review processes to support risk adjustment . Analyze data and provide strategic… more
- Regions Bank (Birmingham, AL)
- …and logging into the careers section of the system. **Job Description:** At Regions, the Risk Quantitative Analyst is a member of a key strategic team that is ... that include stress testing and loss forecasting, economic capital, risk ratings, portfolio valuation, optimization, origination strategies, and other portfolio… more
- Citigroup (Getzville, NY)
- The Market Risk Data Lead Analyst is a seasoned professional role focusing on supporting CVA risk data used by risk management professionals charged with ... oversight of the firm's trading business . This role is globally focused and interfaces with...both internal and external partners domestically and internationally. The Risk Reporting Officer will be part of 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) ... A Bachelor's Degree in Accounting, Actuarial Science, Auditing, Banking, Business , Business and Technology, Commerce, Criminal Justice, Finance,… more
- Elevance Health (Cincinnati, OH)
- **Title: Grievances & Appeals Risk Analyst I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 ... one of our PulsePoint locations. The **Grievances & Appeals Risk Analyst I** will be responsible for...preferred. + Paralegal certification and experience preferred. + Claims adjustment experience highly preferred. + Demonstrated business … more
- The Cigna Group (Chattanooga, TN)
- …**Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market. ... role will be accountable for assigned provider groups reaching risk adjustment related annual metrics. This role...along the engagement continuum within an assigned market. Lead Analyst will be primary contact for provider groups on… more
- LA Care Health Plan (Los Angeles, CA)
- Business Analyst III - Encounters Data Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, ... the safety net required to achieve that purpose. Job Summary The Business Analyst III facilitates business process improvement via the methodical… more
- Federal Reserve Bank (San Francisco, CA)
- …days, and work from home on others We are looking for a Senior IT Security Analyst to join our 12th District's Information Security Team. You will focus on the needs ... local Information Security Department as a strategic partner to the Bank's business areas. Additionally you will significantly contribute to cyber security risk… more
- RELX INC (Franklin, TN)
- About the Business LexisNexis Risk Solutions is the...to produce a valuable service. About the Role The Business Analyst will work with one or ... essential partner in the assessment of risk . Within our Business Services vertical, we...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- Fox Rothschild LLP (San Francisco, CA)
- …related to the opening and modifying of client/matters, including financial and business risk review and approvals. **ESSENTIAL FUNCTIONS:** + Ensure timely ... **Description** The New Business Intake Analyst is responsible for...which requires current (and continually updated) knowledge of relevant risk management and firm business -related policies. +… more
- AIG (Atlanta, GA)
- …assets, manage risks and provide for retirement security. About the role The Business Analyst empowers customers to succeed with the develop and implementation ... best solution to solve the problem, expediting correction or adjustment , and following up to ensure resolution. + Escalate...What we're looking for + 5+ years of experience Business Analyst experience + Ability to work… more
- CareOregon (Portland, OR)
- …Encounter Data Analyst Exemption Status Exempt Department Finance Manager Title Risk Adjustment Manager Direct Reports n/a Requisition # 24286 Pay and ... claims, data management, EDI experience Preferred + Experience with Medicare Advantage risk adjustment and payment methodologies Knowledge, Skills and Abilities… more
- RELX INC (Atlanta, GA)
- …approach to show value and insights while communicating with customers? About the Business LexisNexis Risk Solutions is the essential partner in the assessment ... Senior Investigative Analyst Are you looking to utilize your former law...of risk . Within our Government vertical, our solutions assist government agencies… more
- General Dynamics Information Technology (Washington, DC)
- …None **Job Family:** Cyber Security **Skills:** Cybersecurity,Cybersecurity Risk Assessment,MITRE ATT&CK Framework **Certifications:** CompTIA - Security+ ... Required:** Yes **Job Description:** How A Cyber Defense Threat 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
- CVS Health (Irving, TX)
- …personal, convenient and affordable. **Position Summary** We are expanding the ACA risk adjustment analytics team to support provider enablement activities. This ... Sr Analyst , Informatics position will serve as a subject matter expert on ACA Risk Adjustment at- risk provider reporting and will be responsible for… more
- AIG (Atlanta, GA)
- This role requires being in office in Atlanta. About the role The Business Analyst empowers customers to succeed with the Standard Commercial Underwriting ... application and process information and resolving problems the customer may face. Business Analysts should have sound knowledge of the applications and processes,… more
- Citigroup (O'Fallon, MO)
- …and key contacts within multiple areas across Citi + Appropriately assess risk when business decisions are made, demonstrating particular consideration for ... The Finance Reporting Senior Lead Analyst is a senior level position responsible for...the closing of books and sub-ledgers, passing appropriate required adjustment entries and consolidating financials at the end of… more
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