- Intermountain Health (Columbus, OH)
- **Job Description:** The Risk Adjustment Analyst performs data and analytical services in support of optimizing risk adjusted revenue, maintaining ... projects including retrospective chart review and prospective initiatives. The Risk Adjustment Analyst gathers, standardizes,...increase knowledge and improve ROI of risk adjustment activities. We will hire at Senior … more
- Bloomberg (New York, NY)
- …regulators, clients, and other external stakeholders continue to evolve. We are looking for a Senior Risk Analyst who will develop a deep understanding of ... and be able to analyze and understand the inherent risks within our processes. The Senior Risk Analyst will be accountable to perform detailed analytics work… more
- The Cigna Group (Bloomfield, CT)
- …TAMPA** **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an ... market. The role will be accountable for assigned provider groups reaching risk adjustment and stars related annual metrics. This role will work directly with… more
- Truist (Charlotte, NC)
- …of the Market and Liquidity Risk Management (MLRM) team within the Risk Management Organization (RMO), works with the Senior Treasury Market and Liquidity ... tools and processes. Preferred Qualifications: 1. Industry certification such as Chartered Financial Analyst (CFA) or Financial Risk Manager (FRM). 2. 2-5 years… 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
- CareFirst (Baltimore, MD)
- …required in addition to the required work experience. **Experience:** 5 years as a risk adjustment HCC analyst or experience collaborating with Finance and ... support in terms of reporting, project deliverable tracking and documentation for risk adjustment activities with Provider Partnerships on the DSNP EGWP… more
- RELX INC (Washington, DC)
- …to provide investigative support to a dedicated federal government customer. The Senior Investigative analyst will enable federal government customers with the ... Senior Investigative AnalystAre you looking to utilize your...to uncover information and insights? About the Business LexisNexis Risk Solutions is the essential partner in the assessment… more
- RELX INC (Boca Raton, FL)
- Technology Metrics and Optimization - Senior Analyst II Do you have an eye for financial efficiency?Would you like to utilize your advanced Excel Data reporting ... own the Use Case Technology Spend? About the BusinessLexisNexis Risk Solutions is the essential partner in the assessment...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- RELX INC (Houston, TX)
- Senior Market Analyst Do you enjoy being part of a team that works with a diverse range of products /technology? Do you excel at translating market knowledge? ... of major producers, converters, traders, and the financial markets. About the Role The Senior Market Analyst is responsible for managing a variety of market… more
- RELX INC (Houston, TX)
- Senior Market Analyst - Petrochemicals Do you enjoy being part of a team that works with a diverse range of products /technology? Do you excel at translating ... of major producers, converters, traders, and the financial markets. About the Role The Senior Market Analyst is responsible for managing all market products they… more
- Walgreens (Deerfield, IL)
- …Equal Opportunity Employer, including disability/veterans". **Job ID:** 1400298BR **Title:** Senior Analyst , Liability Claims **Company Indicator:** Walgreens ... supervision. Supports organizational processes and programs for mitigation of financial risk . Analyzes, researches and formulates a basis on which coverage decisions… more
- Healthfirst (NY)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRGs), ... per week located at 100 Church Street, NYC. + As a Senior Healthcare Analyst within Medical Economics, you will manage projects from analysis to implementation… more
- CVS Health (Topeka, KS)
- …+ Charlottesville, VA + San Antonio, TX + Southern, IL Position Summary This Senior Analyst , Healthcare Quality Management will be a Quality Practice Liaison who ... + Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding, Medicaid risk adjustment methodology, and common billing and common billing practices +… 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. ... The role will be accountable for assigned provider groups reaching risk adjustment related annual metrics. This role will work directly with providers to assist… more
- Highmark Health (Dover, DE)
- …Healthcare-related field **Substitutions** + 6 years of combined experience with RN/LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS, and/or health ... None **EXPERIENCE** **Required** + 5-10 years of combined experience with RN/LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS, and/or health… 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
- Truist (Charlotte, NC)
- …shift (United States of America) **Please review the following job description:** As a senior member of the Market and Liquidity Risk Management (MLRM) team ... to escalate issues within MLRM and Corporate Treasury to drive timely, proactive risk identification and analysis. 3. Assume a senior leadership role in… more
- UPMC (Pittsburgh, PA)
- …Contracting + Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment + Proficient to expert in SQL and Excel ... Excel + Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment + Data retrieval skills and relational database… more
- The Cigna Group (Baltimore, MD)
- …on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. + Schedules, prepares for and ... including but not limited to Health Services, Medical Economics, Sales, and Sales & Risk Adjustment in order to develop solutions for strategic business needs +… more
- Health First (Rockledge, FL)
- …Has demonstrated an ability to work directly with Underwriting, Risk Adjustment , Finance, Decision Support, Group Services and/or Senior Management. * ... statistical data analysis/support and construct probability tables to forecast risk and liability. Support product rate filings, reserve calculations, group… more
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