- Point32Health (Canton, MA)
- …individual will be responsible for supporting critical data submission functions for the Risk Adjustment Department (RAD), including submissions to CMS and state ... timely resolution of production issues pertaining to state government and risk adjustment data submissions, including issue investigation, business requirements,… more
- Corewell Health (Grand Rapids, MI)
- …service excellence. Qualifications Required + Bachelor's Degree or equivalent + Must have risk adjustment knowledge and working experience + 5 years of relevant ... implications for existing technology. + Provides mentorship to less senior team members and is accountable as a role...- 1231 E Beltline - Grand Rapids Department Name Risk Adjustment Employment Type Full time Shift… more
- Elevance Health (Atlanta, GA)
- …days onsite per week)** **Position Overview:** We are seeking a dedicated and detail-oriented Risk Adjustment Reconciliation Analyst to join our team. The ... candidate will play a crucial role in supporting our risk adjustment processes through diligent encounters data reconciliation, claims data validation,… more
- Amazon (Seattle, WA)
- Description We are seeking a Senior Risk Analyst to support the Internal Audit Forensics and Fraud team. This team takes a holistic approach to evaluating ... and investigation standards A day in the life The Senior Risk Analyst will lead...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (Seattle, WA)
- …and operational processes that minimize risk and maximize trust in Amazon.com. As a Sr . Risk Analyst in BRP, you will be responsible for analyzing ... identify and neutralize new and emerging fraud threats? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest place to transact online.… more
- Amazon (Seattle, WA)
- … Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and ... and risk management in transportation. As a Senior Risk Analyst , you will...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Pacificorp (Salt Lake City, UT)
- Insurance Analyst (Mid/ Sr . Levels) - Salt Lake City, UT - #112960 **Date:** Mar 12, 2025 **Location:** SALT LAKE CITY, UT, US, 84116 **Company:** PacifiCorp ... with major risks. Identify and assess areas of potential risk to the assets, earning capacity, or success of...** Sr . Level Responsibilities** **Additional Responsibilities of the Sr . Insurance Analyst position include the following:**… more
- Amazon (Arlington, VA)
- Description Amazon's Global Risk Management Claims team is seeking a talented risk professional to support our rapidly growing and evolving corporate auto ... handling new issues that arise in a business forward way while addressing risk . Typical transactions will range from standard claims settlement to complex high… more
- Mitsubishi Chemical Group (Carlsbad, CA)
- ** Sr . Credit & Collections Analyst (1972)** + Title: Sr . Credit & Collections Analyst + Group Company: MCA Sporting Goods Division + Location:Carlsbad, CA ... and identify potential shortfalls + Establish metrics to evaluate risk and minimize bad debt + Ensure quality customer...offered. This salary will be subject to a geographic adjustment (according to a specific city and state), if… 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. * ... and service. **Job:** **Underwriting* **Organization:** **HF Administrative Plan Inc* **Title:** * Sr Actuarial Analyst - Actuarial and Underwriting (must reside… more
- BP Americas, Inc. (Wayne, NJ)
- **Entity:** Finance **Job Family Group:** Finance Group **Job Description:** The Sr . Commercial Finance Analyst , Castrol Americas **,** will primarily support ... value-creating opportunities to enable financial performance through commercial rigor and risk management. The role requires strong business partnering and supports… 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
- Netflix (Los Angeles, CA)
- …anywhere, and can change their plans at any time. We are seeking a Senior Analyst to assist our growing Risk Management team. In this role, you will support ... and general liability claims. This role reports to a Senior Manager within Risk Management and joins...interview experience for all candidates. If you want an accommodation/ adjustment for a disability or any other reason during… more
- Amazon (Sunnyvale, CA)
- …of customers around the world? Amazon is seeking a highly analytical and action-oriented Sr . Finance Analyst to partner with our Search and Silk leadership team ... team with ad hoc financial analysis, including scenario planning, and risk assessment for strategic initiatives. * Cross-Functional Collaboration: Work closely with… more
- Amazon (Seattle, WA)
- Description As Senior Analyst , the analyst should troubleshoot customer issues related to AWS Billing and Cost management services and tools that might lead ... to widespread customer impact or financial risk . It requires to support three main work streams: KTLO, improving product/customer experience, and automation/process… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, ... of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), + Diagnosis Related Groups… more
- Citigroup (Tampa, FL)
- The Finance Reporting Senior Analyst is an intermediate level position responsible for the generation, tracking and submission of financial reports in ... Assist with closing the books and sub-ledgers, including passing appropriate required adjustment entries and consolidating financials at the end of each accounting… more
- Molina Healthcare (Columbus, OH)
- …subject matter expertise in at least one actuarial function (pricing, reserving, risk adjustment , analytics, modeling, etc.) + Leads an analytical project ... from beginning to end with limited direct supervision. + Advanced technological skills with Excel and familiar with another statistical, query, or programming language. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Mathematics, Statistics,… more
- Amazon (Seattle, WA)
- …P&L for unlaunched new regions, 2) identify areas of opportunity and risk within the financials, and 3) influencing decision-making to yield better financial ... customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview… 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), ... Ambulatory Patient Groups (APGs), Ambulatory Payment Classifications (APCs), and other payment mechanisms. + Experience using Tableau. WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard… more