• Healthcare Claims Risk Adjustment

    Fallon Health (Worcester, MA)
    …on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose** : The primary role of the Risk Adjustment Analyst (RAA) will be to function as the Claims SME ... with encounter submissions vendor for resolution + Work with the Senior Risk Adjustment Analyst on monthly operational and performance reporting and… more
    Fallon Health (09/07/24)
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  • Actuarial Analyst II

    Elevance Health (Woburn, MA)
    …Medicare Advantage business + Responsible for assisting with forecasting, budgeting, and risk adjustment modeling + Frequent interaction with MMM Finance ... The **Actuarial Analyst ll** completes projects and performs complex actuarial...to: + Obtains, verifies, analyzes and models data including risk reporting and forecasting. + Performs actuarial functions related… more
    Elevance Health (09/11/24)
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