- The Cigna Group (Nashville, TN)
- …needs of CMS Medicare Risk Adjustment processes and systems. The ** Medicare Risk Adjustment Analytics Advisor** would be a member of the ... if do not live near a Cigna Office]** We have an immediate need to strengthen our Risk Adjustment and Stars Enablement team. The Risk Adjustment and… more
- The Cigna Group (Nashville, TN)
- **Summary** The Medicare Risk Adjustment Advanced Analytics team is searching for a highly motivated and collaborative person to build new data ... and enable analytics . You will work closely with colleagues across the Risk Adjustment business, data science, and data analytics teams to develop new… more
- The Cigna Group (Nashville, TN)
- …care capabilities for Accountable Care. This role will be responsible for executing analytics around ACO/ Risk Bearing Entity programs to help measure and ... **Summary** The Business Analytics Lead will be an individual contributor responsible...trends, variances, and key issues and provide recommendations for adjustment + Prepare and improve financial analysis and forecasting… more
- The Cigna Group (Franklin, TN)
- …and Customer strategy, performing research and analysis within the Clinical, STARS, and Risk Adjustment Analytics team. Reporting to the Senior Manager ... recommendations based on relevant findings. The Clinical, STARS, and Risk Adjustment Analytics team seeks...clinical programs, customer value, growth, and retention for Cigna Medicare . This role will help us accomplish this through… more
- The Cigna Group (Nashville, TN)
- …role will work with a series of stakeholders on setting our risk adjustment strategy. Reporting to the Medicare Advantage Revenue Finance lead, this position ... Medicare finance and operation teams to ensure appropriate risk adjustment goals are developed, set, and...progress, priorities, and key risks and opportunities. + Supports analytics partners in evaluating risk adjustment… more
- Elevance Health (Nashville, TN)
- …(Operational)** The Sr. Business Consultant will support the Advanced Primary Care risk adjustment team through vendor engagement, reporting and identifying ... have a healthcare background with a strong understanding of Risk Adjustment . You should have experience in...adjustment and/or health insurance industry. + Experience in Medicare Advantage and Medicaid in a provider based or… more
- Humana (Nashville, TN)
- …Agile, dedicated Partnership Leaders, and collective Product Ownership to deliver integrated risk adjustment (RA) and quality (Stars) solutions that leverage ... outcomes, provider partnerships and the financing of benefits for Medicare Advantage beneficiaries. The Senior Software Engineer on the...experience with and knowledge around the CMS Stars and/or Risk Adjustment programs with a focus in… more