- Elevance Health (Tampa, FL)
- ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement:** **Hybrid 1;** **This role requires associates to be in-office 1 - ... for employment, unless an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** is responsible… more
- Molina Healthcare (FL)
- …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid...models based on state programs + Develop and lead actuarial studies related to risk scores and… more
- ChenMed (Miami, FL)
- …CMS public information.Calculatesstatistical and probability forecasts and models from data. + RunsCMS risk adjustment model to calculate member level risk ... we need great people to join our team. The Actuarial Services Analyst is responsible for managing...Analyst is responsible for managing and tracking the risk positions within ChenMed as well as supporting the… more
- Centene Corporation (Tallahassee, FL)
- …with data mining, machine learning, artificial intelligence, or statistical modeling preferred ** Risk Adjustment :** Experience in risk adjustment , ... preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired.Pay… more