- Molina Healthcare (Cedar Rapids, IA)
- …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES**...models based on state programs + Develop and lead actuarial studies related to risk scores and… more
- Elevance Health (West Des Moines, IA)
- ** Risk Adjustment Actuarial Analyst II...and performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and ... an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II...Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives.… more
- Humana (Des Moines, IA)
- …Senior Market Finance Professional supports more than half of Humana's Medicaid business, providing technical financial analysis and data-driven insights to drive ... with Market CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and… more