• Senior Risk Adjustment

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk ... who is willing and able to work in a hybrid model. The incumbent will be expected to work...reports to solve problems, provide data-driven guidance, and monitor risk adjustment performance. Provide analytical support on… more
    CareFirst (08/31/24)
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  • 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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  • Data Management Automation Lead Analyst

    The Cigna Group (Denver, CO)
    **Summary** The Medicare Risk Adjustment Advanced Analytics team is searching for a highly motivated and collaborative person to build new data processes, expand ... and enable analytics. You will work closely with colleagues across the Risk Adjustment business, data science, and data analytics teams to develop new assets,… more
    The Cigna Group (08/30/24)
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  • Risk Adjustment Senior Data…

    Elevance Health (Indianapolis, IN)
    ** Risk Adjustment Senior Data Reporting Analyst ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live ... Health Pulse Point locations. **Preferred Location:** Indianapolis, IN. The ** Risk Adjustment Senior Data Reporting Analyst...to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by… more
    Elevance Health (09/11/24)
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  • Medicare Risk Adjustment Advanced…

    Elevance Health (Hanover, MD)
    ** Risk Adjustment Advanced Analyst Senior** **Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within ... Elevance Health PulsePoint locations.** **Preferred Location:** Hanover, MD. The ** Risk Adjustment Advanced Analyst Senior**...to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by… more
    Elevance Health (09/11/24)
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  • Risk Adjustment Data Reporting…

    Elevance Health (Indianapolis, IN)
    ** Risk Adjustment Data Reporting Analyst ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within ... Health Pulse Point locations. **Preferred Location:** Indianapolis, IN. The ** Risk Adjustment Data Reporting Analyst **...to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by… more
    Elevance Health (09/11/24)
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  • Actuarial Analyst III - Medicare…

    Elevance Health (Indianapolis, IN)
    …actuarial studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements risk ... **Location:** This position will work a hybrid model (remote and office). The Ideal candidate...**Preferred skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience is strongly preferred. Please… more
    Elevance Health (09/11/24)
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  • Market Risk Data Lead Analyst VP…

    Citigroup (Getzville, NY)
    The Market Risk Data Lead Analyst is a seasoned professional role focusing on supporting CVA risk data used by risk management professionals charged with ... both internal and external partners domestically and internationally. The Risk Reporting Officer will be part of the ... Control & Data Analytics team supporting Credit Valuation Adjustment (CVA) is responsible for data production and data… more
    Citigroup (09/11/24)
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  • Provider Education Lead Analyst

    The Cigna Group (Chattanooga, TN)
    …**Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market. ... role will be accountable for assigned provider groups reaching risk adjustment related annual metrics. This role...along the engagement continuum within an assigned market. Lead Analyst will be primary contact for provider groups on… more
    The Cigna Group (08/08/24)
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  • Medical Economics Analyst - Hybrid

    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 ... healthcare administrative claims data + Works alongside Senior Medical Economics Analyst in identify risk /exposure associated with various reimbursement… more
    AdventHealth (08/14/24)
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  • Senior Medical Economics Analyst

    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 ... team. All while understanding that **together** we are even better. **Schedule:** ** Hybrid - 3 days at the office (Altamonte Springs,FL)** **The role you'll… more
    AdventHealth (09/12/24)
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  • Deloitte Risk & Financial Advisory…

    Deloitte (New York, NY)
    Deloitte Risk & Financial Advisory Analyst - Mergers and Acquisitions Do you have your finger on the pulse of the vast, fast paced, and ever-changing deal ... for current trends in accounting and finance? As an Analyst in the M&A group at Deloitte, you'll be...provide fact-based answers and objective feedback geared to minimizing risk and increasing returns. Work you'll do As an… more
    Deloitte (09/08/24)
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  • VP, Finance Reporting Lead Analyst

    Citigroup (Tampa, FL)
    **Finance Reporting Lead Analyst , Vice President** The Finance Reporting Lead Analyst is a senior level professional position responsible for driving the ... and remediation of Wholesale Loans data issues, including passing appropriate required adjustment entries and consolidating financials at the end of each accounting… more
    Citigroup (09/07/24)
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  • VP, Finance Reporting Lead Analyst

    Citigroup (New York, NY)
    The Finance Reporting Lead Analyst is senior professional position responsible for driving the generation, analysis, and submission of reports to various ... Assist with closing the books and sub-ledgers, including passing appropriate required adjustment entries and consolidating financials at the end of each accounting… more
    Citigroup (09/07/24)
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  • AVP, Finance Reporting Sr. Analyst

    Citigroup (Tampa, FL)
    The Finance Reporting Senior Analyst is an intermediate level position responsible for the generation, tracking and submission of financial reports in coordination ... Assist with closing the books and sub-ledgers, including passing appropriate required adjustment entries and consolidating financials at the end of each accounting… more
    Citigroup (08/28/24)
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  • Medicare Provider Performance Enablement Lead…

    The Cigna Group (Denver, CO)
    …on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. + Schedules, prepares for and ... but not limited to Health Services, Medical Economics, Sales, and Stars & Risk Adjustment in order to develop solutions for strategic business needs + May… more
    The Cigna Group (08/24/24)
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  • Business Analytics Lead Analyst (Medicare…

    The Cigna Group (Birmingham, AL)
    …Accountable Care. This role will be responsible for executing advanced analytics around ACO/ Risk Bearing Entity programs to help measure and evaluate the cost and ... and identify trends, variances, and key issues and provide recommendations for adjustment + Prepare and improve financial analysis and forecasting methodologies +… more
    The Cigna Group (08/09/24)
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  • Business Analytics Lead Analyst (Medicare…

    The Cigna Group (Nashville, TN)
    …for Accountable Care. This role will be responsible for executing analytics around ACO/ Risk Bearing Entity programs to help measure and evaluate the cost and quality ... and identify trends, variances, and key issues and provide recommendations for adjustment + Prepare and improve financial analysis and forecasting methodologies +… more
    The Cigna Group (08/09/24)
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  • IT Security Analyst / Sr. IT Security…

    Federal Reserve Bank (San Francisco, CA)
    …to balance their life and work responsibilities. That's why we offer a flexible hybrid work model that allows you to collaborate with office colleagues on some days, ... and work from home on others We are looking for a Senior IT Security Analyst to join our 12th District's Information Security Team. You will focus on the needs of… more
    Federal Reserve Bank (09/13/24)
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  • Business Analyst III - Encounters Data

    LA Care Health Plan (Los Angeles, CA)
    Business Analyst III - Encounters Data Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, US, ... net required to achieve that purpose. Job Summary The Business Analyst III facilitates business process improvement via the methodical investigation, analysis,… more
    LA Care Health Plan (08/07/24)
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