- The Cigna Group (Nashville, TN)
- …business analytics professionals. Reporting to the Senior Manager of Risk Adjustment Analytics , this position will manage the prioritization, intake, ... **Summary** The Risk Adjustment Reporting & Analytics Manager is an opportunity to lead complex analytics projects and initiatives for Cigna's… more
- Fallon Health (Worcester, MA)
- …within the Analytics staff for product line(s) as assigned by the Risk Adjustment Operations and Analytics Manager and will be a SME for the ... Analyst (RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department. The RAAimplements data analytic reports, as well as… more
- CVS Health (New Albany, OH)
- …more personal, convenient and affordable. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, ... project manager and subject matter expert in Risk Adjustment chart retrieval & coding programs...Adjustment chart retrieval & coding programs and related analytics and reporting. Your will be responsible for provider/vendor/network… more
- Sutter Health (Sacramento, CA)
- …with program management in a healthcare or health plan setting. + Knowledge of risk adjustment program management. + Knowledge of health plan regulatory and ... and promote program goals and objectives. Coordinates with internal departments on analytics and data submissions to state and federal agencies, such as the… more
- Elevance Health (Indianapolis, IN)
- …complex actuarial studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements ... background. **Preferred skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience is strongly preferred. Please be… more
- Citigroup (Tampa, FL)
- …system infrastructure within CRA group are working efficiently.** Support development of risk analytics tools and systems, including defining the interface ... to gather, synthesize, and present findings from disparate sources.** **Job Family Group:** Risk Management **Job Family:** Risk Analytics , Modeling, and… more
- Community Health Network (Indianapolis, IN)
- Manager Analytics , IHCI Job Ref 2406244 Category Leadership Job Family Data Analytics Department Analytics Schedule Full-time Facility Shadeland Station ... model. We are searching for candidates with experience with medical economics, risk adjustment , quality reporting, and/or clinical stratification. The individual… more
- LA Care Health Plan (Los Angeles, CA)
- …Informatics Experience Required: At least 6 years of experience in HEDIS, quality improvement, risk adjustment analytics , research, or related work within a ... Manager , Clinical Quality Analytics (STARS, SQL) Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full… more
- Centene Corporation (Lansing, MI)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... including a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Manager , Healthcare Analytics drives the execution of analytics … more
- Point32Health (FL)
- …health care claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment . + Knowledge of Medicare and Medicaid reimbursement is ... Analytics and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to ensure coding and clinical documentation accuracy and consistency. Collaborating with the Manager of Risk Adjustment Operations, this position will also ... in the following personas: E-Worker, Mobile and Resident The Risk Adjustment Senior Coding Quality Auditor &... analytics to identify and target providers for Risk Adjustment training and documentation/coding resources. Ultimately,… more
- Microsoft Corporation (Atlanta, GA)
- …on talent development, and recognizes and rewards great work. We are looking for an **Operational Risk Manager ** to join the team . In this role, you will enable ... business strategy through a programmatic and global approach to risk management, by methodologically determining, assessing, managing and establishing accountability… more
- House of Blues (Houston, TX)
- … adjustment and TPA management and litigation management + Knowledge of Risk Management Information systems, database analytics , claims trends, and reserve ... you then please read on! THE ROLE The Claims Manager supports the global operations of Live Nation. In...marine, etc) + Other duties associated with claims or risk management department operations, as necessary WHAT THIS PERSON… more
- BP Americas, Inc. (Houston, TX)
- …and information technology skills underpinned by a world class finance, control, compliance, risk analytics and management infrastructure. The Commodity Risk ... & Control Processes. The position reports to the Senior Manager of Commodity Risk . **Key Accountabilities** +...is achieved through timely, rigorous, and accurate reporting and analytics of exposure, market risk , costs, gross… more
- RELX INC (Martinsville, IN)
- …technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help drive ... solutions to help better understand the market and manage risk . About the job: The Regional Account Manager...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- RELX INC (Atlanta, GA)
- …technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help drive ... solutions to help better understand the market and manage risk . About the Job: The Vertical Account Manager...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- RELX INC (Alpharetta, GA)
- Product Manager IIAre you keen to develop your Product Management career? Join us in shaping the world. About the Business LexisNexis Risk Solutions is the ... essential partner in the assessment of risk . Within our Government vertical, our solutions assist government...leaders in providing eligibility solutions, program integrity data & analytics , and enablers of whole Person & Entity Data… more
- RELX INC (Springfield, IL)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the Role The National Account Manager role maintains and ... About the Business LexisNexis Risk Solutions is the essential partner in the...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- RELX INC (Lansing, MI)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the job: The National Account Manager role maintains and ... About the Business: LexisNexis Risk Solutions is the essential partner in the...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- RELX INC (Raleigh, NC)
- …You can learn more about LexisNexis Risk at the link below, risk .lexisnexis.com About our TeamAs a Software Engineering Manager you will be managing ... Manager Software Engineering Are you a professional who...you have experience of Project planning? About the BusinessLexisNexis Risk Solutions is the essential partner in the assessment… more