- Martin's Point Health Care (NY)
- …certified as a "Great Place to Work" since 2015. Position Summary The Risk Adjustment Reporting and Data Analystanalyzes data , reviews findings, and ... data . The Senior Analyst uses their extensive risk adjustment content knowledge and analytical expertise...liaison between departments including IT and Finance for all Risk Adjustment reporting needs .… more
- 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 ... Point locations. **Preferred Location:** Indianapolis, IN. The ** Risk Adjustment Senior Data Reporting Analyst** is responsible for translating most… more
- CareFirst (Baltimore, MD)
- …suite of analytic capabilities and actionable reports to solve problems, provide data -driven guidance, and monitor risk adjustment performance. Provide ... **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Analyst assumes a pro-active...innovative approaches to create or improve automation and optimize data and analytic processes as well as reporting… more
- Highmark Health (Pittsburgh, PA)
- …other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities, as well as ... This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health… more
- Centene Corporation (Phoenix, AZ)
- …in coding and documentation initiatives. + Use advanced Excel data and reporting skills to identify Risk Adjustment trends, barriers and develop ... travel to areas surrounding Tempe and Tucson, Arizona. **Position Purpose:** Utilize risk adjustment methodologies, principles, and knowledge of managed care… more
- Molina Healthcare (NE)
- …Responsible for estimating liabilities, establishing premium rates, financial analysis and reporting . Extracts, analyzes, and synthesizes data from various ... and distribute routine reports to support IBNR calculations, pricing, and financial reporting . + Extract and compile information from various systems to support… more
- Bank of America (Charlotte, NC)
- …testing, challenger model, regulatory guidance, supporting analysis and justification) + Price Risk data validation and controls **Capital Risk Management** ... and Price Risk ** + Analysis of model risk , analysis and reporting of market ...change control reviews + Counterparty/securities spot RWA and manual adjustment testing + Market risk RWA and… more
- JPMorgan Chase (Newark, DE)
- An exciting new opportunity for an experienced financial services professional within the Data Reporting and Controls team. As a Firmwide Regulatory Reporting ... & Analysis (FRRA) - Data Controllers & Reporting (DCR) - Associate within the Data ...accuracy of data through activities spanning from data sourcing, data validations, adjustment … more
- Molina Healthcare (Kenosha, WI)
- …experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 4-6 years of data analysis experience utilizing technical ... managers and is accountable for a complex portfolio of data -improvement activities supporting Molina's Risk & Quality...8+ years of program and/or project management experience in risk adjustment and/or quality * 4-6 years… more
- Molina Healthcare (OH)
- …experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 4+ years of data analysis experience utilizing technical ... leaders to improve outcomes by managing Risk /Quality data collection strategy, analytics, and reporting , including...4+ years of program and/or project management experience in risk adjustment and/or quality * 4+ years… more
- Henry Ford Health System (Troy, MI)
- …but not limited to coordination, documentation and coding of CMS Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) and vendor service project ... programs used for data collection. + Knowledge of Medicare Advantage risk adjustment payment methodology preferred. + Knowledge of CMS programs, processes,… more
- Morgan Stanley (New York, NY)
- …Risk Management Division (MRD) is responsible for the independent identification, analysis, reporting and escalation of all market risk exposures arising from ... Risk team. XVA coverage includes CVA (Credit Valuation Adjustment ), FVA (Funding Valuation Adjustment ) and many...deep understanding of market dynamics > Review limit and reporting frameworks to ensure appropriateness considering risk … more
- Molina Healthcare (NM)
- …experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 2+ years of data analysis experience utilizing technical ... leaders to improve outcomes by managing Risk /Quality data collection strategy, analytics, and reporting , including...2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years… more
- Healthfirst (NY)
- …+ Assume leadership role in the delivery and execution of the risk adjustment program by driving value through data driven decisions in a regulatory ... Schedule** + This role is hybrid which consists of reporting to our 100 Church Street, NYC office location...and staff in support of all processes related to risk adjustment for Medicaid, Medicare & QHP… more
- Bloomberg (New York, NY)
- …with our data analytics team, to develop compliance metrics (key risk , performance and control indicators) that provide regulatory risk insights and ... areas. - Ensure accuracy, reliability and integrity of data used for reporting purposes. - Monitor...and compliance standards - Understanding of management information, governance reporting , risk management, internal controls, root cause… more
- PNC (Raleigh, NC)
- …Models, Risk Appetite **Competencies** Bank Quantitative Analysis, Consulting, Data Gathering and Reporting , Effective Communications, Predictive Analytics, ... the company's success. As a Quantitative Analytics/Modeling Expert within PNC's Model Risk Management organization, you can be based in Pittsburgh, PA; Tysons… more
- Amazon (Seattle, WA)
- …investigation and data experts to finetune anomaly detection mechanisms and reporting of key actions. You will coordinate with internal partner teams to ... team Our team is comprised of experts in the risk domains like fraud, cybersecurity, data security,...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (New York, NY)
- …* Create detailed analytical frameworks, standards and programs to enable risk change identification, assessment and reporting . * Create mechanisms, ... initiatives and can be called upon to support dynamic risk identification and reporting during changing operating... landscapes discovered through open source research and internal/external data . Global TERA is comprised of risk … more
- Amazon (New York, NY)
- …will partner across the organization to shape the future of Amazon's evolving risk profile, including surfacing critical data that informs capital expenditures ... projects, and (3) oversee natural hazard due diligence work. Reporting to the Director of ROR within Amazon Global...the insurance industry. You are experienced at leveraging insurance risk engineering data , industry loss history, emerging… more
- Amazon (San Diego, CA)
- …to Amazon customers at scale, designing new technical solutions to enable us to mitigate risk quickly - Use data to drive high judgement decisions on policies ... by the opportunity to build diverse and high performing risk solutions? Do you like the idea of seeing...strategy & program goals, inclusive of the development and reporting against metrics and key performance indicators, meant to… more