- Cambia Health Solutions, Inc (Portland, OR)
- RISK ADJUSTMENT PROVIDER EDUCATORWork from home within Oregon, Washington, Idaho or Utah (WA PREFERRED)Build a career with purpose. Join our Cause to create a ... Are Looking For: Every day, Cambia's dedicated team of Risk Adjustment Operations is living our mission...Microsoft Office tools and proven ability to display analytical data and research findings for effective presentations and improved… more
- Careers Integrated Resources Inc (Atlanta, GA)
- … Risk Adjustment , Commercial IVA (Initial Validation Audit), and Medicare RADV ( Risk Adjustment Data Validation). HCC Risk Adjustment ... Job Title: Senior Professional Coder Location: 100% Remote Duration: 6+...regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with… more
- FirstEnergy Corp (Akron, OH)
- …archive of coal contracts and documents - Enter coal purchase information in Paragon, company risk data base - Maintain and provide data for WV Public ... Service Co., a subsidiary of FirstEnergy Corp. [SC00] Location: Akron, OH The Senior /Staff Fuel Specialist for the Fuels team is responsible for fuel procurement in… 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 ... our Elevance Health Pulse Point locations. **Preferred Location:** Indianapolis, IN. The ** Risk Adjustment Senior Data Reporting Analyst** is responsible… more
- Martin's Point Health Care (Portland, ME)
- …to Work" since 2015. Position Summary **NEW REMOTE POSITION** The Senior Risk Adjustment Analyst analyzes data , reviews findings, and develops ... the data warehouse as key sources of data . The Senior Analyst uses their extensive...including IT and Finance for all Risk Adjustment reporting needs + Troubleshoots errors and data… more
- 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 ... analytic capabilities and actionable reports to solve problems, provide data -driven guidance, and monitor risk adjustment...the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… more
- Elevance Health (Hanover, MD)
- ** Risk Adjustment Advanced Analyst Senior...**How you will make an impact:** + Prepares analytical data sets in support of modeling studies. + Build, ... Elevance Health PulsePoint locations.** **Preferred Location:** Hanover, MD. The ** Risk Adjustment Advanced Analyst Senior **...Proven ability to design modeling studies and experience with data models, addressing data quality issues in… more
- Fallon Health (Worcester, MA)
- …and/or work with encounter submissions vendor for resolution + Work with the Senior Risk Adjustment Analyst on monthly operational and performance ... as the Claims SME for the Risk Adjustment & Analytics Department. The RAAimplements data ...Analytics Manager and will be a SME for the risk adjustment model(s) and related data… more
- The Cigna Group (Nashville, TN)
- …ideas into concept through a team of business analytics professionals. Reporting to the Senior Manager of Risk Adjustment Analytics, this position will ... help them achieve business goals in conjunction with the senior manager + Provide individual and team leadership for...through the application of analytics approaches + Experience with risk adjustment , healthcare analytics, clinical data… more
- CenterWell (Carson City, NV)
- …our caring community and help us put health first** The Associate Director, Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, ... other payers, and over government agencies. In addition, the Associate Director, Risk Adjustment oversees all medical coding education activities. The Associate… more
- Fallon Health (Worcester, MA)
- … data , through forecasting, statistical analyses, trending, regression analyses, risk assessment, and utilization assessment. Identifies key issues and trends and ... financial analysis projects more independently and under supervision of a more senior staff member if required. Monitors, analyzes and evaluates complex data… more
- Independent Health (Buffalo, NY)
- …impacts on pricing outcomes. + Establish and implement claims review processes to support risk adjustment . Analyze data and provide strategic insights to ... and commitment to diversity and inclusion. **Overview** As a Risk Revenue Analyst- Senior the incumbent will provide...financial performance. + Ensure compliance with CMS regulations and risk adjustment methodologies. + Develop and execute… more
- Bristol Myers Squibb (Princeton, NJ)
- …organization. + Experience in conducting training and providing strategic advisory support to senior risk owners and business stakeholders. + Ability to manage ... work and in their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Senior Director of Risk Diligence and Oversight will play a… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …at work and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Director, Risk Based Quality Management leader will work closely ... external customers; excellent presentation skills for compelling peer and Senior Management communication. + Embraces complexity but strives for...Narrative (or equivalent) to document the end to end risk based quality management for CtQ data ,… more
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** Senior Director, Risk Management and Central Monitoring Position is ... will be used for decision making at site, study, country, portfolio level. The Senior Director, Risk Management and Central Monitoring, is an industry thought… more
- Bristol Myers Squibb (Summit, NJ)
- …there's no better place than here at BMS with our Cell Therapy team. The Senior Specialist Quality Risk Management CAR T is responsible for supporting the S-12 ... - Friday, Hybrid Day Shift **Responsibilities:** + The primary responsibilities of the Senior Specialist, Quality Risk Management are to evaluate and implement a… more
- Citigroup (New York, NY)
- …. This role is responsible for Risk 's engagement with the Enterprise CDO, Data Quality Management and Data Adjustment Reduction, Data Governance, ... + The Data Governance Head for Risk is a senior level role...processes** + **Drive Adjustment Reduction Programme in Risk ** + Data Governance + **Chair monthly… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crime ... Risk ), SG-23) Occupational Category Other Professional Careers Salary Grade...system that benefits individuals and supports business. Through engagement, data -driven regulation and policy, and operational excellence, the Department… more
- Citigroup (Getzville, NY)
- … Risk Reporting Officer will be part of the Risk Control & Data Analytics team supporting Credit Valuation Adjustment (CVA) is responsible for data ... The Market Risk Data Lead Analyst is a...part of the requirements needed by regulators, compliance, and senior management + Leverage and maintain relationships across varying… more
- RELX INC (Alpharetta, GA)
- Senior Data Scientist IIIDo you love collaborating with teams to solve complex problems and deliver solutions? Would you like to partner with the biggest names ... risk and enhancing operational efficiency. Our insurance risk solutions help drive better data -driven decisions...providers to make informed decision About the Role A Senior Data Scientist III should be able… more
