- 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 adjustment performance metrics through coordination of...the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… more
- Fallon Health (Worcester, MA)
- …a resolution, and/or work with encounter submissions vendor for resolution + Work with the Senior Risk Adjustment Analyst on monthly operational and ... Twitter and LinkedIn. **Brief Summary of Purpose** : The primary role of the Risk Adjustment Analyst (RAA) will be to function as the Claims SME for… more
- Martin's Point Health Care (Portland, ME)
- …as a "Great Place to Work" since 2015. Position Summary **NEW REMOTE POSITION** The Senior Risk Adjustment Analyst analyzes data, reviews findings, and ... the data warehouse as key sources of data. The Senior Analyst uses their extensive content knowledge...used in complex conceptual analyses for all departments within Risk Adjustment Operations + Develops systematic reporting… more
- 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 ... locations.** **Preferred Location:** Hanover, MD. The ** Risk Adjustment Advanced Analyst Senior ** is responsible for creating statistical models… 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
- Molina Healthcare (Richmond, KY)
- **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive ... with research, development,and completion of special projects. **Knowledge/Skills/Abilities** + Assist Risk Adjustment Data Analytics Leaders in Prospective and… more
- RELX INC (Oklahoma City, OK)
- Senior Investigative AnalystAre you looking to utilize your...support to a federal customer in the role of Sr . Investigative Analyst . This analyst ... and insights to provide recommendations? About the Business LexisNexis Risk Solutions is the essential partner in the assessment...Word, Access, Excel, PowerPoint + Have experience in i2 Analyst Notebook, PowerBi, ESRI, Python, SQL + Have solid… more
- Actalent (Johnstown, OH)
- Job Title: Proj Cost Analyst Sr Job Description The job designation is remote; however, in-office work will be expected 2-3 days a week for up to 90 days. The ... four 4 years of qualified experience in the areas forementioned. Project Cost Analyst Sr : Minimum Qualifications: Qualified Bachelors degree plus five 5 years… more
- Health First (Rockledge, FL)
- …Has demonstrated an ability to work directly with Underwriting, Risk Adjustment , Finance, Decision Support, Group Services and/or Senior Management. * ... service. **Job:** **Underwriting* **Organization:** **HF Administrative Plan Inc* **Title:** * Sr Actuarial Analyst - Actuarial and Underwriting* **Location:**… more
- Molina Healthcare (Nicholasville, KY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's),… more
- Citigroup (Tampa, FL)
- The Finance Reporting Senior Analyst is an intermediate level position responsible for the generation, tracking and submission of financial reports in ... Assist with closing the books and sub-ledgers, including passing appropriate required adjustment entries and consolidating financials at the end of each accounting… more
- Healthfirst (NY)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRGs), ... Classifications (APCs), and other payment mechanisms. + Understanding of value-based risk arrangements. + Experience using Tableau. WE ARE AN EQUAL OPPORTUNITY… more
- RELX INC (Philadelphia, PA)
- …analytics and decision tools for professional and business customers in the Risk , Scientific, Technical & Medical, Legal, and Exhibitions sectors. RELX is an ... If you have a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant Request Support Form:… more
- Independent Health (Buffalo, NY)
- …first-class perks, benefits and commitment to diversity and inclusion. **Overview** As a Risk Revenue Analyst - Senior the incumbent will provide a full ... on pricing outcomes. + Establish and implement claims review processes to support risk adjustment . Analyze data and provide strategic insights to enhance pricing… more
- New York State Civil Service (Albany, NY)
- …Services, Department of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crime Risk ), SG-23) ... Department of Financial Services is seeking candidates for the position of Virtual Currency Senior Analyst in the Virtual Currency Unit. Duties include, but are… more
- Pacificorp (Portland, OR)
- Net Power Cost Analyst (Assoc./Mid / Senior /Specialist) Portland, OR - 112615 **Date:** Aug 14, 2024 **Location:** PORTLAND, OR, US, 97232 **Company:** PacifiCorp ... power cost regulatory filings, including general rate cases, transition adjustment mechanisms, power cost adjustment mechanisms, and...**In addition to the above the Responsibilities of the Sr Net Power Cost Analyst include:** +… more
- RELX INC (Jackson, MS)
- Sr . Fraud Data Analyst Are you looking to utilize your former law enforcement skills in a new career? Do you enjoy using an investigative approach to show value ... and insights while communicating with customers? About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our… more
- 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
- Regions Bank (Birmingham, AL)
- …and logging into the careers section of the system. **Job Description:** At Regions, the Risk Quantitative Analyst is a member of a key strategic team that is ... that include stress testing and loss forecasting, economic capital, risk ratings, portfolio valuation, optimization, origination strategies, and other portfolio… more
- Aston Carter (Fort Belvoir, VA)
- (HYBRID) Sr . Program Analyst , Acquisition Job Description - Conduct technical program management, budgeting, scheduling, trade-off analysis, lifecycle costing, ... risk management, supportability, test and evaluation, and requirements development....self-reflection + Building a culture of care, engagement, and recognition with clear outcomes + Ensuring growth opportunities for… more