- Molina Healthcare (Florence, 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
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, ... required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III will...senior leadership based on analytics outcome. Knowledge of risk adjustment processes for multiple lines of… more
- Intermountain Health (Columbus, OH)
- **Job Description:** The Risk Adjustment Analyst performs data and analytical services in support of optimizing risk adjusted revenue, maintaining ... projects including retrospective chart review and prospective initiatives. The Risk Adjustment Analyst gathers, standardizes,...increase knowledge and improve ROI of risk adjustment activities. We will hire at Senior … more
- CareFirst (Baltimore, MD)
- …required in addition to the required work experience. **Experience:** 5 years as a risk adjustment HCC analyst or experience collaborating with Finance and ... support in terms of reporting, project deliverable tracking and documentation for risk adjustment activities with Provider Partnerships on the DSNP EGWP… more
- Johns Hopkins University (Baltimore, MD)
- …data. + Provide research support on topics including cohort definition, risk adjustment scores, cost-sharing calculations, and provider-level data integration. ... diverse research teams. + Linux and Unix experience. Classified Title: Sr . Programmer Analyst Job Posting Title (Working Title): Sr . Statistical Programmer… more
- RELX INC (New York, NY)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... to enhance investigations. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/government About...to provide support customers in the role of Geolocation Analyst . This analyst will bridge the gap… 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
- Bloomberg (New York, NY)
- …regulators, clients, and other external stakeholders continue to evolve. We are looking for a Senior Risk Analyst who will develop a deep understanding of ... and be able to analyze and understand the inherent risks within our processes. The Senior Risk Analyst will be accountable to perform detailed analytics work… more
- The Cigna Group (Bloomfield, CT)
- …TAMPA** **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an ... market. The role will be accountable for assigned provider groups reaching risk adjustment and stars related annual metrics. This role will work directly with… more
- Truist (Charlotte, NC)
- …of the Market and Liquidity Risk Management (MLRM) team within the Risk Management Organization (RMO), works with the Senior Treasury Market and Liquidity ... tools and processes. Preferred Qualifications: 1. Industry certification such as Chartered Financial Analyst (CFA) or Financial Risk Manager (FRM). 2. 2-5 years… more
- 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 ... 3 days at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating… more
- RELX INC (Washington, DC)
- …to provide investigative support to a dedicated federal government customer. The Senior Investigative analyst will enable federal government customers with the ... Senior Investigative AnalystAre you looking to utilize your...to uncover information and insights? About the Business LexisNexis Risk Solutions is the essential partner in the assessment… more
- RELX INC (Boca Raton, FL)
- Technology Metrics and Optimization - Senior Analyst II Do you have an eye for financial efficiency?Would you like to utilize your advanced Excel Data reporting ... own the Use Case Technology Spend? About the BusinessLexisNexis Risk Solutions is the essential partner in the assessment...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- RELX INC (Houston, TX)
- Senior Market Analyst Do you enjoy being part of a team that works with a diverse range of products /technology? Do you excel at translating market knowledge? ... of major producers, converters, traders, and the financial markets. About the Role The Senior Market Analyst is responsible for managing a variety of market… more
- RELX INC (Houston, TX)
- Senior Market Analyst - Petrochemicals Do you enjoy being part of a team that works with a diverse range of products /technology? Do you excel at translating ... of major producers, converters, traders, and the financial markets. About the Role The Senior Market Analyst is responsible for managing all market products they… more
- Walgreens (Deerfield, IL)
- …Equal Opportunity Employer, including disability/veterans". **Job ID:** 1400298BR **Title:** Senior Analyst , Liability Claims **Company Indicator:** Walgreens ... supervision. Supports organizational processes and programs for mitigation of financial risk . Analyzes, researches and formulates a basis on which coverage decisions… 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), ... per week located at 100 Church Street, NYC. + As a Senior Healthcare Analyst within Medical Economics, you will manage projects from analysis to implementation… more
- CVS Health (Topeka, KS)
- …+ Charlottesville, VA + San Antonio, TX + Southern, IL Position Summary This Senior Analyst , Healthcare Quality Management will be a Quality Practice Liaison who ... + Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding, Medicaid risk adjustment methodology, and common billing and common billing practices +… more
- 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. ... The role will be accountable for assigned provider groups reaching risk adjustment related annual metrics. This role will work directly with providers to assist… more
- Highmark Health (Dover, DE)
- …Healthcare-related field **Substitutions** + 6 years of combined experience with RN/LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS, and/or health ... None **EXPERIENCE** **Required** + 5-10 years of combined experience with RN/LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS, and/or health… more