- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, ... support the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides a key leadership role in the Risk… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Risk Adjustment Analyst provides analytic, technical, and decision support to ... accurate, timely, and consistent information enabling informed decisions related to risk adjustment activities. The Analyst provides subject matter expertise… more
- Elevance Health (Louisville, KY)
- ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days ... for employment, unless an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** is responsible for… more
- Commonwealth Care Alliance (Boston, MA)
- …in other states will not be considered at this time._** Position Summary: The Risk Adjustment Business Analyst is responsible for understanding and ... transformation methodology, and will play an essential role in driving Risk Adjustment (RA) Program performance. Supervision Exercised: * No, this position does… more
- UCLA Health (Los Angeles, CA)
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful ... Serve as a key departmental resource for application use related to risk adjustment coding guidelines and gap closure reporting. Salary Range: $76,200 -… more
- Molina Healthcare (Des Moines, IA)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. + Analyze… more
- Molina Healthcare (Roswell, NM)
- …role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling ... complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare...support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience… more
- Corewell Health (Grand Rapids, MI)
- …Some states are not eligible for remote work (CA and NY). Positioned in the Risk Adjustment Department, the Manager, Risk Adjustment Analytics will ... be responsible for leading the Risk Adjustment Analytics team and supporting the goals and objectives...in data analysis and reporting, preferably as a business analyst in the health insurance industry + 5 years… more
- Amazon (New York, NY)
- …(RMIS), Origami Risk . We are looking for an experienced application analyst to help architect, configure, and manage our Origami system, for Amazon's Global ... brings workflow and reporting automation to 25+ insurance and risk programs. As a system analyst , you...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (New York, NY)
- … Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and data analytics. ... risk management in transportation. As a Senior Risk Analyst , you will partner with our...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- RELX INC (Philadelphia, PA)
- Risk Analyst Are you passionate about...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant ... impact business continuity, security, or compliance? About the role , the Risk Analyst will analyze risks and help operate the enterprise security program,… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Surveillance Operations Analyst (Financial Services Specialist 2 ( Risk ), SG-23) Occupational Category ... assigned. Minimum Qualifications Preferred Qualifications* CFA Institute: Chartered Financial Analyst * Professional Risk Managers' International Association certifications:… more
- Amazon (Arlington, VA)
- …cloud services company on Earth! Amazon Web Services is looking for a Governance, Risk , and Compliance (GRC) Senior Analyst to support third-party risk ... talented people who want to help. You'll join a diverse team of Risk Intelligence analysts and technical Program Managers. You'll collaborate with people across AWS… more
- Amazon (Seattle, WA)
- …processes that minimize risk and maximize trust in Amazon.com. As a Sr. Risk Analyst in BRP, you will be responsible for analyzing terabytes of data ... new and emerging fraud threats? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (San Diego, CA)
- …operational processes that minimize risk and maximize trust in Amazon.com. As a Risk Analyst in BRP, you will be responsible for analyzing terabytes of data ... new and emerging fraud threats? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Molina Healthcare (ID)
- …Azure, AWS, or Hadoop + 3-5 years of experience in Analysis related to HEDIS and/or Risk Adjustment + 3-5 years of experience in working with complex data to ... **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops… more
- SMBC (New York, NY)
- …senior management presentations and regulatory reporting + Support the enhancement and adjustment of credit risk data governance, maintain clear communication ... guide the credit data enhancement initiatives + Collaborate with Risk Management Stress Testing and Scenario Design Team to...risks + Perform daily, weekly, monthly, and ad-hoc credit risk analyses, and communicate key findings to team leadership… more
- Amazon (Seattle, WA)
- …that minimize risk and maximize trust in Amazon.com. As a Business Analyst in Buyer Risk Prevention, you will be responsible for analyzing terabytes ... new and emerging fraud threats? Our mission in Buyer Risk Prevention is to make Amazon the safest place...technical or quantitative field - 3+ years of business analyst , data analyst or similar role experience… more
- Convey Health Solutions (Chicago, IL)
- …knowledge to accelerate analytic insights and new feature enhancements to Pareto's risk adjustment solution suite. Additionally, the ability to understand / ... Job Description SUMMARY The Sr. Data Analyst will be responsible for utilizing technical and...questions for empowering key stakeholders to gain insights into risk adjustment performance. + Provide data analysis… more
- General Dynamics Information Technology (Falls Church, VA)
- …the business, helping drive profitable growth, identify opportunities for improvement and risk mitigation. + Manage revenue and cost adjustment submissions, ... Family:** Financial Analysis **Skills:** Communication,Financial Reporting and Analysis,Forecasting,Reporting and Analysis, Risk Assessments **Experience:** 5 + years of related experience… more