- 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
- Martin's Point Health Care (Portland, ME)
- …Plan which is growing and making an impact! Apply today for immediate consideration! The Senior Risk Adjustment Analyst in our Health Plan analyzes ... 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
- Avera Marshall (Sioux Falls, SD)
- …career growth. Exciting opportunity to join Avera as a Senior Quality and Risk Adjustment Analyst ! Position Highlights: + Paid Time Off (PTO) available ... + Career Growth opportunities! Job Summary The Senior Quality & Risk Adjustment Analyst is responsible for designing and maintaining reporting assets and… more
- CVS Health (Hartford, CT)
- …solutions to make health care more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr . Analyst will play a critical ... Reporting to the Sr . Manager of Medicaid Risk Adjustment Analytics, the Sr . Analyst will work closely with cross-functional teams across the business… more
- The Cigna Group (Bloomfield, CT)
- ** Risk Adjustment Provider Educator** **_Incumbent_** **_candidate must reside in assigned territory and have the ability to travel to the local office and ... to base salary._** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market.… more
- CVS Health (Scottsdale, AZ)
- …more personal, convenient and affordable. Position SummaryWe are expanding the ACA risk adjustment analytics team to support provider enablement activities. This ... Sr Analyst , Informatics position will serve as a subject matter expert on ACA Risk Adjustment at- risk provider reporting and will be responsible for… more
- Aston Carter (St. Petersburg, FL)
- Job Title: Sr Business Analyst (Remote) About the...Our client is seeking a highly skilled and experienced Senior Business Analyst to join their Shared ... Manage complex projects with multiple deliverables, including resource allocation and risk management. + Liaise with stakeholders to define and validate requirements… more
- Molina Healthcare (Albuquerque, NM)
- **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
- 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 (Houston, TX)
- **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an operational ... 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
- Bausch Health (Bridgewater, NJ)
- …our mission of improving people's lives with our health care products. As a Sr Cybersecurity Analyst , you will help secure Bausch Health infrastructure against ... standards, tools, policies, and procedures to improve security, compliance and risk management activities based on security operations findings, or security events… 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
- Santa Clara Valley Water District (CA)
- Senior Cyber Security Analyst Print (https://www.governmentjobs.com/careers/scvwd/jobs/newprint/4502089) Apply Senior Cyber Security Analyst Salary ... NOTE Regarding Salary: A 3% COLA (Cost of Living Adjustment ) will apply as of 6-24-24 Overview: Do you...describe your education and experience qualifying you for the Senior Information Systems Analyst opportunity ( Senior… 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 for… more
- Dow Jones (New York, NY)
- …Mansion Global, Financial News, Investor's Business Daily, Factiva, Dow Jones Risk & Compliance, Dow Jones Newswires, OPIS and Chemical Market Analytics. ... important role in year-end processes and will have direct interaction with senior -level executives. Strong data analytics and data integrity skills are necessary for… 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
- Healthfirst (NY)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRGs), ... days per week located at 100 Church Street, NYC. As a Senior Healthcare Analyst within Medical Economics, you will manage projects from analysis to… more
- Providence (OR)
- …the rate development and filing efforts including competitive analysis, network analysis, risk adjustment , trend, actuarial benefit value analysis, rate adequacy ... we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Commercial Pricing who will:** + Analyze the financial performance of… more