- 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 (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
- Baylor Scott & White Health (Columbus, OH)
- **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end ... encounter management workflow. Supports program management activities around risk adjustment data management and submissions to government agencies such as… 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
- Federal Reserve Bank (San Francisco, CA)
- …colleagues on some days, and work from home on others We are looking for a Senior IT Security Analyst to join our 12th District's Information Security Team. You ... experience in areas such as: security operations, testing, and/or system or security administration, Sr IT Security analyst with 5+ years of experience in areas… 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. * ... and service. **Job:** **Underwriting* **Organization:** **HF Administrative Plan Inc* **Title:** * Sr Actuarial Analyst - Actuarial and Underwriting (must reside… more
- Citigroup (O'Fallon, MO)
- The Finance Reporting Senior Lead Analyst is a senior level position responsible for the generation, analysis and submission of financial reports in ... activities including the closing of books and sub-ledgers, passing appropriate required adjustment entries and consolidating financials at the end of each accounting… more
- RELX INC (Cheyenne, WY)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn...You'll be a member of the Content and Policy Analyst that define content standards and outline policy and… 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
- CVS Health (Hartford, CT)
- …personal, convenient and affordable. **Position Summary** We 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
- 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
- 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
- CVS Health (Wellesley, MA)
- …**Position Summary** We are seeking a highly skilled and motivated Senior Analyst , Informatics to join our expanding IFP risk adjustment analytics ... analytics processes. **Preferred Qualifications** + Prior experience in healthcare analytics, risk adjustment , HEDIS, claims/EHR and other care management data.… 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
- 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