- Strategic Staffing Solutions (Grand Rapids, MI)
- …Engagement Pay Rate: $50-$52/HR Engagement Description This engagement requires a highly skilled Risk Adjustment Business Analyst who can bridge regulatory ... MI! Title: Business Analyst (CMS Regulations / Risk ) Location: Grand Rapids, MI 49503 ( Remote ...risk , and contribute to the overall success of Risk Adjustment activities by the plan. The… more
- AmeriHealth Caritas Health Plan (Newtown Square, PA)
- …Reporting to the Senior Vice President, the Vice President, HEDIS / Stars Risk Adjustment Performance Strategy serves as the leader responsible for driving ... the Quality Performance Reporting & Analytics and Risk Adjustment for Medicaid Quality, Medicare Stars,...high performing teams including directors, managers, coders, auditors, and analyst . Program Oversight: Lead the planning and execution of… more
- Gotham Greens (Brooklyn, NY)
- Job Details Job Location Headquarters - New York, NY Remote Type Fully Remote Position Type Full Time Salary Range $45000.00 - $65000.00 Salary/year Job Category ... Procurement Description THE ROLE We are seeking a detail-oriented and results-driven Senior Analyst , Procurement to join our team. In this role, you will be… 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
- 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
- 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
- Centene Corporation (Tallahassee, FL)
- …from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the ... compliance issues. Facilitates and leads external audits related to Risk Adjustment processes. Ensures visibility by way...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… 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
- BP Americas, Inc. (Houston, TX)
- …and origination activities are conducted within a robust control framework. The Commodity Risk Analyst will play a key role working with trading, marketing ... remote working **Skills:** Analytical Thinking, Commercial Acumen, Commodity Risk Management, Communication, Creativity and Innovation, Curiosity, Data visualization… more
- Molina Healthcare (Columbus, OH)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- Robert Half Accountemps (Irvine, CA)
- …The Financial Analyst role is also pivotal in understanding the risk adjustment programs, the process, and analytics/models involved across CDOs. ... are offering a hybrid employment opportunity for a Financial Analyst in Irvine, California. The Financial Analyst ...Responsibilities: + Analyze and document processes related to risk adjustment programs across CDOs. + Interpret… more
- Centene Corporation (Providence, RI)
- …refining Medicare contract models, incorporating CMS and NYSDOH guidelines related to risk adjustment , quality metrics, and financial benchmarks. + Collaborate ... supporting provider engagement efforts, and ensuring alignment with CMS-aligned risk -based models. The Analyst will play a...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Aston Carter (Cary, NC)
- Payments Analyst | 100% Remote Job Description We are seeking a dynamic and detail-oriented Payments Analyst to join our growing team. This individual will ... compliance with PCI-DSS and other relevant regulations; support internal audits and risk assessments related to payments. Essential Skills + Strong understanding of… more
- Evolent (Harrisburg, PA)
- …knowledge of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and ... mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote ** Evolent is seeking a Senior … more
- Diageo (NY)
- …Lead and embrace change - bringing value and shaping our future + Active risk managers - guiding smart business decisions **Role Responsibilities:** + End to end ... on mutual trust & respect + Collaborating and influencing optimally with remote /virtual teams + Comfort with dealing with ambiguity, complexity and working within… more
- Centene Corporation (Jefferson City, MO)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
- Centene Corporation (Jefferson City, MO)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
- Centene Corporation (Jefferson City, MO)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
- RELX INC (Atlanta, GA)
- 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...practices across key regions globally. This position can be remote in US but will need to work with… more
- AdventHealth (Altamonte Springs, FL)
- …manage multiple priorities at once with little supervision. Possesses knowledge about risk adjustment and hospital publicly reported data. Possesses knowledge ... while understanding that **together** we are even better. **Job Location** : Remote **Shift:** Full-Time, Monday-Friday **The role you will contribute:** The Coder … more
