- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior ACA Encounters 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
- 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 ... of compliance issues. Facilitates and leads external audits related to Risk Adjustment processes. Ensures visibility by way of reporting out audit deliverables… more
- Molina Healthcare (Everett, WA)
- …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment… more
- Molina Healthcare (Tampa, FL)
- **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 (Orem, UT)
- …Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing ... + Experience developing queries within project management tools like Azure DevOps. + Risk Adjustment experience and some familiarity with Power BI level report… 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 provides...senior leadership based on analytics outcome. Knowledge of risk adjustment processes for multiple lines of… more
- University of Utah Health (Murray, UT)
- …responsibility, integrity, quality and trust that are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for our health ... plan's risk adjustment program. + This role is responsible for analyzing...and analyses for tracking and reporting at the department, senior leadership, and provider level. + RAD-V audit experience… more
- New York State Civil Service (Albany, NY)
- …Services, Department of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crimes Risk ), SG-23) ... candidates for the position of Virtual Currency Senior Blockchain Analytics Analyst , (Financial Services Specialist 2 (Financial Crimes Risk )) in Virtual… more
- Amazon (Austin, TX)
- …the largest cloud services company on Earth! Amazon Web Services (AWS) is seeking a Senior Third-Party Risk Intelligence Analyst as part of its Supplier ... people who want to help. You'll join a diverse team of Risk Intelligence analysts, security engineers, and technical Program Managers. You'll collaborate with… more
- Amazon (Seattle, WA)
- …predictive modeling in healthcare - Strong understanding of value-based care models and risk adjustment - Proven track record of translating analysis into ... Analyst II on the Amazon One Medical At- Risk team, you will be the data insights engine...and resource allocation * Present complex analytical findings to senior stakeholders in clear, actionable terms Basic Qualifications -… 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 ... the stability of the global financial system.The Financial Services Specialist 2 ( Risk ) will be responsible for designing and overseeing the architecture that… 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 ... identify and neutralize new and emerging fraud threats? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest place to transact online.… 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 ... FL hybrid (Monday, Wednesday, Thursday) on-site **The role you will contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating… more
- Fair Haven Community Health Care (New Haven, CT)
- …and/or claims data (Medicaid/Medicare/commercial). + Working knowledge of eCQMs, UDS, HEDIS, risk adjustment /HCCs, and value-based care measures. + Ability to ... and dental care, regardless of ability to pay. Job purpose The Senior Data Analyst turns clinical, operational, and financial data into insights that improve… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Virtual Currency Senior Analyst (Financial Services Specialist 2 (Compliance), SG-23) Occupational ... of Financial Services is seeking candidates for the position of Virtual Currency Senior Analyst , SG-23, in the Virtual Currency Unit within the Research… more
- Mastercard (Harrison, NY)
- …help people, businesses and governments realize their greatest potential._ **Title and Summary** Senior Analyst - Federal Tax Compliance & Planning Senior ... tax provision; uncertain tax positions; deferred taxes; and valuation allowances. The Senior Analyst , Federal Tax Compliance and Planning prepares and maintains… more
- RELX INC (Alpharetta, GA)
- …in Power BI Service, Premium capacities, and enterprise-scale administration. The senior analyst will drive capacity planning, performance optimization, and ... and decision tools for professional and business customers. About the role: The Senior Data Analyst will lead the design, implementation, and enforcement of… more
- RELX INC (Alexandria, VA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... informed decisions to enhance investigations. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/government About our Team… more
- Citigroup (Tampa, FL)
- The Data Governance Foundation Senior Analyst - C12 is responsible for contributing to the directional strategy and implementation of the Enterprise and ... Wholesale Loans Data Governance Strategy, Data Risk and Control Framework, and plays a critical role...exception management, product development / tooling, quality control and adjustment reduction. This role requires someone who is dynamic,… more
- RELX INC (Philadelphia, PA)
- …Analyst looking to work for a mission driven global organization? About the role, The Senior Business Analyst I is a senior -level position that will work ... to justify proposed improvements by articulating ROI, efficiency gains, or risk mitigation. + Change Management Awareness - Understanding of how system/process… more