- CVS Health (Hartford, CT)
- …location, and some workdays from home. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, ... project manager and subject matter expert in Risk Adjustment chart retrieval & coding programs...Adjustment chart retrieval & coding programs and related analytics and reporting. Your will be responsible for provider/vendor/network… more
- CVS Health (Hartford, CT)
- … Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Senior Manager of Medicaid Risk Adjustment , the Market Manager of ... data submission and quality assurance) across revenue integrity processes related to risk adjustment (RA) focused on complete and accurate diagnosis capture… more
- LA Care Health Plan (Los Angeles, CA)
- …the data processing, reporting, and analytics required to support the Risk Adjustment department operations. Chief Architect for reporting and analytics ... to address business objectives. Provide recommendations to senior leadership based on analytics outcome. Knowledge of risk adjustment processes for multiple… more
- CVS Health (Hartford, CT)
- …outcomes, and other business needs. Reporting to the Sr. Manager of Medicaid Risk Adjustment Analytics , the Sr. Analyst will work closely with ... more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr. Analyst will play a...vendor programs.Required Qualifications + 3 + years of data analytics experience. + 2+ years experience with strong analytical… more
- Bloomberg (New York, NY)
- Portfolio and Risk Analytics Solutions (PORT) Account Manager , Enterprise Sales - Bloomberg Financial Solutions **New York, NY** Posted Apr 2, 2024 - ... PORT Enterprise Sales team members sell state-of-the-art enterprise level Portfolio and Risk Analytics Solutions to the world's top institutional buyside firms.… more
- Bloomberg (New York, NY)
- Product Manager - Alternative Investments, Portfolio Analytics **New York, NY** Posted May 7, 2024 - Requisition No. 125124 Bloomberg is a leading provider of ... portfolio analytics and risk management tools. This includes...Indices. **What's the role:** We are seeking a Product Manager to help develop and drive our Private Markets… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …to answer key business questions that drive business strategy using advanced data analytics and data science. The Manager , Strategy & Business Excellence (SBE) ... (SBE) organization and end-to-end planning activities within Global Supply Chain (GSC). The Manager , SBE Analytics will support the development of data science… more
- Centene Corporation (Jefferson City, MO)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Manager , Healthcare Analytics drives the execution of analytics … more
- Bloomberg (New York, NY)
- Senior Risk Manager - Engineering COO Office **New...opportunities + Be a thought-leader on the subject of risk analytics and controls + Bring the best ... bureaucracy as we implement change across the department. We are looking for a Senior Risk Manager to join our team to be responsible for identifying, owning and… more
- Bloomberg (New York, NY)
- Product Manager - Data Catalog - Chief Risk Office **New York, NY** Posted May 22, 2024 - Requisition No. 125531 The energy of a newsroom, the pace of a trading ... to make it happen. **What's the role?** Bloomberg's Chief Risk Office (CRO) plays a critical role in supporting...Degree or higher in Computer Science, Information Systems, Data Analytics , or related discipline + Hands-on experience with Data… more
- Inspire Brands (Atlanta, GA)
- …embarked on an exciting journey at Inspire Brands to reimagine our Enterprise Risk and Internal Audit functions to align with Inspire's strategic objectives. The ... Manager , Internal Audit - Technology will have the exciting...Audit - Technology who reports to the VP, Enterprise Risk and Chief Audit Executive (CAE). In this highly… more
- Inspire Brands (Atlanta, GA)
- … and Internal Audit functions to align with Inspire's strategic objectives. The Manager , Enterprise Risk and Internal Audit, will have the exciting opportunity ... This role will report directly to the Director, Enterprise Risk & Internal Audit - Finance, who reports to...as needed + Adopt the use of technology and analytics to enhance and improve the efficiency of audits… more
- Live Nation (Houston, TX)
- … adjustment and TPA management and litigation management + Knowledge of Risk Management Information systems, database analytics , claims trends, and reserve ... you then please read on! THE ROLE The Claims Manager supports the global operations of Live Nation. In...marine, etc) + Other duties associated with claims or risk management department operations, as necessary WHAT THIS PERSON… more
- PSEG (Newark, NJ)
- …exciting time to join PSEG. **Job Summary** This position reports to the Manager Insurance Risk and is responsible for supporting and leading various ... insurers of loss events. In addition, support the claims adjustment process for insurable losses including property damage (ie...MS Office Suite, with a strong focus on Excel analytics **Desired:** + Knowledge of risk management… more
- CVS Health (Hartford, CT)
- …exciting opportunity for a Senior Informatics Manager to join our dynamic Medicaid Risk Adjustment Analytics team! In this role you will provide complex ... analytics and reporting to address business questions regarding population...specific methodologies - Build reports and dashboards to track risk adjustment programs, and evaluate the effectiveness… more
- Bloomberg (New York, NY)
- … industry and educational/development opportunities + Be a thought-leader on the subject of Risk Analytics and Controls **You'll need to have:** + 8+ years of ... Senior Control Manager - Core Product - Finance & Administration...you to make it happen. What's the role? Robust risk management is an ongoing point of differentiation and… more
- United Airlines (Chicago, IL)
- …profitable and successful by meeting our financial goals. **Key Responsibilities:** The Sr. Manager - Internal Audit - Cyber is a member of the United Internal ... and technology auditors that will perform audits and advisories. This Senior Manager will be instrumental in building the Internal Audit Cybersecurity audit centers… more
- LA Care Health Plan (Los Angeles, CA)
- …Quality Improvement/ Quality Performance Management QI/QPM and Health Information Management (HIM) analytics support, Risk Adjustment , other plan operations ... not limited to QI, Pharmacy, Care Management, Utilization Management, Risk Adjustment , Products, Customer Solution Center (CSC),...Work closely with Stars Core Team (Stars Lead and Manager Stars Analytics ) to lead quality reporting… more
- The Cigna Group (Westerville, OH)
- This role is responsible for supporting Cigna Medicare Advantage risk adjustment prospective programs, solutions, and performance in aligned operational region ... and Provider Performance Enablement teams, Provider Education, and the Risk Adjustment Operations teams. The Prospective Program...role will work under the direction of the Senior Manager - National Lead Provider Education to reach overall… more
- RELX INC (Alpharetta, GA)
- …technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help drive ... the status quo and improving outcomes. We do this through industry-leading predictive analytics to help insurance carriers manage risk , uncover opportunities and… more