• Risk Adjustment Business

    Commonwealth Care Alliance (Boston, MA)
    011260 CCA-Revenue Cycle Management Position Summary: The Risk Adjustment Business Analyst is responsible for understanding and interpreting complex ... Responsibilities: * Identifying opportunities for improvement that drives risk adjustment initiatives and program. * Operational Business Partner supporting… more
    Commonwealth Care Alliance (05/23/25)
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  • Risk Adjustment Analyst

    Fallon Health (Worcester, MA)
    …on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose** : The primary role of the Risk Adjustment Analyst (RAA) will be to function as the Claims SME ... submissions vendor for resolution + Work with the Senior Risk Adjustment Analyst on monthly...Cross-train to handle similar tasks across all lines of business **Qualifications** **Education:** BA or BS - Mathematics, Finance,… more
    Fallon Health (06/09/25)
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  • Data Analyst III

    RELX INC (Cambridge, MA)
    About the Business LexisNexis Risk Solutions is the...about LexisNexis Risk at the link below, risk .lexisnexis.com About the Role A Data Analyst ... essential partner in the assessment of risk . Within our Business Services vertical, we...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
    RELX INC (04/12/25)
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  • Sr Analyst , Specialty Performance…

    Evolent (Boston, MA)
    …knowledge of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...Analyst , Performance Analytics to join our Performance Suite business unit. Our mission is to improve and innovate… more
    Evolent (05/22/25)
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  • Business Information Consultant Senior…

    Elevance Health (Woburn, MA)
    …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... ** Business Information Consultant Senior - Provider Economics** The...for forecast and month-end results. + Serve as an analyst and advisory to both internal and external stakeholders,… more
    Elevance Health (06/10/25)
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  • Product Manager I (Remote US)

    RELX INC (Cambridge, MA)
    About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a ... Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more about… more
    RELX INC (06/01/25)
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