- SHI (Nashville, TN)
- …the technology you need to thrive - in our offices or yours.** **Job Summary** A Senior Risk Analyst (SRA) analyzes data and documentation to assess risks, ... acumen, critical thinking, and analytical skills are essential. Reporting to the Senior Risk Manager, the SRA plays a key role in implementing and enhancing… more
- Baylor Scott & White Health (Nashville, TN)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position ... provide insight to decision-makers. This role supports program management activities around risk adjustment data management and submissions to CMS. This role may… more
- Prime Therapeutics (Nashville, TN)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst ( Risk Assessment and Oversight) - Remote **Job ... Description** The Senior Compliance Analyst assists in the implementation...closures throughout the business, partnering to facilitate company-wide Compliance Risk Assessment, and conducting new and ongoing compliance oversight… more
- Coinbase (Nashville, TN)
- …Attendance is expected and fully supported. Coinbase is looking for a creative and analytical Senior Analyst of Technology Risk . You will serve as a member ... Risk Management to escalate risks through the enterprise risk register and report relevant metrics to senior... risk register and report relevant metrics to senior leadership as determined necessary. * Global Engagement: Collaborate… more
- Coinbase (Nashville, TN)
- …Attendance is expected and fully supported. Coinbase is looking for a creative and analytical Senior Analyst of Technology Risk & Controls. You will serve as ... teams accountable, and documenting deliverables to varying levels of junior and senior stakeholder audiences. Ability to translate controls/ risk standards out of… more
- SitusAMC (Nashville, TN)
- …every outcome, and think global but act local - come join our team! The Governance, Risk , Compliance, and Audit Senior Associate will be a key member of the ... and achieve strategic security objectives. By leveraging expertise in governance, risk , compliance, and audit, the Senior Associate will proactively… more
- Molina Healthcare (Bowling Green, KY)
- …**Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, ... to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job ... responsibilities include developing risk score reporting with Databricks and Power BI, organizing and managing large and varied data sets, analyzing healthcare data… more
- HCA Healthcare (Nashville, TN)
- **Description** **Job Summary and Qualifications** The Senior Clinical Analyst supports implementations and ongoing support of HCA's standard Electronic Medical ... the direction of the Ambulatory EHR AVP , the Senior Clinical Analyst assists with implementing Hospital...of colleagues. Do you want to work as a(an) Sr Clinical Analyst HOC WFH where your… more
- Evolent (Nashville, TN)
- …Doing:** ** Sr Finance Analyst - Strategy & Pricing** We are hiring a Sr Analyst to join our Client Finance Team. The candidate selected for this role ... our fastest growing segment of clients. **Collaboration Opportunities:** The Sr Analyst , Pricing, Client Finance works closely...to ensure our financial interests are protected in our risk contracts + Build compelling PPT slides to help… more
- Prime Therapeutics (Nashville, TN)
- …every decision we make. **Job Posting Title** Performance Guarantee Analyst Sr - Remote **Job Description** The Senior Performance Guarantee Analyst ... with client stakeholders at all levels to ensure Performance Guarantee (PG) risk is accounted for and reporting is accurately represented. **Responsibilities** +… more
- Eliassen Group (Nashville, TN)
- ** Sr Guidewire Business Analyst ** **Anywhere** **Type:** Contract **Category:** Business Analysis **Industry:** Insurance **Workplace Type:** Remote **Reference ... **Shortcut:** http://careers.eliassen.com/fMinuT + Description + Recommended Jobs **Description:** Business Analyst will support Guidewire integrations,conducting requirements gathering sessions, writing… more
- Cardinal Health (Nashville, TN)
- …top 20 on the Fortune 500. We currently have a career opening for a Sr Analyst , Cyber Security. _Cardinal Health Cyber Security Overview_ The Cardinal Health ... We promote a culture that protects information assets, manages risk and embeds security in people, process and technology...determining scope, urgency, and potential impact with escalation to senior team members as needed. + Document findings and… more
- Elevance Health (Nashville, TN)
- **JR167284 Behavioral Health Clinical Quality Audit Analyst , Sr ** Responsible for maintaining crisis accreditation and developing, delivering and evaluating ... and a minimum of 3 years experience in quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as well as… more
- Evolent (Nashville, TN)
- …insights from product strategy analyses and translating them to complex risk -based contract development, and they will partner closely with executives across ... and in-demand value-based care pursuits. + Support the development of capitated risk partnerships, focusing on cost and use trends, and estimate Evolent's ability… more
- Molina Healthcare (Bowling Green, KY)
- …pertaining to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr . Analyst works with health plans and operations departments to ... which will protect the Business from liability and potential risk . Ensures that the Business understands and complies with...and compliance with State and Federal regulatory guidelines. The Sr . Analyst develops and performs audits and… more
- Ally (Nashville, TN)
- …Opportunity** This role is Detroit Hybrid preferred, however remote option possible The Senior Actuarial Analyst is responsible for developing and supporting a ... robust pricing and/or reserving framework at Ally Insurance. The Senior Actuarial Analyst will be expected to independently lead projects from start to finish.… more
- Guardian Life (Nashville, TN)
- …Do you want to be part of a collaborative Compliance Legal Team? As a Senior Compliance Analyst , Park Avenue Securities, and Park Avenue Investment Advisory, you ... Rule 3110 and, in certain circumstances, various state insurance laws. The Lead Compliance Analyst is responsible for developing a risk -based plan for the branch… more
- Kobe Aluminum Automotive Products (Bowling Green, KY)
- Job Title: Senior Compliance Analyst Classification: Exempt Department: CSR Reports to: Administration General Manager Position Summary: The Senior ... performs a wide variety of responsible technical and administrative risk management support functions to ensure compliance. Develops, implements, and supports… more