- Molina Healthcare (Grand Island, NE)
- …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES**...models based on state programs + Develop and lead actuarial studies related to risk scores and… more
- CVS Health (Chicago, IL)
- …and making sound, unbiased reports on these issues. **A Brief Overview** + Provide actuarial support for the **Texas and Oklahoma Medicaid ** plans. + Performs ... **Position Summary** Support CVS Health's financial integrity with sound reserving and risk management practices as well as product designs that meet customer needs… more
- Elevance Health (FL)
- ** Risk Adjustment Actuarial Analyst II...and performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and ... an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II...Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives.… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... coordination of analytical processes, investigation and interpretation of Maryland Medicaid risk score methodology, risk ...of any changes to the HCC model and supporting actuarial in the calculation risk adjustment revenue.… more
- Centene Corporation (Sacramento, CA)
- …we're seeking a finance professional with strong **FP&A** expertise with ** Medicaid industry experience** to deliver strategic insights and drive operational ... and financial performance tracking. + Collaborate cross-functionally with product, actuarial , and operational teams to improve forecast accuracy and business… more
- Humana (Louisville, KY)
- …considered hybrid based on business discretion. **Preferred Qualifications** + Financial or actuarial background + Medicare Risk Adjustment Experience + Medicare ... hybrid based on business discretion. The MRA Finance team supports Humana's Medicare Risk Adjustment business area. The Finance team develops revenue and risk … more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated analytics to ... decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding of the… more