- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Risk Adjustment Analyst provides analytic, technical, and decision support to ... accurate, timely, and consistent information enabling informed decisions related to risk adjustment activities. The Analyst provides subject matter expertise… 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 ... compliance issues. Facilitates and leads external audits related to Risk Adjustment processes. Ensures visibility by way...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Molina Healthcare (ID)
- …Azure, AWS, or Hadoop + 3-5 years of experience in Analysis related to HEDIS and/or Risk Adjustment + 3-5 years of experience in working with complex data to ... **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops… more
- Molina Healthcare (Augusta, GA)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- The Cigna Group (Bloomfield, CT)
- **_WORK LOCATION: This is a REMOTE work position. Preferred locations within the West Coast Region: CA, OR, AZ, WY, NV, WA, Alaska_** The **Competitive Unit Cost ... for Local Market Affordability/TMC support, including analysis of discount information, Risk Adjusted PMPM, Coordination of Benefits (COB) information, and other… more
- Robert Half Accountemps (Irvine, CA)
- …The Financial Analyst role is also pivotal in understanding the risk adjustment programs, the process, and analytics/models involved across CDOs. ... are offering a hybrid employment opportunity for a Financial Analyst in Irvine, California. The Financial Analyst ...Responsibilities: + Analyze and document processes related to risk adjustment programs across CDOs. + Interpret… more
- Centene Corporation (Providence, RI)
- …refining Medicare contract models, incorporating CMS and NYSDOH guidelines related to risk adjustment , quality metrics, and financial benchmarks. + Collaborate ... supporting provider engagement efforts, and ensuring alignment with CMS-aligned risk -based models. The Analyst will play a...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Providence (Los Angeles, CA)
- …the rate development and filing efforts including competitive analysis, network analysis, risk adjustment , trend, actuarial benefit value analysis, rate adequacy ... **Description** **Senior Actuarial Analyst ** **_Remote_** Reporting to the Manager Actuarial Analytics...we must empower them. **_Providence Health Plan welcomes 100% remote work for applicants who reside in the following… more
- BP Americas, Inc. (Houston, TX)
- …a robust development pipeline. **About the role** The Archaea Energy Finance Performance Analyst is a role within the Finance team supporting the VP Performance. ... with this role **Relocation Assistance:** This role is not eligible for relocation ** Remote Type:** This position is a hybrid of office/ remote working… more
- Evolent (Harrisburg, PA)
- …knowledge of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and ... mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote ** Evolent is seeking a Senior … more
- BP Americas, Inc. (Houston, TX)
- …investment opportunities, forecast investment returns, project cash flows, and assess risk exposure. + Conduct valuation analyses using various methods, including ... through Joint Operating Agreements interpretation to increase value while mitigating risk . + Support efforts to drive incremental value from existing agreements… more
- Lockheed Martin (Fort Worth, TX)
- …work at Lockheed Martin\! **Who You Are** As a Global Supply Chain Contracts Analyst , Sr Staff you are an experienced professional with a legal, contracts or supply ... negotiations and administration, ensuring compliance to policies and regulations, mitigating risk , and partnering with others to obtain positive business results\.… more
- Centene Corporation (Jefferson City, MO)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
- Centene Corporation (Jefferson City, MO)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
- RELX INC (Atlanta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn...practices across key regions globally. This position can be remote in US but will need to work with… more
- AdventHealth (Altamonte Springs, FL)
- …manage multiple priorities at once with little supervision. Possesses knowledge about risk adjustment and hospital publicly reported data. Possesses knowledge ... while understanding that **together** we are even better. **Job Location** : Remote **Shift:** Full-Time, Monday-Friday **The role you will contribute:** The Coder … more