- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key ... risk adjustment performance metrics through coordination of...the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… more
- Elevance Health (Indianapolis, IN)
- ** Risk Adjustment Senior Data Reporting Analyst ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live ... Point locations. **Preferred Location:** Indianapolis, IN. The ** Risk Adjustment Senior Data Reporting Analyst ** is responsible for translating most… more
- Fallon Health (Worcester, MA)
- …a resolution, and/or work with encounter submissions vendor for resolution + Work with the Senior Risk Adjustment Analyst on monthly operational and ... Twitter and LinkedIn. **Brief Summary of Purpose** : The primary role of the Risk Adjustment Analyst (RAA) will be to function as the Claims SME for… more
- Martin's Point Health Care (Portland, ME)
- …as a "Great Place to Work" since 2015. Position Summary **NEW REMOTE POSITION** The Senior Risk Adjustment Analyst analyzes data, reviews findings, and ... the data warehouse as key sources of data. The Senior Analyst uses their extensive content knowledge...used in complex conceptual analyses for all departments within Risk Adjustment Operations + Develops systematic reporting… more
- Independent Health (Buffalo, NY)
- …first-class perks, benefits and commitment to diversity and inclusion. **Overview** As a Risk Revenue Analyst - Senior the incumbent will provide a full ... on pricing outcomes. + Establish and implement claims review processes to support risk adjustment . Analyze data and provide strategic insights to enhance pricing… more
- New York State Civil Service (Albany, NY)
- …Services, Department of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crime Risk ), SG-23) ... Department of Financial Services is seeking candidates for the position of Virtual Currency Senior Analyst in the Virtual Currency Unit. Duties include, but are… more
- Citigroup (Getzville, NY)
- The Market Risk Data Lead Analyst is a seasoned professional role focusing on supporting CVA risk data used by risk management professionals charged with ... both internal and external partners domestically and internationally. The Risk Reporting Officer will be part of the ... Control & Data Analytics team supporting Credit Valuation Adjustment (CVA) is responsible for data production and data… more
- Regions Bank (Birmingham, AL)
- …and logging into the careers section of the system. **Job Description:** At Regions, the Risk Quantitative Analyst is a member of a key strategic team that is ... that include stress testing and loss forecasting, economic capital, risk ratings, portfolio valuation, optimization, origination strategies, and other portfolio… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... 3 days at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating… more
- CVS Health (Hartford, CT)
- …personal, convenient and affordable. **Position Summary** We are expanding the ACA risk adjustment analytics team to support provider enablement activities. This ... Sr Analyst , Informatics position will serve as a subject matter expert on ACA Risk Adjustment at- risk provider reporting and will be responsible for… more
- CVS Health (Scottsdale, AZ)
- …**Position Summary** We are seeking a highly skilled and motivated Senior Analyst , Informatics to join our expanding IFP risk adjustment analytics ... analytics processes. **Preferred Qualifications** + Prior experience in healthcare analytics, risk adjustment , HEDIS, claims/EHR and other care management data.… more
- Walgreens (Deerfield, IL)
- …Equal Opportunity Employer, including disability/veterans". **Job ID:** 1400298BR **Title:** Senior Analyst , Liability Claims **Company Indicator:** Walgreens ... supervision. Supports organizational processes and programs for mitigation of financial risk . Analyzes, researches and formulates a basis on which coverage decisions… more
- The Cigna Group (Chattanooga, TN)
- …**Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market. ... The role will be accountable for assigned provider groups reaching risk adjustment related annual metrics. This role will work directly with providers to assist… more
- Federal Deposit Insurance Corporation (Washington, DC)
- …Pricing Section, responsible for implementing and monitoring the Corporation's risk -based deposit insurance assessment program for Large Banks. Additional selections ... the banking industry. Plans, manages, and analyzes the financial performance and risk profile of Large Banks to determine the appropriateness of their calculated… more
- BP Americas, Inc. (Houston, TX)
- …a lot of different functional areas, including Sales, Operations, Finance and Risk . **Key Responsibilities** + Manage and develop the retail costing process for ... disability status. Individuals with an accessibility need may request an adjustment /accommodation related to bp's recruiting process (eg, accessing the job… more
- AdventHealth (Maitland, FL)
- …administrative claims data + Works alongside Senior Medical Economics Analyst in identify risk /exposure associated with various reimbursement structures. ... Springs, FL** **The role you'll contribute:** A Medical Economics Analyst is responsible for supporting the Senior ...and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs… more
- Federal Reserve Bank (San Francisco, CA)
- …colleagues on some days, and work from home on others We are looking for a Senior IT Security Analyst to join our 12th District's Information Security Team. You ... business areas. Additionally you will significantly contribute to cyber security risk management processes, metrics, reports, and other security awareness and… more
- General Dynamics Information Technology (Washington, DC)
- …None **Job Family:** Cyber Security **Skills:** Cybersecurity,Cybersecurity Risk Assessment,MITRE ATT&CK Framework **Certifications:** CompTIA - Security+ ... Required:** Yes **Job Description:** How A Cyber Defense Threat Analyst Will Make an Impact + The successful applicant...expected to identify potential cyber threats, determine levels of risk , and produce analytical reports for a variety of… more
- Citigroup (O'Fallon, MO)
- The Finance Reporting Senior Lead Analyst is a senior level position responsible for the generation, analysis and submission of financial reports in ... activities including the closing of books and sub-ledgers, passing appropriate required adjustment entries and consolidating financials at the end of each accounting… more
- UPMC (Pittsburgh, PA)
- …Contracting + Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment + Proficient to expert in SQL and Excel ... Excel + Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment + Data retrieval skills and relational database… more