- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior ACA Encounters 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
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations 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
- Centene Corporation (Jefferson City, MO)
- …from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the ... of compliance issues. Facilitates and leads external audits related to Risk Adjustment processes. Ensures visibility by way of reporting out audit deliverables… more
- Centene Corporation (Jefferson City, MO)
- …the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1 ... and complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical documentation gaps, assesses risk… more
- New York State Civil Service (Albany, NY)
- …Services, Department of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crimes Risk ), SG-23) ... candidates for the position of Virtual Currency Senior Blockchain Analytics Analyst , (Financial Services Specialist 2 (Financial Crimes Risk )) in Virtual… more
- Amazon (Austin, TX)
- …the largest cloud services company on Earth! Amazon Web Services (AWS) is seeking a Senior Third-Party Risk Intelligence Analyst as part of its Supplier ... people who want to help. You'll join a diverse team of Risk Intelligence analysts, security engineers, and technical Program Managers. You'll collaborate with… more
- Ventura County (Ventura, CA)
- Workers' Compensation Risk Analyst Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5142408) Apply Workers' Compensation Risk Analyst ... role of Risk Management within a county-wide environment. PAYROLL TITLE: Risk Analyst AGENCY/DEPARTMENT: County Executive Office/ Risk Management -… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Surveillance Operations Analyst (Financial Services Specialist 2 ( Risk ), SG-23) Occupational Category ... the stability of the global financial system.The Financial Services Specialist 2 ( Risk ) will be responsible for designing and overseeing the architecture that… more
- BP Americas, Inc. (Chicago, IL)
- …to grow as the world's leading energy company! **Role Synopses** The Regulatory Reporting Senior Analyst role is an opportunity to build expertise in the ... (T&S) business structure, and contribute to the business through technical expertise. The Senior Analyst will lead EPA and State reporting for production,… more
- General Dynamics Information Technology (Falls Church, VA)
- …Support mission-critical initiatives and enable the growth of our business as a ** Senior Financial Analyst ** at GDIT. Working on the Finance team, you'll ... security of our nation. Our work depends on a Senior Financial Analyst joining our team to...helping drive profitable growth, identify opportunities for improvement and risk mitigation. + Manage revenue and cost adjustment… more
- RELX INC (Washington, DC)
- About the BusinessLexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... decisions to enhance investigations. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/government About the TeamThe… 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 ... FL hybrid (Monday, Wednesday, Thursday) on-site **The role you will contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Virtual Currency Senior Analyst (Financial Services Specialist 2 (Compliance), SG-23) Occupational ... of Financial Services is seeking candidates for the position of Virtual Currency Senior Analyst , SG-23, in the Virtual Currency Unit within the Research… more
- Trinity Health (Boise, ID)
- …background in quality or risk adjustment performance. **SUMMARY:** The Senior Provider Quality and Performance Analyst is the primary owner of the ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** SENIOR PROVIDER QUALITY and PERFORMANCE ANALYST **...Shift **Description:** ** SENIOR PROVIDER QUALITY and PERFORMANCE ANALYST ** Come Join us! This is a great opportunity… more
- Mastercard (Harrison, NY)
- …help people, businesses and governments realize their greatest potential._ **Title and Summary** Senior Analyst - Federal Tax Compliance & Planning Senior ... tax provision; uncertain tax positions; deferred taxes; and valuation allowances. The Senior Analyst , Federal Tax Compliance and Planning prepares and maintains… more
- RELX INC (Alpharetta, GA)
- …in Power BI Service, Premium capacities, and enterprise-scale administration. The senior analyst will drive capacity planning, performance optimization, and ... and decision tools for professional and business customers. About the role: The Senior Data Analyst will lead the design, implementation, and enforcement of… more
- Aston Carter (Overland Park, KS)
- We are seeking a Senior Audit Analyst for a great client of ours in the Kansas City area. This role offers the opportunity to influence strategic direction and ... learn business nuances, and perform detailed analyses that drive improvements in risk management and compliance processes. The position involves working with IT,… more
- Insight Global (Virginia Beach, VA)
- …SlicerDicer (Preferred) * Familiarity with CMS quality programs, HEDIS measures, and risk adjustment (Preferred). * Familiarity with CMS quality programs, HEDIS ... highly skilled and motivated Epic Healthy Planet Lead IT Analyst to join our IT team. This role is...measures, and risk adjustment . * Knowledge of SQL or...measures, and risk adjustment . * Knowledge of SQL or other data query… more
- Alaka'ina Foundation Family of Companies (Washington, DC)
- Senior Management Analyst Location DC -...of performance, moves to a period of assessment and adjustment of performance, to be followed by a period ... Family of Companies (FOCs) is possibly looking for a Senior Management Analyst to provide support for...improvement ideas; Improve work flow processes; Identify risks and risk mitigations; Capture and record the value of implemented… more
- Providence (Portland, OR)
- …the rate development and filing efforts including competitive analysis, network analysis, risk adjustment , trend, actuarial value analysis, rate adequacy review, ... **Description** ** Senior Actuarial Analyst \*Remote Reporting to the Senior Manager Actuarial Analytics the Senior Actuarial Analyst analyzes the… more