- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, ... required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides...senior leadership based on analytics outcome. Knowledge of risk adjustment processes for multiple lines of… more
- 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
- University of Utah Health (Murray, UT)
- …responsibility, integrity, quality and trust that are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for our health ... plan's risk adjustment program. + This role is responsible for analyzing...and analyses for tracking and reporting at the department, senior leadership, and provider level. + RAD-V audit experience… more
- MVP Health Care (Rochester, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Sr . Risk Adjustment Analyst ** to join #TeamMVP. This ... at once while achieving desired results required + Knowledge of CMS risk adjustment and reinsurance payment processes and audits for Medicare and Commercial… more
- Baylor Scott & White Health (Austin, TX)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This ... to provide insight to decision-makers. This role supports program management activities around risk adjustment data management and submissions to CMS. This role… 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 ... of compliance issues. Facilitates and leads external audits related to Risk Adjustment processes. Ensures visibility by way of reporting out audit deliverables… more
- Molina Healthcare (Everett, WA)
- …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. + Analyze… more
- Molina Healthcare (Madison, WI)
- …This Sr . Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing risk ... + Experience developing queries within project management tools like Azure DevOps. + Risk Adjustment experience and some familiarity with Power BI level report… more
- Amazon (Seattle, WA)
- …and operational processes that minimize risk and maximize trust in Amazon.com. As a Sr . Risk Analyst in BRP, you will be responsible for analyzing ... identify and neutralize new and emerging fraud threats? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest place to transact online.… more
- ConvaTec (Bridgewater, NJ)
- …**Position Overview** We are seeking an experienced, driven and detail-oriented Senior Tax Analyst to join Convatec's North America Tax ... range of benefits, from infection prevention and protection of at- risk skin, to improved patient outcomes and reduced care...+ Prepare meaningful analysis of US P&L and book-to-tax adjustment drivers for IFRS / Cash tax variances. +… more
- Dow Jones (New York, NY)
- …Mansion Global, Financial News, Investor's Business Daily, Factiva, Dow Jones Risk & Compliance, Dow Jones Newswires, OPIS and Chemical Market Analytics. ... important role in year-end processes and will have direct interaction with senior -level executives. Strong data analytics and data integrity skills are necessary for… more
- Catholic Health Initiatives (Lufkin, TX)
- …to the financial performance of the service lines. * Make recommendations to Senior Management for action to improve such vulnerabilities and follow through on ... * Able to perform Payer Contract Compliance Audits to identify payers at risk as needed by Management. + Supports Revenue Cycle functions by maintaining PCON/PEA… more
- Molina Healthcare (AZ)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and ... 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 include… 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
- KBR (Chantilly, VA)
- Title: Sr Photogrammetric Engineer Belong. Connect. Grow. with KBR!KBR's National Security Solutions team provides high-end engineering and advanced technology ... security.Why Join Us? + Innovative Projects: As a Cost Analyst at KBR, you will contribute to cutting-edge space...+ Impactful Work: Your expertise in cost estimation and risk analysis will drive essential decisions for complex government… more
- Amazon (Arlington, VA)
- …largest cloud services company on Earth! Amazon Web Services is looking for a Governance, Risk , and Compliance (GRC) Senior Analyst to support third-party ... talented people who want to help. You'll join a diverse team of Risk Intelligence analysts and technical Program Managers. You'll collaborate with people across AWS… more
- Amazon (San Francisco, CA)
- …regulatory landscape, ensuring a safe and trusted user experience is critical. In this senior data science role on our Safety Data Science team, you'll help drive ... enhance transparency, reduce manual workflows, and protect our most at- risk users. This is a highly collaborative and strategic...years of experience as a data scientist or data analyst in a high velocity, data-driven environment - 5+… more
- Amazon (El Segundo, CA)
- …and the Kuiper Government Solutions (KGS) business is looking for an entrepreneurial minded Sr . Program Planning & Scheduling Analyst to work in a start-up ... we have products Government customers can use when Kuiper service comes online. The Sr . Program Planning & Scheduling Analyst will also be responsible for… more
- Amazon (Seattle, WA)
- …predictive modeling in healthcare - Strong understanding of value-based care models and risk adjustment - Proven track record of translating analysis into ... Analyst II on the Amazon One Medical At- Risk team, you will be the data insights engine...and resource allocation * Present complex analytical findings to senior stakeholders in clear, actionable terms Basic Qualifications -… more