- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and ... to support the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III will provide a key leadership role in the … more
- The Cigna Group (Mclean, VA)
- … Analyst will be primary contact for provider groups on Risk Adjustment topics at joint operating meetings, quality meetings, etc. Lead analysts may be ... for identifying and influencing adoption of resources and processes to reach risk adjustment and quality goals of assigned provider groups (PODs/IPAs). +… more
- Point32Health (Canton, MA)
- …this individual will be responsible for supporting critical data submission functions for the Risk Adjustment Department (RAD) including risk adjustment ... and timely resolution of production issues pertaining to CMS and risk adjustment data submission, including issue investigation, business requirements,… more
- CareFirst (Baltimore, MD)
- …stakeholders including Stars/ Quality , Finance and Actuarial areas to optimize Risk Adjustment performance, accurate coding and drive overall quality ... in addition to the required work experience. **Experience:** 5 years' experience in Risk Adjustment / Quality /Stars departments with a data visualization and… more
- Bloomberg (New York, NY)
- …clients, and other external stakeholders continue to evolve. We are looking for a Senior Risk Analyst who will develop a deep understanding of our products and ... and we work fast - while keeping up the quality and accuracy we're known for. It's what keeps...understand the inherent risks within our processes. The Senior Risk Analyst will be accountable to perform… more
- Bloomberg (Washington, DC)
- Bloomberg Economics - GeoEconomics - Country Risk Analyst **Washington, DC** Posted Mar 20, 2024 - Requisition No. 123986 With close to 50 economists and 200 ... and policy. We are seeking an expert on country risk analysis to join our growing team. **THE ROLE:**...The successful candidate will work with Bloomberg's chief geoeconomics analyst and other members of the Bloomberg Economics team… more
- The Cigna Group (Houston, TX)
- …providers and office staff on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. ... **The Provider Performance Lead Analyst is a key member of the market...to Health Services, Medical Economics, Sales, and Sales & Risk Adjustment in order to develop solutions… more
- The Cigna Group (Memphis, TN)
- …+ Responsible for identifying and influencing adoption of resources and processes to reach risk adjustment and quality goals of assigned provider groups ... audit departments regarding compliance, coding, and inappropriate coding. + Attend risk adjustment and quality provider meetings for assigned provider groups… more
- The Cigna Group (Seattle, WA)
- …providers and office staff on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. ... **Role Summary:** The Provider Performance Lead Analyst is a key member of the market...to Health Services, Medical Economics, Sales, and Sales & Risk Adjustment in order to develop solutions… more
- Molina Healthcare (AZ)
- …Compliance. + History developing Quality Improvement initiatives, population health strategies and risk adjustment programs. + Acts as a lead analyst to ... are being considered at this time.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Analyst , Quality Improvement (QI) Interventions/Compliance contributes to either… more
- Baptist Memorial (Memphis, TN)
- …integrity of upstream, midstream and downstream revenue cycle activities that impact the adjustment processing of claims. + Conducts risk assessments to define ... education + Employee referral program Job Summary: Position: 13173 - Analyst - Quality Assurance Facility: BMH - Central Business Office Department:… more
- AdventHealth (Tampa, FL)
- …Under administrative guidance, the Coder Analyst IV will conduct concurrent mortality, quality , and risk adjustment review of patients in conjunction ... **Shift** : 8:00am-4:30pm **The role you'll contribute:** The Coder Analyst IV Quality Liaison is a Health...for coders, CDI, and physicians based on SOI/ROM and risk adjustment findings. * Functions as the… more
- Actalent (Santa Clara, CA)
- Description: Position Overview The Quality Data Analyst II will establish, collect, analyze, report, and monitor data and key process metrics related to ... and safety signals associated with product performance, and overall aspect of the Quality Management System (QMS) and Risk Management System * Assist functional… more
- Highmark Health (Dover, DE)
- …Healthcare-related field **Substitutions** + 6 years of combined experience with RN/LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS, and/or health ... and implements process improvements related to the potential of quality medical care and service to members and to...**Required** + 5-10 years of combined experience with RN/LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS,… more
- LA Care Health Plan (Los Angeles, CA)
- …Analyst III - Encounters Analyst Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, US, ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...required to achieve that purpose. Job Summary The Business Analyst III facilitates business process improvement via the methodical… more
- Bloomberg (New York, NY)
- …a talented and highly motivated individual to join our commodities team as a weather risk analyst . To succeed in this role you will have a genuine passion ... BNEF Weather Analyst **New York, NY** Posted Apr 26, 2024...Rigorous attention to detail and a commitment to high quality work. + An ability to understand, and summarise… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …experience, a complete understanding and experience with the MA STARs and Risk Adjustment programs, analytical and critical thinking skills, independent ... all positions. **POSITION PURPOSE** The MA Healthcare and Financial Analyst will be responsible for gathering and analyzing financial...of medical trend analysis and the CMS STARs and Risk Adjustment programs required **Skills and Abilities**… 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 ... and risk forecasting + Work to identify/implement improvements in quality control/timeliness of reporting + Extracts, collects, analyzes and interprets health… more
- Centene Corporation (New York, NY)
- …Leads provider quality program development. Collaborates with corporate and market quality leaders, provider engagement, risk adjustment and other ... work groups to develop and implement efficient and effective provider quality workflows, and decision support systems to support ongoing improvements of… more
- MUFG (Tampa, FL)
- …audience. Able to demonstrate excellent judgment in interpreting policies and assessing risk . Description: + The analyst will need to understand differences ... of our recruitment team will provide more details. The Quality Center of Excellence (QCOE), part of our technology...to our customers, employees, and shareholders. We're seeking an analyst to support the QCOE team charged with implementing… more