- CareOregon (Portland, OR)
- Job Title Risk Adjustment Analytics Manager Exemption Status Exempt Department Finance Manager Title Director, Risk Adjustment Direct Reports ... Job Summary Responsible for the development, execution, and management of the risk adjustment data analytics programs for the Medicare Advantage and Medicaid… more
- Corewell Health (Grand Rapids, MI)
- Job Summary As a key leader in the Risk Adjustment team, the successful candidate will develop and execute strategies, programs and projects for both the MA and ... also serves as a subject matter expert for the Risk Adjustment team. Essential Functions + Manages...improve. + Execute programs and work closely with the Analytics team to drive actionable and insightful reporting while… more
- LA Care Health Plan (Los Angeles, CA)
- …the data processing, reporting, and analytics required to support the Risk Adjustment department operations. Chief Architect for reporting and analytics ... to address business objectives. Provide recommendations to senior leadership based on analytics outcome. Knowledge of risk adjustment processes for multiple… more
- Point32Health (Canton, MA)
- …specific to risk score trends, data/claims submissions and program performance to support risk adjustment analytics + Perform data analytics to ... this individual will be responsible for supporting critical data submission functions for the Risk Adjustment Department (RAD) including risk adjustment … more
- CVS Health (Hartford, CT)
- …outcomes, and other business needs. Reporting to the Sr. Manager of Medicaid Risk Adjustment Analytics , the Sr. Analyst will work closely with ... more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr. Analyst will play a...vendor programs.Required Qualifications + 3 + years of data analytics experience. + 2+ years experience with strong analytical… more
- PNC (Pittsburgh, PA)
- …valued and have an opportunity to contribute to the company's success. As a Quantitative Analytics & Model Development Group Manager Senior you will be a member ... PNC's footprint. We are seeking an accomplished Senior Validation Manager to lead our Market Risk Model...Credit Valuation Adjustment (CVA), and Funding Valuation Adjustment (FVA). The Senior Validation Manager will… more
- Bloomberg (New York, NY)
- Portfolio and Risk Analytics Solutions (PORT) Account Manager , Enterprise Sales - Bloomberg Financial Solutions **New York, NY** Posted Apr 2, 2024 - ... PORT Enterprise Sales team members sell state-of-the-art enterprise level Portfolio and Risk Analytics Solutions to the world's top institutional buyside firms.… more
- Bristol Myers Squibb (Princeton, NJ)
- …and impact business outcomes by analyzing operational, financial, and compliance data for risk and audit analytics . We're looking for someone who is passionate ... delivery of advanced analytics solutions and develop analytics -ready datasets for use by risk and...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Bristol Myers Squibb (Princeton, NJ)
- …Global Supply Chain, through Manufacturing Operations, Quality and Business Strategy The Manager , SC Optimization Analytics will work towards establishing ... as providing data science capabilities for the broader GSC-BIA organization. The Manager , SC Optimization Analytics will enable the Supply Chain organization… more
- Bloomberg (New York, NY)
- Product Manager - Credit Risk **New York,...existing clients from a product perspective, including ensuring the risk analytics and workflows are set up ... any turn of events. We are seeking a Product Manager to join the MARS Enterprise Risk ...with the broader ecosystem in order to explain complex analytics as well as recommend best practices. You will… more
- Inspire Brands (Atlanta, GA)
- …embarked on an exciting journey at Inspire Brands to reimagine our Enterprise Risk and Internal Audit functions to align with Inspire's strategic objectives. The ... Manager , Internal Audit - Technology will have the exciting...Audit - Technology who reports to the VP, Enterprise Risk and Chief Audit Executive (CAE). In this highly… more
- Inspire Brands (Atlanta, GA)
- … and Internal Audit functions to align with Inspire's strategic objectives. The Manager , Enterprise Risk and Internal Audit, will have the exciting opportunity ... This role will report directly to the Director, Enterprise Risk & Internal Audit - Finance, who reports to...as needed + Adopt the use of technology and analytics to enhance and improve the efficiency of audits… more
- Bloomberg (New York, NY)
- … industry and educational/development opportunities + Be a thought-leader on the subject of Risk Analytics and Controls **You'll need to have:** + 8+ years of ... Senior Control Manager - Core Product - Finance & Administration...you to make it happen. What's the role? Robust risk management is an ongoing point of differentiation and… more
- The Cigna Group (Westerville, OH)
- This role is responsible for supporting Cigna Medicare Advantage risk adjustment prospective programs, solutions, and performance in aligned operational region ... and Provider Performance Enablement teams, Provider Education, and the Risk Adjustment Operations teams. The Prospective Program...role will work under the direction of the Senior Manager - National Lead Provider Education to reach overall… more
- RELX INC (Houston, TX)
- …About the Job: The Vertical Account Manager role is focused on selling our risk and data solutions to Marketing and Analytics teams within carriers. It is ... technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help drive… more
- United Airlines (Chicago, IL)
- …profitable and successful by meeting our financial goals. **Key Responsibilities:** The Sr. Manager - Internal Audit - Cyber is a member of the United Internal ... and technology auditors that will perform audits and advisories. This Senior Manager will be instrumental in building the Internal Audit Cybersecurity audit centers… more
- LA Care Health Plan (Los Angeles, CA)
- …Quality Improvement/ Quality Performance Management QI/QPM and Health Information Management (HIM) analytics support, Risk Adjustment , other plan operations ... not limited to QI, Pharmacy, Care Management, Utilization Management, Risk Adjustment , Products, Customer Solution Center (CSC),...Work closely with Stars Core Team (Stars Lead and Manager Stars Analytics ) to lead quality reporting… more
- The Cigna Group (Charlotte, NC)
- …Market Provider Performance, Sales, Health Services, Clinical, Stars & Risk Adjustment , Finance, Marketing, Cross-Segment Contracting, Provider Relations, ... The Provider Performance Enablement (PPE) Senior Manager is an integral part of a cross-functional,...strategy, compliance, and delegation oversight. + Supporting Stars & Risk Adjustment initiatives through local Provider Performance… more
- CVS Health (Hartford, CT)
- …Business Consultant within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical record ... and/or matrixed staff as required to support ACA IFP Risk Adjustment Revenue Integrity initiatives. Responsible for...to maximize results; customize ACA reporting views and outreach manager data needed for day to day operations work.… more
- CVS Health (Hartford, CT)
- …Consulting within the Revenue Integrity COE organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical record ... and/or matrixed staff as required to support ACA IFP Risk Adjustment Revenue Integrity initiatives. Responsible for...to maximize results; customize ACA reporting views and outreach manager data needed for day to day operations work.… more