- 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 will...senior leadership based on analytics outcome. Knowledge of risk adjustment processes for multiple lines of… more
- Martin's Point Health Care (Portland, ME)
- …Plan which is growing and making an impact! Apply today for immediate consideration! The Senior Risk Adjustment Analyst in our Health Plan analyzes ... 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
- Elevance Health (Washington, DC)
- …or ask you for payment as part of consideration for employment. **Medicare Risk Adjustment Advanced Analyst Sr ** + Job Family: Analytics + Type: Full ... HI, KAPOLEI + IA, W DES MOINES **Description** **Medicare Risk Adjustment Advanced Analytic Senior **...benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all… more
- The Cigna Group (Mclean, VA)
- …to base salary._** 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
- 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
- The Cigna Group (Dallas, TX)
- …week** **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an ... market. The role will be accountable for assigned provider groups reaching risk adjustment and stars related annual metrics. This role will work directly with… more
- RELX INC (Boca Raton, FL)
- … at the link below, risk .lexisnexis.com About our TeamWe are looking for a Sr Business Analyst who will be the vital link between our business objectives and ... About the Business LexisNexis Risk Solutions is the essential partner in the...to improve systems and processes. About the Role This Senior Business Analyst role provides support to… more
- RELX INC (Topeka, KS)
- Senior Data Analyst I Are you...to uncover information and insights? About the Business LexisNexis Risk Solutions is the essential partner in the assessment ... of risk . Within our Government vertical, our solutions assist government...problems and ultimately protect communities. About the Role The Senior Fraud Data Analyst position exists to… more
- RELX INC (Alpharetta, GA)
- …environment where employee thrive and make a meaningful impact. About the RoleThe Senior Pricing Analyst position is responsible for analyzing price models and ... in field and experience in providing strategic recommendations to senior management. Learn more about the LexisNexis Risk...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment ... monitoring of key performance indicators to enable operational excellence within the risk adjustment department. You will be responsible for coordinating mock… more
- Bloomberg (New York, NY)
- …regulators, clients, and other external stakeholders continue to evolve. We are looking for a Senior Risk Analyst who will develop a deep understanding of ... and be able to analyze and understand the inherent risks within our processes. The Senior Risk Analyst will be accountable to perform detailed analytics work… more
- Bristol Myers Squibb (Princeton, NJ)
- …at work and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Analyst , Corporate Security Risk Intelligence provides key ... responsible for providing in-depth situational awareness on global security risk trends and specific threats that could directly impact...+ Strong in Power Point, Excel, Word and i2 Analyst Notebook _If you come across a role that… more
- Truist (Charlotte, NC)
- …of the Market and Liquidity Risk Management (MLRM) team within the Risk Management Organization (RMO), works with the Senior Treasury Market and Liquidity ... tools and processes. Preferred Qualifications: 1. Industry certification such as Chartered Financial Analyst (CFA) or Financial Risk Manager (FRM). 2. 2-5 years… more
- Aston Carter (Farmington Hills, MI)
- Overview: Aston Carter is partnering with a local manufacturing company to hire a Sr . Financial Analyst (12 month contract-to-hire). This person will work a ... Description: + Support customer business unites from a financial analyst standpoint + Perform variance analysis for business units...understand where adjustments need to be made + Understand risk points and report on revenue and profit variances… more
- POET (Sioux Falls, SD)
- …cold weather gear reimbursements + Discounted home and auto insurance JOB SUMMARY POET's Senior Accounting Analyst plays a vital role in partnering with business ... for use in financial reporting and strategic operational decision making. The Senior Accounting Analyst uses working knowledge of business processes, financial… 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
- Providence (OR)
- …Medicare Advantage plans + Have a deep understanding of Medicare Advantage regulations, risk adjustment methodologies, and a strong analytical background + Be ... must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will:**...the pricing process + Staying informed of changes in risk adjustment methodologies and assess their implications… more
- RELX INC (Houston, TX)
- Senior Analyst Do you enjoy using a data-driven approach to uncover information and insights? Are you a skilled communicator? About the Business: At ICIS, our ... consulting; always willing to share experience and knowledge. About the Role: As a Senior Analyst , you will be responsible for analyzing complex datasets to… more
- Vanguard (Dallas, TX)
- …Vanguard with state-of-the-art security and fraud capabilities. We're excited for a Senior Cloud Security Analyst to join our high-energy Vulnerability ... reporting that informs remediation progress. + Adjudicate false-positives and requests for risk -acceptance or risk -rating adjustment . + Informed by security… more
- Healthfirst (New York, NY)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... it needs to produce results and deliver impactful business recommendations. As a Senior Medical Economics Analyst , you'll map out and construct detailed… more