- 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
- CVS Health (Hartford, CT)
- …solutions to make health care more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr . Analyst will play a critical ... Reporting to the Sr . Manager of Medicaid Risk Adjustment Analytics, the Sr . Analyst will work closely with cross-functional teams across the business… 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
- Molina Healthcare (AZ)
- …History developing Quality Improvement initiatives, population health strategies and risk adjustment programs. + Acts as a lead analyst to provide project-, ... Arizona are being considered at this time.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Analyst , Quality Improvement (QI) Interventions/Compliance contributes to… more
- Healthfirst (New York, NY)
- The Senior Healthcare Analyst is responsible for monitoring risk pool performance, communicating financial results and identifying areas of opportunity for ... Healthfirst and hospital senior management. The Senior Healthcare ...is the lifeline for our value-based payment model. The Risk Adjustment & Encounters Reporting team is… 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
- Citigroup (Tampa, FL)
- The Finance Reporting Senior Analyst is an intermediate level position responsible for the generation, tracking and submission of financial reports in ... Assist with closing the books and sub-ledgers, including passing appropriate required adjustment entries and consolidating financials at the end of each accounting… more
- Aston Carter (Columbus, OH)
- Aston Carter is currently seeking an experienced Financial Analyst for a hybrid position in Columbus, Ohio!! Description: Responsible for performing and reviewing ... for asset based deals and opportunities. Utilize understanding of project financing risk tax and accounting concepts to maximize value creation for customers and… 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
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Supports Risk Adjustment & Stars organization to optimize Risk Adjustment revenue and coding accuracy through ... Responsible for developing performance monitoring reports and analytics related to Risk Adjustment & Stars programs and processes. We are looking for an… more
- The Cigna Group (Memphis, TN)
- …area** **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
- 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
- Bausch Health (Bridgewater, NJ)
- …our mission of improving people's lives with our health care products. As a Sr Cybersecurity Analyst , you will help secure Bausch Health infrastructure against ... standards, tools, policies, and procedures to improve security, compliance and risk management activities based on security operations findings, or security events… 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
- Intermountain Health (Murray, UT)
- … Analyst -Technical- Senior is on the Encounter Data team in the Risk Adjustment department. This position will be responsible for understanding and ... and processes impacted by data and systems. The business analyst serves as the central point for interface changes...level) if they do not fully qualify for the Senior level. Unfortunately, we are not currently considering candidates… 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
- 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
- Aston Carter (Princeton, NJ)
- …of Aston Carter's clients in the medical devices space is looking for an experienced Senior Financial Analyst to join the team during this crucial time. This ... historical financial data + Explore investment options and present risk and opportunities + Coordinate with the CFO (https://resources.workable.com/cfo-job-description)… more