- Corewell Health (Grand Rapids, MI)
- …remote work (CA and NY). Positioned in the Risk Adjustment Department, the Manager , Risk Adjustment Analytics will be responsible for leading the ... and an ability to communicate effectively to internal and external constituents. As Manager , Risk Adjustment Analytics - your role will be critical… more
- Datavant (Lincoln, NE)
- …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute ... Analytics Product Strategy** + Define and own the product vision for risk adjustment analytics across retrospective and prospective use cases. + Identify… more
- Elevance Health (Woodbridge, NJ)
- … reports using SAS and SQL as needed. + Attends and actively participates in internal risk adjustment analytics and risk adjustment operations ... Capabilities, and Experiences:** + 1 year or more of risk adjustment analytics experience for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Louisville, KY)
- …with Teradata, SQL, or equivalent database tools strongly preferred. + 5+ years of risk adjustment analytics experience for government programs. + Proven ... **Medicare Risk Adjustment Advanced Analytics ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior ... Director of Medicare Risk Adjustment and Analytics . This...and accurate medical record documentation and coding. The Program Manager will contribute to the development of strategies and… 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
- Amazon (New York, NY)
- …As Principal Product Manager of Customer Success Platforms, Intelligence, & Analytics within the AWS Specialists & Partners (ASP) org, you will be responsible ... Own delivery of complex platform capabilities (eg, unified data models, ML-powered risk scoring, self-service analytics ) by writing clear Business Requirement… more
- Centene Corporation (Tallahassee, FL)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Manager , Healthcare Analytics drives the execution of analytics … more
- Amazon (Seattle, WA)
- …Do you enjoy solving complex, high impact problems with high visibility? Bidding Analytics and Metric(BAM) team at Amazon Advertising is looking for a TPM leader ... a high degree of ownership for every project About the team The Bidding Analytics and Metrics (BAM) team's charter is to own and enhance critical data architecture,… more
- Amazon (Bellevue, WA)
- …with. You will lead a team responsible for analyzing and identifying specific instances of risk , broader risk trends and points of customer friction, as well as ... and machine learning to develop new tools and revise risk models. In addition you will be responsible for...R, etc.) - MBA or Master's Degree in Technology, Analytics or equivalent Amazon is an equal opportunity employer… more
- Amazon (Seattle, WA)
- …of sales enablement through AI and innovative solutions! At Worldwide Field Enablement, Analytics and Product Operations (WWFE), we're on a mission to transform how ... Engineers, Software Engineers, and BI Engineers is looking for a Technical Program Manager who can drive complex technical programs and shape the future of sales… more
- Molina Healthcare (Louisville, KY)
- …SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...engine activity, risk adjustment targeting and reporting systems *… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Senior Manager , Data Architecture (Financial Services Specialist 4 ( Risk ), SG-27) Occupational Category ... various portfolios at the entity level. The individual will collaborate closely with the Risk Data & Analytics team to supply surveillance data for in-depth… more
- Amazon (Tempe, AZ)
- …of relevant industry experience, either as an IC or manager , in risk or fraud investigations, regulatory compliance, ecommerce, analytics , or security - ... a candidate that shares that passion. We are looking for an experienced Manager with background in risk , digital fraud, compliance, and/or cyber investigations.… more
- Amazon (Seattle, WA)
- Description We are looking for an experienced risk manager with background in compliance, risk intelligence analysis, and implementation of large-scale gap ... should be passionate about the use of advanced data analytics and technology to identify risk patterns...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Point32Health (VT)
- …care claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment . In-depth health care reimbursement and managed care business ... . **Job Summary** Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will be part of a team responsible… more
- Amazon (Arlington, VA)
- Description As Principal Risk Manager , Global Risk Management & Resilience, within World Wide Operations Security you'll spearhead our organization's global ... metrics and analytics * Proven track record implementing and managing risk and business continuity programs at scale * Demonstrated experience in leading… more
- Amazon (Tempe, AZ)
- …fast, think big, and can balance robust protection with seamless seller experience. The Risk Manager role offers an exciting opportunity to shape the future of ... strategic recommendations. A day in the life As a Risk Manager in Catalog Authorization, you'll protect...designs and implements innovative solutions using technology and data analytics to prevent abuse and maintain catalog quality. We… more
- Amazon (AZ)
- …payments business, and help us make history! We are looking for a strong Risk Manager to drive the Anti-Money Laundering (AML) Suspicious Activity Monitoring ... the legal, business, product, operations, and engineering teams on effective risk mitigation countermeasures to ensure continued safety and compliance for Amazon.… more
- Amazon (Arlington, VA)
- …are illegal, illegally marketed, unsafe, or otherwise prohibited by Amazon policies. Sr Risk Manager will own implementing proactive controls on a category and ... writing skills, proven ability to drive solutions to mitigate risk , and be capable of working independently in an...with leadership team - Embrace the use of data analytics to drive solutions, track improvements and reduce costs… more