- Elevance Health (West Des Moines, IA)
- …** is responsible for completing projects and performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare ... as needed. + Attends and actively participates in internal risk adjustment analytics and ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk ... the end to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products.… more
- PNC (Pittsburgh, PA)
- …our Model Risk Management team at PNC. The position reports to the Senior Validation Manager for Market Risk and Counterparty Risk Models and is part of ... have an opportunity to contribute to the company's success. As a Quantitative Analytics and Modeling Consultant Senior Validator within PNC's Model Risk … more
- PNC (New York, NY)
- …to the company's success. As a Quantitative Analytics and Model Group Manager within PNC's Model Risk Management organization, you will be based in ... Manager to be a part of our Model Risk Management team at PNC. The position reports to...models, such as Potential Future Exposure (PFE), Credit Valuation Adjustment (CVA), and Funding Valuation Adjustment (FVA).… more
- RELX INC (Dayton, OH)
- … at the link below, https:// risk .lexisnexis.com About the Role The Senior Manager of Data Analytics & Business Intelligence (BI) will lead a high-performing ... About the Business LexisNexis Risk Solutions is the essential partner in the...with cross-functional teams to design data-driven strategies, develop scalable analytics solutions, and enhance our BI capabilities to support… more
- Deloitte (Seattle, WA)
- …for this role ends on 12/19/2025. Work you'll do As a Workforce Data & Analytics Senior Manager ,you willmanage a team of analytics professionals, engaging ... adjustment + Has mapped, designed, or evaluated people analytics data and technology workflows (including data sourcing, transformation, and visualization)… 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
- Point32Health (RI)
- …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 (Seattle, WA)
- Description This Sr. Program Manager role will lead a program within Financial Integrity Trust (FIT), a team embedded within the Financial Risk Mitigation (FRM) ... unpaid fees and misuse of funds. Key job responsibilities * Mitigate financial risk and stop bad actors from profiting by building tools and setting policies… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In this critical role, you will drive ... the strategic planning, development, and optimization of our Medicare Advantage Risk Adjustment solution, ensuring that our deliverables support the marketplace… more
- New York State Civil Service (Albany, NY)
- …No Agency Financial Services, Department of Title Virtual Currency Financial Crimes Risk Associate (Financial Services Specialist 4 (Financial Crime Risk )), ... is seeking candidates for the position of Virtual Currency Financial Crimes Risk Associate, (Financial Services Specialist 4, (Financial Crime Risk )), in… more
- AdventHealth (Maitland, FL)
- …+ Epic HB Certification Required 6 years experience performing data, financial and/or risk analytics in a healthcare environment Required 4 years of managerial ... in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms… more
- North Shore Community Health (Salem, MA)
- Senior HR Operations & Systems Manager Salem, MA (http://maps.google.com/maps?q=27+Congress+Street+Salem+MA+USA+01970) Job Type Full-time Description The Senior HR ... Operations & Systems Manager is a key member of the HR Leadership...efficient, compliant HR operations. In addition to leading HR analytics , compliance documentation, audits, and process optimization, this role… more
- Centene Corporation (Springfield, IL)
- …Manager will perform various analytic and strategic tasks in order to support the Risk Adjustment team within the IL Health Plan Division. The Portfolio ... Manager will analyze portfolio data, documentation, and processes and...be responsible for the collection, aggregation, and analysis of risk adjustment data (eg, department / business… more
- RELX INC (Alpharetta, GA)
- …technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help drive ... About the Business LexisNexis Risk Solutions is the essential partner in the...insurance sector. As part of this team, the Product Manager I will take a leadership role in driving… more
- RELX INC (Boca Raton, FL)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- RELX INC (Boca Raton, FL)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the job: The Field Account Manager role will ensure and ... About the Business: LexisNexis Risk Solutions is the essential partner in the...assigned accounts. Support the efforts of the National Account Manager including on-site visits, demonstrations and customer educational activities.… more
- Bristol Myers Squibb (Princeton, NJ)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . **Position:** Manager , Global Internal Audit & Assurance **Location** : Princeton, New ... us and make a difference. - Position Summary The Manager in GIA will work in a team environment...in a team environment to plan and execute dynamic risk -based audits and identify value-added recommendations to strengthen Company… more
- Amazon (Tempe, AZ)
- …a candidate that shares that passion. We are looking for an experienced Program Manager to own a portfolio of global risk mitigation programs partnering with ... teams across the company to design, build, and maintain processes focused around risk mitigation and enforcement. You will set the vision, direction and execution of… more
- RELX INC (Alpharetta, GA)
- … Risk Solutions provides customers with innovative technologies, information-based analytics , decisioning tools and data management services that help them solve ... market segment of RELX, a global provider of information-based analytics and decision tools for professional and business customers....part of the Business Systems SRE team within LexisNexis Risk Solutions Group . As a SRE Manager… more