- Strategic Staffing Solutions (Grand Rapids, MI)
- …Engagement Pay Rate: $50-$52/HR Engagement Description This engagement requires a highly skilled Risk Adjustment Business Analyst who can bridge regulatory ... Strategic Staffing Solutions is currently looking for a Business Analyst (CMS Regulations / Risk ) for a...risk , and contribute to the overall success of Risk Adjustment activities by the plan. The… more
- Aston Carter (Indianapolis, IN)
- Job Title: Supply Chain Analyst (6-Month Contract-to-Hire) Location: Onsite - Monday to Friday, 8am to 5pm Contract Duration: 6 months with potential for full-time ... hire About the Role We are seeking a detail-oriented and proactive Supply Chain Analyst to join our team on a 6-month contract-to-hire basis . This role is critical… more
- Allianz (New York, NY)
- We are looking for a Complex Claims Analyst - Management Liability (m/f/d), based in our New York City office. Your Team You will be working with a small but diverse ... in industry leadership. The Impact You Will Have The Complex Claims Analyst , will proactively investigate, evaluate, and negotiate resolution of assigned primary and… more
- Suvida (Phoenix, AZ)
- …setting (primary care or Medicare Advantage Plans preferred) 2+ years of HEDIS or Risk Adjustment experience in supplemental data and chart reviews Knowledge of ... more What You'll Do Position Summary The Quality Care Analyst will work closely with our clinic staff to...clinics of time sensitive care caps. The Quality Care Analyst will also work with the Director of Quality… more
- Amazon (Seattle, WA)
- …the world? Amazon B2B Payments and Lending (ABPL) is looking for a Sr. Fraud Analyst to manage our loss mitigation strategy for fraud or credit abuse. The successful ... - 4+ years of compliance program management, legal, governance, audit, risk /loss prevention, or equivalent experience - Bachelor's degree or equivalent -… more
- RELX Group plc (Alpharetta, GA)
- About the Business At LexisNexis(R) Risk Solutions, we believe in using data for good to solve problems and make a positive impact on people, industry and society. ... and improve operations. You can learn more about LexisNexis Risk here: https:// risk .lexisnexis.com/ About our Team The...and demonstrating meticulousness. About the Role A Sr Financial Analyst is a decision support role focused on the… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, ... support the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides a key leadership role in the Risk… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Risk Adjustment Analyst provides analytic, technical, and decision support to ... accurate, timely, and consistent information enabling informed decisions related to risk adjustment activities. The Analyst provides subject matter expertise… more
- Elevance Health (Mendota Heights, MN)
- **Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... unless an accommodation is granted as required by law._ The **Medicare Risk Adjustment Actuarial Analyst III** is responsible for completing diverse and… more
- Commonwealth Care Alliance (Boston, MA)
- …in other states will not be considered at this time._** Position Summary: The Risk Adjustment Business Analyst is responsible for understanding and ... transformation methodology, and will play an essential role in driving Risk Adjustment (RA) Program performance. Supervision Exercised: * No, this position does… more
- Centene Corporation (Tallahassee, FL)
- …from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the ... of compliance issues. Facilitates and leads external audits related to Risk Adjustment processes. Ensures visibility by way of reporting out audit deliverables… more
- UCLA Health (Los Angeles, CA)
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful ... Serve as a key departmental resource for application use related to risk adjustment coding guidelines and gap closure reporting. Salary Range: $76,200 -… more
- Molina Healthcare (Roswell, NM)
- …role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling ... complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare...support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience… more
- Amazon (New York, NY)
- …(RMIS), Origami Risk . We are looking for an experienced application analyst to help architect, configure, and manage our Origami system, for Amazon's Global ... brings workflow and reporting automation to 25+ insurance and risk programs. As a system analyst , you...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- CareFirst (Baltimore, MD)
- …alignment with the vision of the company specific to Quality, Stars and Risk Adjustment . Individual will organize the technology, processes and financial ... Upon Hire Preferred **Preferred Qualifications:** + **Government Programs Stars and Risk Adjustment regulatory and operational experience** + **Commercial &… more
- BP Americas, Inc. (Houston, TX)
- …and origination activities are conducted within a robust control framework. The Commodity Risk Analyst will play a key role working with trading, marketing ... **Entity:** Finance **Job Family Group:** Finance Group **Job Description:** The Commodity Risk Group is a key middle-office, risk , and financial controls… more
- Amazon (New York, NY)
- … Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and data analytics. ... risk management in transportation. As a Senior Risk Analyst , you will partner with our...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- RELX INC (Atlanta, GA)
- Senior Third Party Risk Analyst Are you passionate about identifying and managing third-party risks that could impact business continuity, security, or ... compliance? About the role , the Senior 3rd Party Risk Analyst will analyze risks and help...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Surveillance Operations Analyst (Financial Services Specialist 2 ( Risk ), SG-23) Occupational Category ... assigned. Minimum Qualifications Preferred Qualifications* CFA Institute: Chartered Financial Analyst * Professional Risk Managers' International Association certifications:… more
- Amazon (Arlington, VA)
- …cloud services company on Earth! Amazon Web Services is looking for a Governance, Risk , and Compliance (GRC) Senior Analyst to support third-party risk ... talented people who want to help. You'll join a diverse team of Risk Intelligence analysts and technical Program Managers. You'll collaborate with people across AWS… more
