- Amazon (Seattle, WA)
- …systems in 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 ... - 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)
- …environment, contributing to innovative solutions, and demonstrating meticulousness. About the Role A Sr Financial Analyst is a decision support role focused on ... About the Business At LexisNexis(R) Risk Solutions, we believe in using data for...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- Allianz (New York, NY)
- …best practices and assure claims are handled within granted autonomy limits. The Sr Complex Claims Analyst will also develop and maintain relationships with ... We are looking for a Complex Claims Analyst - Management Liability (m/f/d), based in our...with expert understanding of coverage and application in the adjustment process. In-depth understanding of regional / local Liability… 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, ... required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides...senior leadership based on analytics outcome. Knowledge of risk adjustment processes for multiple lines of… 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 ... accommodation is granted as required by law._ The **Medicare Risk Adjustment Actuarial Analyst III**...+ Comfortable with sharing complex ideas or findings with senior leaders. For candidates working in person or virtually… 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 ... of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance.… 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
- Amazon (New York, NY)
- … Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and ... and risk management in transportation. As a Senior Risk Analyst , you will...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Convey Health Solutions (Chicago, IL)
- …knowledge to accelerate analytic insights and new feature enhancements to Pareto's risk adjustment solution suite. Additionally, the ability to understand / ... Job Description SUMMARY The Sr . Data Analyst will be responsible...questions for empowering key stakeholders to gain insights into risk adjustment performance. + Provide data analysis… 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 ... days at the office (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating… more
- Aston Carter (Irving, TX)
- Job Title: Sr . Credit Analyst Responsibilities + Assess credit limits for new and existing customers and projects, providing recommendations after thorough ... profitability of default by a customer and determine the risk of extending secured and unsecured credit. + Coach...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process… more
- Amazon (Seattle, WA)
- …with internal policies and external requirements? Selling Partner Services (SPS) is seeking a Sr . Financial Analyst to join the WW Fee Controllership team. This ... Lawson, JD Edwards) - Prior experience with audit and/or risk assurance Amazon is an equal opportunity employer and...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Point32Health (Canton, MA)
- …(https://www.point32health.org/) . **Job Summary** Working under the direction of the Director or Senior Manager, the Senior Analyst will be part of ... well as finding improvements) and ad hoc requests. The Senior Network & Provider Analytics Analyst may...data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment . In-depth health care reimbursement and… more
- Evolent (Harrisburg, PA)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a ... Senior Analyst , Performance Analytics to join our...of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network… 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
- RELX INC (Dayton, OH)
- About the Business LexisNexis(R) Risk Solutions provides customers with solutions and decision tools that combine public and industry specific content with advanced ... and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. We use the power...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- Amazon (Seattle, WA)
- …P&L for unlaunched new regions, 2) identify areas of opportunity and risk within the financials, and 3) influencing decision-making to yield better financial ... customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview… more
- Molina Healthcare (ID)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and ... or Hadoop + 3-5 years of experience in Analysis related to HEDIS and/or Risk Adjustment + 3-5 years of experience in working with complex data to include… more
- RELX INC (Atlanta, GA)
- Senior Third Party Risk Analyst...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant ... impact business continuity, security, or compliance? About the role , the Senior 3rd Party Risk Analyst will analyze risks and help operate the enterprise… 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
