- 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 (Des Moines, IA)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. + Analyze… 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
- The Cigna Group (Bloomfield, CT)
- …Quality Review and Audit Senior Analyst position recognizes experience in Risk Adjustment Data Validation audits (RADV), Risk Adjustment ... _Responsible for coordination and implementation of daily processes related to IFP Risk Adjustment (RA) programs, including the Risk Adjustment Data… more
- Amazon (Seattle, WA)
- …and operational processes that minimize risk and maximize trust in Amazon.com. As a Sr . Risk Analyst in BRP, you will be responsible for analyzing ... identify and neutralize new and emerging fraud threats? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest place to transact online.… 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
- 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
- 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
- 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
- Amazon (Arlington, VA)
- …largest cloud services company on Earth! Amazon Web Services is looking for a Governance, Risk , and Compliance (GRC) Senior Analyst to support third-party ... 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
- LA Care Health Plan (Los Angeles, CA)
- …Develops and distributes reports for senior leaders as it relates to risk adjustment metrics and performance. .Assess program performance and aim to maximize ... Risk Adjustment Strategies and Initiatives Analytics...cross-functional business partners. The Program Manager II engages the analyst team to continue to support, test and upgrade… more
- KBR (Chantilly, VA)
- Title: Sr Photogrammetric Engineer Belong. Connect. Grow. with KBR!KBR's National Security Solutions team provides high-end engineering and advanced technology ... security.Why Join Us? + Innovative Projects: As a Cost Analyst at KBR, you will contribute to cutting-edge space...+ Impactful Work: Your expertise in cost estimation and risk analysis will drive essential decisions for complex government… more
- Amazon (Raleigh, NC)
- …their needs Preferred Qualifications A history of delivering written plans for senior leadership Experience successfully engaging with industry analyst firms ... a dynamic leader to join our team as the Senior Manager of Open Source Strategy & Marketing for...Security, and Engineering teams to ensure proper open source risk management Guide teams on effective community engagement strategies… more
- Amazon (Austin, TX)
- …market, and control cost. We build systems that detect, assess, and mitigate risk across the global infrastructure and are accountable for keeping the Amazon ... for all network connectivity types. - Partner with Security teams to develop risk registries based on threat models, recommend policy changes to ensure secure… more