- Elevance Health (West Des Moines, IA)
- ** Risk Adjustment Actuarial Analyst ...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors ... for employment, unless an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** is responsible for… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... integrity of key risk adjustment performance metrics through coordination of...support as required. We are looking for an experienced professional in the greater Baltimore metropolitan area who is… more
- Centene Corporation (Jefferson City, MO)
- …the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1 ... complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical...Business Management or related field preferred + 5+ years professional coding experience in a hospital or physician setting… more
- Ventura County (Ventura, CA)
- Workers' Compensation Risk Analyst Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5142408) Apply Workers' Compensation Risk Analyst ... role of Risk Management within a county-wide environment. PAYROLL TITLE: Risk Analyst AGENCY/DEPARTMENT: County Executive Office/ Risk Management -… more
- New York State Civil Service (Albany, NY)
- …Financial Services, Department of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crimes Risk ), SG-23) ... seeking candidates for the position of Virtual Currency Senior Blockchain Analytics Analyst , (Financial Services Specialist 2 (Financial Crimes Risk )) in Virtual… more
- Aston Carter (Kansas City, MO)
- We are seeking a Third-Party Risk Management Analyst for a great client ours on a six-month contract, with the potential for permanent hire. This role involves ... executing the Third-Party Risk Management program by conducting vendor risk ...Kansas City area. Job Description We are seeking a professional to support the rollout of a robust Third-Party… more
- Amazon (Austin, TX)
- …services company on Earth! Amazon Web Services (AWS) is seeking a Senior Third-Party Risk Intelligence Analyst as part of its Supplier Governance team. In this ... people who want to help. You'll join a diverse team of Risk Intelligence analysts, security engineers, and technical Program Managers. You'll collaborate with… more
- Intermountain Health (Montpelier, VT)
- **Job Description:** This Position is an entry-level role in Risk Adjustment and will learn to demonstrate general proficiency in the areas of Risk ... (MA), Medicaid, and the Affordable Care Act (ACA). This analyst will audit approved clinical documentation post-visit to ensure...to ensure accurate coding practices according to general and risk adjustment coding guidelines as established by… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …audit and analysis of data. In this role, you'll leverage your knowledge of risk adjustment and healthcare data (primarily Medicare Advantage, Medicaid, and ACA ... stakeholders across the enterprise. The ideal candidate will have experience with risk adjustment , Medicare Advantage, Medicaid, ACA commercial, clinical coding,… more
- New York State Civil Service (Albany, NY)
- …HELP Yes Agency Information Technology Services, Office of Title Technology Analyst 2 (Rapid Application Development) (.Net skills) Occupational Category IT ... Engineering, Sciences Salary Grade 25 Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $96336 to $121413 Annually Employment… more
- General Dynamics Information Technology (Falls Church, VA)
- …the business, helping drive profitable growth, identify opportunities for improvement and risk mitigation. + Manage revenue and cost adjustment submissions, ... enable the growth of our business as a **Financial Analyst Principal** at GDIT. Working on the Finance team,...the operations team. + Prepare and communicate monthly forecast, risk assessment and variance analysis to senior management. +… more
- Insight Global (Virginia Beach, VA)
- …SlicerDicer (Preferred) * Familiarity with CMS quality programs, HEDIS measures, and risk adjustment (Preferred). * Familiarity with CMS quality programs, HEDIS ... highly skilled and motivated Epic Healthy Planet Lead IT Analyst to join our IT team. This role is...measures, and risk adjustment . * Knowledge of SQL or… more
- RELX INC (Alpharetta, GA)
- …can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/insurance About the Role Business Analyst II is responsible for ... About the Business LexisNexis Risk Solutions is the essential partner in the...Minimum 3+ years of experience as an IT Business Analyst . We prefer up to 5 yrs of experience.… more
- RELX INC (Alpharetta, GA)
- …. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/insurance About the Role The PMO Project Analyst plays a key role ... About the Business LexisNexis Risk Solutions is the essential partner in the...deliver actionable insights through reporting and analytics. The Project Analyst ensures project integrity, facilitates communication, and supports project-level… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …providing needed data and reporting, and partner with actuaries to resolve related risk adjustment issues. The ideal candidate will have experience with ... and Blue Shield of Minnesota Position Title: Senior Data Analyst Location: Hybrid | Eagan, Minnesota Career Area: Data...BI, and will have experience partnering with actuaries on risk adjustment issues. Your Responsibilities * Performs… more
- AdventHealth (Maitland, FL)
- … professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... Thursday) on-site **The role you will contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… more
- AIG (Atlanta, GA)
- At AIG, we are reimagining the way we help customers to manage risk . Join us as a Claims Analyst - General Aviation to play your part in that transformation. ... leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will...expertise to adjust aircraft physical damage claims. The Claims Analyst will identify loss trends and risk … more
- Aston Carter (Tampa, FL)
- Onsite AR/Credit Analyst needed in Tampa FL! As an AR/Credit Analyst , you will be responsible for evaluating the creditworthiness of both prospective and ... + Execute thorough credit reviews and updates to mitigate risk and maintain compliance. + Collaborate with supervisors and...If no Bachelor's Degree, then 2-4+ years of AR Analyst or Credit Analysis experience required. + SAP experience… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help… more
- New York State Civil Service (Albany, NY)
- …Agency Financial Services, Department of Title Virtual Currency Senior Analyst (Financial Services Specialist 2 (Compliance), SG-23) Occupational Category Financial, ... Accounting, Auditing Salary Grade 23 Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $86681 to $109650 Annually Employment… more