- eTeam, Inc. (San Diego, CA)
- Job Title: Analyst 1, Cust Contract Admin Job Duration: 7 months contract Location: San Diego, CA 92130 Pay Range: $28/ hour on W2 Job Description: Job is a Hybrid ... requests for Dispensing Customer Orders *Manage incoming Term Begin Date Adjustment requests for strategy, creation, processing and validation *Process and… more
- McKinsey & Company (Boston, MA)
- …Medicare, Medicaid, and other business segments to help with book-of-business teardowns, risk adjustment analytics, and Medicare growth and stars models. The ... join our Actuarial Center of Excellence as a senior analyst . As a member of the team you will...including segmentation, propensity modeling, funnel analysis, CLM, digital marketing, risk mix modeling and pricing. You'll work in one… 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 (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 ... 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
- Corewell Health (Grand Rapids, MI)
- …Some states are not eligible for remote work (CA and NY). Positioned in the Risk Adjustment Department, the Manager, Risk Adjustment Analytics will ... be responsible for leading the Risk Adjustment Analytics team and supporting the goals and objectives...in data analysis and reporting, preferably as a business analyst in the health insurance industry + 5 years… 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
- Amazon (New York, NY)
- …Strategy and Operations team is looking for a smart, motivated, and analytical Credit Risk Analyst to join our underwriting and portfolio management team. The ... understanding of underwriting and related systems, as well as portfolio risk management experience. This role involves high judgment decision making, use/creation… more
- Molina Healthcare (ID)
- …Azure, AWS, 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 ... **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops… more
