- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III...Chief Architect for reporting and analytics in support of Risk Adjustment operations for multiple ... and to support the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides a key leadership role in the … 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 ... providing accurate, timely, and consistent information enabling informed decisions related to risk adjustment activities. The Analyst provides subject matter… more
- Elevance Health (Louisville, KY)
- ** Risk Adjustment Actuarial Analyst II -...in internal risk adjustment analytics and risk adjustment operations meetings. + Participates ... an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II...and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration… 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 ... gathering and transformation methodology, and will play an essential role in driving Risk Adjustment (RA) Program performance. Supervision Exercised: * No, this… 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 ... compliance issues. Facilitates and leads external audits related to Risk Adjustment processes. Ensures visibility by way...be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values… 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 of the risk adjustment department through leading… more
- New York State Civil Service (Albany, NY)
- …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 (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...negotiating timelines are necessary skills. Amazon is an equal opportunity employer and does not discriminate on the basis… 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...Experience with SQL and Excel Amazon is an equal opportunity employer and does not discriminate on the basis… more
- RELX INC (Philadelphia, PA)
- Risk Analyst Are you passionate about...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant ... continuity, security, or compliance? About the role , the Risk Analyst will analyze risks and help...our Candidate Privacy Policy . We are an equal opportunity employer: qualified applicants are considered for and treated… more
- Amazon (San Diego, CA)
- …operational processes that minimize risk and maximize trust in Amazon.com. As a Risk Analyst in BRP, you will be responsible for analyzing terabytes of data ... new and emerging fraud threats? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest...scalable and automated solutions to help Scientists, Product and Operations to mitigate organized fraud attacks. Key job responsibilities… 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 ... want to help. You'll join a diverse team of Risk Intelligence analysts and technical Program Managers. You'll collaborate...Secret US Government security clearance. Amazon is an equal opportunity employer and does not discriminate on the basis… more
- Amazon (Seattle, WA)
- …processes that minimize risk and maximize trust in Amazon.com. As a Sr. Risk Analyst in BRP, you will be responsible for analyzing terabytes of data ... new and emerging fraud threats? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest...Experience with SQL and Excel Amazon is an equal opportunity employer and does not discriminate on the basis… 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...benefits and compensation package Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V \#PJCorp \#LI-AC1 Pay Range: $77,969… more
- SMBC (New York, NY)
- …senior management presentations and regulatory reporting + Support the enhancement and adjustment of credit risk data governance, maintain clear communication ... guide the credit data enhancement initiatives + Collaborate with Risk Management Stress Testing and Scenario Design Team to...a Hybrid workforce model that provides employees with an opportunity to work from home, as well as, from… more
- The Cigna Group (Bloomfield, CT)
- … position recognizes experience in Risk Adjustment Data Validation audits (RADV), Risk Adjustment operations , Risk Adjustment medical record ... colleagues, and Matrix Partners._ **Core Responsibilities:** + Oversight and coordination of daily operations for IFP Risk Adjustment Data Validation (RADV)… more
- MedKoder (Mandeville, LA)
- …company offers services including inpatient and outpatient facility coding, medical risk adjustment management, DRG coding management, coding education, clinical ... Position Location: Mandeville, LA Position Classification: Full-time Description: The Data Operations Analyst will work proactively with our software development… more
- Amazon (Bellevue, WA)
- …implement cost reduction opportunities. About the team Logistics Claims Management and Operations (LCMO) provides insurance and risk expertise, guidance, and ... Description Play a leading role in operational global risk improvement at Amazon.com, where we have a...the world in innovative technologies and services. This Business Analyst role will help business leaders make sense of… more