- 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
- UNC Health Care (Chapel Hill, NC)
- …the health and well-being of the unique communities we serve. Summary: The Risk Adjustment Coordinator will be responsible for analyzing and auditing medical ... payer under the value care contracts. In addition, the Risk Adjustment Coordinator will be responsible for...of Professional Coders) certification - CPC (Certified Professional Coder) or CRC (Certified Risk Coder)… 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)
- …operations.* Other duties as assigned. Minimum Qualifications Preferred Qualifications* Professional Risk Managers' International Association certifications: o ... No Agency Financial Services, Department of Title Surveillance Operations Analyst (Financial Services Specialist 2 ( Risk ), SG-23)...Associate Professional Risk Managero Credit and Counterparty Managero Market, Liquidity and… 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
- 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
- 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 ...very large company. Job Description We are seeking a professional to support the rollout of a robust Third-Party… more
- The Cigna Group (Bloomfield, CT)
- …of the HHS' Risk Adjustment (RA) program and Risk Adjustment Data Validation (RADV) audits. The Senior Analyst is responsible for all aspects of ... The Quality Review & Audit Senior Analyst exhibits expertise in evaluating complex medical documentation...expertise in RA programs. * Contributes to execution of Risk Adjustment programs, and other IFP programs,… more
- RELX INC (Washington, DC)
- About the BusinessLexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... decisions to enhance investigations. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/government About the TeamThe… more
- RELX INC (Alpharetta, GA)
- …link below. https:// risk .lexisnexis.com/insurance About our Team: The Delivery Systems Business Analyst team plays a pivotal role in the shaping of insurance and ... About the Business: LexisNexis Risk Solutions is the essential partner in the...duties as assigned. Requirements: * 3+ years IT business analyst experience* BS/BA degree in relevant discipline or equivalent… 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
- 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, ... **Job Family:** Finance **Skills:** Communication,Financial Reporting and Analysis,Forecasting,Reporting and Analysis, Risk Assessments **Experience:** 5 + years of related 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
- 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
- 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 IV - 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 IV will identify loss trends and risk… 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
- RELX INC (Atlanta, GA)
- …driving evidence-based solutions to help our clients make more informed decisions and help mitigate risk . About the Role: The Fraud Data Analyst works as part of ... About the Business: LexisNexis(R) Risk Solutions provides customers with solutions and decision...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
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