- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity ... of key risk adjustment performance metrics through coordination of... results and quality, accuracy and identification of member health conditions. Update, create and maintain business process and… more
- MVP Health Care (Schenectady, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Risk Adjustment Analyst ** to join #TeamMVP. This is the ... retrospective objectives in population health management including focus on Risk Adjustment efforts. + Design targeting based upon disparate data sources to… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... to improve awareness and understanding of risk adjustment and identification of member health conditions. + Understand CMS risk score methodology,… more
- Baylor Scott & White Health (Austin, TX)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position ... to provide insight to decision-makers. This role supports program management activities around risk adjustment data management and submissions to CMS. This role… 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 ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical… more
- UNC Health Care (Chapel Hill, NC)
- … 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...*Must have one of the following: - AHIMA (American Health Information Management Association) certification - AAPC (American Academy… more
- Ventura County (Ventura, CA)
- Workers' Compensation Risk Analyst Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5142408) Apply Workers' Compensation Risk Analyst ... to a 3% match on your 401(k) contributions. + Health Plans: You are afforded a flexible credit allowance...Risk Management within a county-wide environment. PAYROLL TITLE: Risk Analyst AGENCY/DEPARTMENT: County Executive Office/ Risk… 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 ...employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee… 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 ... responsible for empowering consumers and protecting them from financial harm; ensuring the health of the entities we regulate; driving economic growth in New York… 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...Registered Health Information Administrator (RHIA)** **▪ Certified Risk Adjustment Coder (CRC)** * Willing to… 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
- Trinity Health (Boise, ID)
- …Nurse, or someone with Provider Consulting Experience background in quality or risk adjustment performance. **SUMMARY:** The Senior Provider Quality and ... Type:** Full time **Shift:** Day Shift **Description:** **SENIOR PROVIDER QUALITY and PERFORMANCE ANALYST ** Come Join us! This is a great opportunity to partner with… more
- Fallon Health (Worcester, MA)
- …preparation of actuarial components of financial reports, regulatory submissions, and risk adjustment analyses + Collaborate with cross-functional teams ... **Overview** **About us:** Fallon Health is a company that cares. We prioritize...**Brief Summary of Purpose:** Seeking a motivated and detail-oriented analyst to join our team. This position is ideal… more
- BP Americas, Inc. (Chicago, IL)
- …the world's leading energy company! **Role Synopses** The Regulatory Reporting Senior Analyst role is an opportunity to build expertise in the transportation fuels ... contribute to the business through technical expertise. The Senior Analyst will lead EPA and State reporting for production,...part of bp's wellbeing package, bp offers access to health , vision, and dental insurance, as well as life… 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
- Convey Health Solutions (Fort Lauderdale, FL)
- …solutions that span the entire member lifecycle--from enrollment and billing to risk adjustment , Stars performance, and member engagement. Pareto's deep ... Job Description Job Title: Client Advisory Analyst Position Summary: Pareto Intelligence (TM) is a...a bold and innovative healthcare analytics organization redefining how health plans approach data, insights, and performance improvement. We… 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
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