- CVS Health (Harrisburg, PA)
- …-related data to identify trends, gaps, and opportunities for improving risk adjustment factor (RAF) scores. The Sr Analyst will, at the direction of ... dynamic, user-friendly reports and dashboards + Healthcare Experience: Knowledge of healthcare risk adjustment methodologies, including HCC coding , RAF score… 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...CDI staff such as the HCC/RAF Pocket Guide, HCC Coding Tip Sheets by clinical conditions, and relevant information… more
- Elevance Health (Indianapolis, IN)
- …and quality of life through home-care and community based services. **Medical Coding Analyst Sr.** Seeking Certified Medical Coders.** Location: **This position ... - Friday, 8 am to 5 pm.** The **Medical Coding Analyst Sr** is responsible for reviewing,...strongly preferred. + Experience with the most current CMS Risk Adjustment Model strongly preferred. + AAPC… more
- CenterLight Health System (NY)
- …physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random ... Professional Practice Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three (3) years' experience… more
- System One (Baltimore, MD)
- ALTA IT Services is staffing a contract opportunity for a Risk Adjustment Data Analyst to support a leading health insurance customer. The main purpose of a ... better business decisions. The individual will interpret and apply Medicare Advantage Risk Adjustment rules, regulations, and processes in analytics projects.… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… more
- VNS Health (Manhattan, NY)
- …membership? "Our analysts are knowledgeable about medical claims data and the risk - adjustment models that determine our revenues; they analyze opportunities for ... We are looking for an ambitious and curious senior health economics analyst to join our team. Compensation Range:$93,400.00 - $116,800.00 Annual What We… more
- Datavant (Columbus, OH)
- …skills **Bonus If:** + Familiarity with HIPAA patient privacy requirements + Experience in risk adjustment coding Apps and technology is a plus We ... a dynamic, high-growth environment and accelerate their development. **As an Operational Analyst , you will:** + Analyze operating variances and derive insights to… more
- AIG (Parsippany, NJ)
- …we help customers to manage risk . Join us as a Senior Loss Sensitive Analyst to play your part in that transformation. It's an opportunity to grow your skills ... member of the team. Make your mark in Retail Casualty within AIG Risk Management, (AIGRM) Client Services. AIG underwriting teams help to find insurance solutions… more
- Molina Healthcare (Columbus, OH)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- Molina Healthcare (Columbus, OH)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), + Diagnosis Related Groups ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...and other payment mechanisms. * + Understanding of value-based risk arrangements + Experience in quantifying, measuring, and analyzing… more
- New York State Civil Service (Albany, NY)
- …Services, Department of Title Virtual Currency Data Governance Senior Analyst (Financial Services Specialist 2 (Policy Analysis), SG-23) Occupational Category ... otherwise add value to the team;* Ensures consistency by adhering to software coding and style guides;* Provides training and support to dashboard users and ensures… more
- MUFG (Tampa, FL)
- …system testing, process automation, and procedural documentation. * Familiarity with risk , internal control, and financial governance components to ensure compliance ... Account reconciliations, Suspense Account reconciliations; reviewing, providing, correcting, and coding data; conducting root cause analysis and remediation; resolving… more
- Centene Corporation (Jefferson City, MO)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... preferred. Working knowledge of SQL/querying languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical,… more
- Amazon (Seattle, WA)
- …and systems would you build to maximize customer satisfaction? Our mission in Payments Risk is to make Amazon.com the safest place to shop online. The Payments ... Risk team safeguards the order pipelines; monitoring, tracking, and...of experience as a Data Engineer, BI Engineer, Business/Financial Analyst or Systems Analyst in a company… more
- Amazon (Sunnyvale, CA)
- …that provides customers with control and transparency and reducing privacy risk , while enabling partner teams to innovate with appropriate guardrails for ... and tooling. Key job responsibilities * Manage escalated privacy and trust risk events/cases from start to finish; write detailed case notes, reports, summaries,… more
- Amazon (Seattle, WA)
- …a platform for growing successful businesses. We are looking for an exceptional business analyst to help us develop new ways to build trust and loyalty with sellers, ... all aspects of BI projects such as project planning, requirements definition, risk management, communication, and implementation planning. - Work with Product, Data… more
- Amazon (Herndon, VA)
- …of your duties. - Triage new incoming issues to determine the level of risk they present to AWS, and then accordingly prioritise its remediation in conjunction with ... any combination of the following: threat modeling experience, secure coding , identity management and authentication, software development, cryptography, system… more
- Amazon (Austin, TX)
- …with any combination of the following: threat modeling, secure coding , identity management and authentication, software development, cryptography, system ... experience. Preferred Qualifications - Experience applying threat modeling or other risk identification techniques or equivalent - CCSP (Certified Cloud Security… more
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