- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, ... required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III will...senior leadership based on analytics outcome. Knowledge of risk adjustment processes for multiple lines of… more
- Bloomberg (New York, NY)
- …regulators, clients, and other external stakeholders continue to evolve. We are looking for a Senior Risk Analyst who will develop a deep understanding of ... and be able to analyze and understand the inherent risks within our processes. The Senior Risk Analyst will be accountable to perform detailed analytics work… more
- The Cigna Group (Bloomfield, CT)
- …TAMPA** **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an ... market. The role will be accountable for assigned provider groups reaching risk adjustment and stars related annual metrics. This role will work directly with… more
- Truist (Charlotte, NC)
- …of the Market and Liquidity Risk Management (MLRM) team within the Risk Management Organization (RMO), works with the Senior Treasury Market and Liquidity ... tools and processes. Preferred Qualifications: 1. Industry certification such as Chartered Financial Analyst (CFA) or Financial Risk Manager (FRM). 2. 2-5 years… 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 ... 3 days at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating… more
- RELX INC (Washington, DC)
- …to provide investigative support to a dedicated federal government customer. The Senior Investigative analyst will enable federal government customers with the ... Senior Investigative AnalystAre you looking to utilize your...to uncover information and insights? About the Business LexisNexis Risk Solutions is the essential partner in the assessment… more
- RELX INC (Boca Raton, FL)
- Technology Metrics and Optimization - Senior Analyst II Do you have an eye for financial efficiency?Would you like to utilize your advanced Excel Data reporting ... own the Use Case Technology Spend? About the BusinessLexisNexis Risk Solutions is the essential partner in the assessment...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- RELX INC (Houston, TX)
- Senior Market Analyst Do you enjoy being part of a team that works with a diverse range of products /technology? Do you excel at translating market knowledge? ... of major producers, converters, traders, and the financial markets. About the Role The Senior Market Analyst is responsible for managing a variety of market… more
- RELX INC (Houston, TX)
- Senior Market Analyst - Petrochemicals Do you enjoy being part of a team that works with a diverse range of products /technology? Do you excel at translating ... of major producers, converters, traders, and the financial markets. About the Role The Senior Market Analyst is responsible for managing all market products they… more
- Walgreens (Deerfield, IL)
- …Equal Opportunity Employer, including disability/veterans". **Job ID:** 1400298BR **Title:** Senior Analyst , Liability Claims **Company Indicator:** Walgreens ... supervision. Supports organizational processes and programs for mitigation of financial risk . Analyzes, researches and formulates a basis on which coverage decisions… more
- The Cigna Group (Chattanooga, TN)
- …**Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market. ... The role will be accountable for assigned provider groups reaching risk adjustment related annual metrics. This role will work directly with providers to assist… more
- Healthfirst (NY)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRGs), ... per week located at 100 Church Street, NYC. + As a Senior Healthcare Analyst within Medical Economics, you will manage projects from analysis to implementation… more
- CVS Health (Topeka, KS)
- …+ Charlottesville, VA + San Antonio, TX + Southern, IL Position Summary This Senior Analyst , Healthcare Quality Management will be a Quality Practice Liaison who ... + Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding, Medicaid risk adjustment methodology, and common billing and common billing practices +… more
- CVS Health (Hartford, CT)
- …to the forecasting, budgeting and reporting of the Commercial minimum Medical Loss Ratio and Risk Adjustment . We are looking for this role to work on existing ... & processes to calculate and report the expected Commercial MLR rebates and Risk Adjustment results. This person will act as a resource to other actuarial and… more
- The Cigna Group (Seattle, WA)
- …on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. + Schedules, prepares for and ... **Role Summary:** The Provider Performance Lead Analyst is a key member of the market...to Health Services, Medical Economics, Sales, and Sales & Risk Adjustment in order to develop solutions… more
- Truist (Charlotte, NC)
- …shift (United States of America) **Please review the following job description:** As a senior member of the Market and Liquidity Risk Management (MLRM) team ... to escalate issues within MLRM and Corporate Treasury to drive timely, proactive risk identification and analysis. 3. Assume a senior leadership role in… more
- UPMC (Pittsburgh, PA)
- …Contracting + Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment + Proficient to expert in SQL and Excel ... Excel + Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment + Data retrieval skills and relational database… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …IT systems to enable the vein-to-vein patient treatment process. Patient Operations Senior Functional Analyst will be responsible to drive requirements analysis ... + Work experience in Salesforce applications as a business analyst or technical analyst is preferred. +...level of effort/cost required to implement solutions/services, and facilitate risk assessments + Working knowledge of Jira to maintain… more
- RELX INC (New York, NY)
- …manufacturers. About the Role Cirium Ascend Consultancy is seeking an enthusiastic Valuations Analyst /Consultant to join our New York City OR European team. This is ... support for professional qualifications, and networking opportunities with esteemed senior industry participants. Additionally, immerse yourself in our vibrant… more
- Bureau of Reclamation (Sacramento, CA)
- …the environment. Duty Location: Sacramento, California Responsibilities Serves as a senior analyst for a major appropriation or appropriation activities ... opportunity to capitalize on their expertise as a Budget Analyst . You can make a difference in the West...shortfalls and surpluses to take corrective action; Performs labor adjustment and journal vouchers to correct erroneous obligations; Tracks… more