• Risk Adjustment Analyst

    Fallon Health (Worcester, MA)
    …on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose** : The primary role of the Risk Adjustment Analyst (RAA) will be to function as the Claims SME ... with encounter submissions vendor for resolution + Work with the Senior Risk Adjustment Analyst on monthly operational and performance reporting and… more
    Fallon Health (06/09/25)
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  • Business Information Consultant Senior - Provider…

    Elevance Health (Woburn, MA)
    …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... consolidating processes for forecast and month-end results. + Serve as an analyst and advisory to both internal and external stakeholders, developing value-based… more
    Elevance Health (06/10/25)
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