- MVP Health Care (Tarrytown, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Risk Adjustment Analyst ** to join #TeamMVP. This is the ... prospective and retrospective objectives in population health management including focus on Risk Adjustment efforts. + Design targeting based upon disparate data… more
- Elevance Health (Morristown, NJ)
- ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days ... for employment, unless an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** is responsible for… more
- Molina Healthcare (Yonkers, NY)
- …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. + Analyze… more
- Molina Healthcare (Yonkers, NY)
- …Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing ... queries within project management tools like Azure DevOps. + Risk Adjustment experience and some familiarity with...support for finance, pricing and actuarial functions. + Healthcare Analyst I experience desired. + PowerBI, Excel, Power Pivot,… more
- RELX INC (New York, NY)
- …Would you like to collaborate across our diverse teams? About our Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- Mastercard (Harrison, NY)
- …businesses and governments realize their greatest potential._ **Title and Summary** Senior Analyst - Federal Tax Compliance & Planning Senior Analyst , Federal Tax ... uncertain tax positions; deferred taxes; and valuation allowances. The Senior Analyst , Federal Tax Compliance and Planning prepares and maintains significant aspects… more
- Molina Healthcare (New York, NY)
- …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
- Dow Jones (New York, NY)
- …Mansion Global, Financial News, Investor's Business Daily, Factiva, Dow Jones Risk & Compliance, Dow Jones Newswires, OPIS and Chemical Market Analytics. ... positions.** + **Lead compensation programs/projects such as the annual merit, adjustment , and promotion increase processes, annual pay equity review, etc.** +… more
- Molina Healthcare (Yonkers, NY)
- …directly with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment , value-based care models, or healthcare performance metrics + ... **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The **Senior Analyst , Utilization Management** plays a critical role in supporting clinical and operational… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …Counseling to prevent the development of maladaptive behaviors, reduce risk factors, and strengthen protective factors. This team provides evidence-based ... instruments (as indicated) to coach staff toward excellence . Approves schedule adjustment requests, timesheets, and PTO (Vacation and Sick Time) . Responsible for… more