- 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 analytical processes, investigation and interpretation of HHS risk score methodology, … 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 ... prospective and retrospective objectives in population health management including focus on Risk Adjustment efforts. + Design targeting based upon disparate data… 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
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... integrity of key risk adjustment performance metrics through coordination of analytical processes, investigation and interpretation of regulated markets risk … 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 ... by the third party payer under the value care contracts. In addition, the Risk Adjustment Coordinator will be responsible for working the EPIC WQ to reorder the… 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 ... and complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical documentation gaps, assesses risk… more
- Molina Healthcare (Mesa, AZ)
- …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
- Ventura County (Ventura, CA)
- Workers' Compensation Risk Analyst Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5142408) Apply Workers' Compensation Risk Analyst ... role of Risk Management within a county-wide environment. PAYROLL TITLE: Risk Analyst AGENCY/DEPARTMENT: County Executive Office/ Risk Management -… more
- BP Americas, Inc. (Houston, TX)
- …and origination activities are conducted within a robust control framework! The Commodity Risk Analyst will play a key role collaborating with trading, marketing ... **Entity:** Finance **Job Family Group:** Finance Group **Job Description:** The Commodity Risk Group is a key middle-office, risk , and financial controls… 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
- Amazon (Austin, TX)
- …services company on Earth! Amazon Web Services (AWS) is seeking a Senior Third-Party Risk Intelligence Analyst as part of its Supplier Governance team. In this ... people who want to help. You'll join a diverse team of Risk Intelligence analysts, security engineers, and technical Program Managers. You'll collaborate with… 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 ...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process… 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 ... the stability of the global financial system.The Financial Services Specialist 2 ( Risk ) will be responsible for designing and overseeing the architecture that… 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...expertise in RA programs. * Contributes to execution of Risk Adjustment programs, and other IFP programs,… 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
- 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 ... structure, and contribute to the business through technical expertise. The Senior Analyst will lead EPA and State reporting for production, blending, and… 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...measures, and risk adjustment . * Knowledge of SQL or other data query… more
- General Dynamics Information Technology (Falls Church, VA)
- …the business, helping drive profitable growth, identify opportunities for improvement and risk mitigation. + Manage revenue and cost adjustment submissions, ... **Job Family:** Finance **Skills:** Communication,Financial Reporting and Analysis,Forecasting,Reporting and Analysis, Risk Assessments **Experience:** 5 + years of related experience… more
- Northrop Grumman (Melbourne, FL)
- …and evaluating Requests for Equitable Adjustment (REAs). The Proposal Analyst will provide valuable insight into supplier risk , negotiation positions, ... history. Northrop Grumman Aerospace Systems (NGAS) is currently seeking a **Price/Cost Proposal Analyst Level 2** to join our team! This position will be located… more