- CareOregon (Portland, OR)
- Job Title Risk Adjustment Analytics Manager Exemption Status Exempt Department Finance Manager Title Director, Risk Adjustment Direct Reports ... Job Summary Responsible for the development, execution, and management of the risk adjustment data analytics programs for the Medicare Advantage and Medicaid… more
- CVS Health (Hartford, CT)
- … Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Senior Manager of Medicaid Risk Adjustment , the Market Manager of ... data submission and quality assurance) across revenue integrity processes related to risk adjustment (RA) focused on complete and accurate diagnosis capture… more
- Corewell Health (Grand Rapids, MI)
- Job Summary As a key leader in the Risk Adjustment team, the successful candidate will develop and execute strategies, programs and projects for both the MA and ... also serves as a subject matter expert for the Risk Adjustment team. Essential Functions + Manages...improve. + Execute programs and work closely with the Analytics team to drive actionable and insightful reporting while… more
- LA Care Health Plan (Los Angeles, CA)
- …the data processing, reporting, and analytics required to support the Risk Adjustment department operations. Chief Architect for reporting and analytics ... to address business objectives. Provide recommendations to senior leadership based on analytics outcome. Knowledge of risk adjustment processes for multiple… more
- Point32Health (Canton, MA)
- …specific to risk score trends, data/claims submissions and program performance to support risk adjustment analytics + Perform data analytics to ... this individual will be responsible for supporting critical data submission functions for the Risk Adjustment Department (RAD) including risk adjustment … more
- CVS Health (Hartford, CT)
- …outcomes, and other business needs. Reporting to the Sr. Manager of Medicaid Risk Adjustment Analytics , the Sr. Analyst will work closely with ... more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr. Analyst will play a...vendor programs.Required Qualifications + 3 + years of data analytics experience. + 2+ years experience with strong analytical… more
- PNC (Pittsburgh, PA)
- …valued and have an opportunity to contribute to the company's success. As a Quantitative Analytics & Model Development Group Manager Senior you will be a member ... PNC's footprint. We are seeking an accomplished Senior Validation Manager to lead our Market Risk Model...Credit Valuation Adjustment (CVA), and Funding Valuation Adjustment (FVA). The Senior Validation Manager will… more
- Bloomberg (New York, NY)
- Portfolio and Risk Analytics Solutions (PORT) Account Manager , Enterprise Sales - Bloomberg Financial Solutions **New York, NY** Posted Apr 2, 2024 - ... PORT Enterprise Sales team members sell state-of-the-art enterprise level Portfolio and Risk Analytics Solutions to the world's top institutional buyside firms.… more
- Bristol Myers Squibb (Princeton, NJ)
- …and impact business outcomes by analyzing operational, financial, and compliance data for risk and audit analytics . We're looking for someone who is passionate ... delivery of advanced analytics solutions and develop analytics -ready datasets for use by risk and...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Bristol Myers Squibb (Princeton, NJ)
- …Global Supply Chain, through Manufacturing Operations, Quality and Business Strategy The Manager , SC Optimization Analytics will work towards establishing ... as providing data science capabilities for the broader GSC-BIA organization. The Manager , SC Optimization Analytics will enable the Supply Chain organization… more
- Centene Corporation (Charleston, WV)
- …external agencies preferred; Familiarity with claims data, utilization, rate setting, risk adjustment , or member eligibility and reconciliation preferred. Pay ... benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Manager , Healthcare Analytics drives the execution of analytics … more
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Manager , Global Feasibility is an experienced clinical research professional who has ... a clinical research development program. **Key demonstrated skill level for a Senior Manager , Global Feasibility are as follows:** + Ability to set priorities and… more
- Inspire Brands (Atlanta, GA)
- …embarked on an exciting journey at Inspire Brands to reimagine our Enterprise Risk and Internal Audit functions to align with Inspire's strategic objectives. The ... Manager , Internal Audit - Technology will have the exciting...Audit - Technology who reports to the VP, Enterprise Risk and Chief Audit Executive (CAE). In this highly… more
- Inspire Brands (Atlanta, GA)
- … and Internal Audit functions to align with Inspire's strategic objectives. The Manager , Enterprise Risk and Internal Audit, will have the exciting opportunity ... This role will report directly to the Director, Enterprise Risk & Internal Audit - Finance, who reports to...as needed + Adopt the use of technology and analytics to enhance and improve the efficiency of audits… more
- New York State Civil Service (New York, NY)
- …No Agency Financial Services, Department of Title Virtual Currency Financial Crime Risk Associate (FSS4 Fin Crime Risk ) Occupational Category Other Professional ... Compliance; ABA Certificate in Fraud Compliance; Certified Regulatory Compliance Manager .* CSBS: Certified Anti-Money Laundering Specialist.* Demonstrated experience with… more
- Bloomberg (New York, NY)
- … industry and educational/development opportunities + Be a thought-leader on the subject of Risk Analytics and Controls **You'll need to have:** + 8+ years of ... Senior Control Manager - Core Product - Finance & Administration...you to make it happen. What's the role? Robust risk management is an ongoing point of differentiation and… more
- United Airlines (Chicago, IL)
- …profitable and successful by meeting our financial goals. **Key Responsibilities:** The Sr. Manager - Internal Audit - Cyber is a member of the United Internal ... and technology auditors that will perform audits and advisories. This Senior Manager will be instrumental in building the Internal Audit Cybersecurity audit centers… more
- The Cigna Group (Westerville, OH)
- This role is responsible for supporting Cigna Medicare Advantage risk adjustment prospective programs, solutions, and performance in aligned operational region ... and Provider Performance Enablement teams, Provider Education, and the Risk Adjustment Operations teams. The Prospective Program...role will work under the direction of the Senior Manager - National Lead Provider Education to reach overall… more
- LA Care Health Plan (Los Angeles, CA)
- …Quality Improvement/ Quality Performance Management QI/QPM and Health Information Management (HIM) analytics support, Risk Adjustment , other plan operations ... not limited to QI, Pharmacy, Care Management, Utilization Management, Risk Adjustment , Products, Customer Solution Center (CSC),...Work closely with Stars Core Team (Stars Lead and Manager Stars Analytics ) to lead quality reporting… more
- RELX INC (Alpharetta, GA)
- …technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help drive ... and improving outcomes. We do this through industry-leading predictive analytics to help insurance carriers manage risk ,...internally. About the Role We are seeking a Product Manager , who's product will consist of all communication artifacts… more