- Citigroup (Tampa, FL)
- The Business Analyst /Project Manager will play a crucial role in supporting the establishment and execution of a sustainable operating model for data automation and ... adjustment reduction. This position requires a highly analytical and...and provide regular status updates to program leadership. + ** Risk and Issue Management:** Proactively identify, assess, and mitigate… more
- RELX INC (Tampa, FL)
- …our nation. About the Team:The Controlled Investigation Unit delivers customized analyst services related to pattern analysis, device geolocation, and data science ... Government, seeks a self-motivated and highly organized Identity Data Analyst to support one or more customers. As an...military, or the federal government. Women in Tech: LexisNexis Risk is supportive of women in Technology and has… more
- RELX INC (Boca Raton, FL)
- …driving evidence-based solutions to help our clients make more informed decisions and help mitigate risk . About the Role: The Fraud Data Analyst works as part of ... About the Business: LexisNexis(R) Risk Solutions provides customers with solutions and decision...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- CVS Health (Tallahassee, FL)
- …the Centers of Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... and/or auditing. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) required.… more
- Molina Healthcare (Jacksonville, FL)
- …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
- Molina Healthcare (Tampa, FL)
- …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 , Healthcare plays a critical role in supporting clinical and operational initiatives by… more
- The Cigna Group (Lake Mary, FL)
- …trends, variances, and key issues and provides recommendations for adjustment . Responsible for conducting moderately complex financial analysis projects and/or ... system applications for processing and reporting financial information. May administer risk management and loss prevention programs to maintain maximum protection of… more
- Molina Healthcare (Orlando, FL)
- …directly with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment , value-based care models, or healthcare performance metrics + ... **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating… more
- Citigroup (Tampa, FL)
- …and execution of a sustainable operating model for data automation and adjustment reduction. This role requires a highly organized and proactive individual with ... program leadership. Identify and escalate potential roadblocks or issues. + ** Risk and Issue Management:** Proactively identify, assess, and mitigate project risks… more
- Datavant (Tallahassee, FL)
- …reports directly to the Director of Strategic Operations. As a trusted partner to the Risk Adjustment COO and broader leadership team, you'll play a key role in ... for delivering results **Bonus Points If:** + You have experience in risk adjustment coding applications and technology \#LI-BC1 We are committed to building a… more