- Baylor Scott & White Health (Dallas, TX)
- …department/unit. + Good command of medical terminology, with a focus on healthcare promotion, risk reduction, and disease prevention. + Effective communication ... individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core… more
- HCA Healthcare (Plano, TX)
- …City Plano we support our colleagues in their positions. Join our Team as a(an) Risk Analyst Registered Nurse and access programs to assist with every stage of your ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...gain certifications and job skills. Apply today for our Risk Analyst Registered Nurse opening and continue to learn!… more
- Molina Healthcare (TX)
- …**Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, ... to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is… more
- Molina Healthcare (Fort Worth, TX)
- **Job Description** **Job Summary** The Analyst, Risk Adjustment-Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics team. ... support Molina's Prospective and Retrospective Interventions. **Knowledge/Skills/Abilities** + Assist Risk Adjustment Data Analytics Leaders in Prospective and Retrospective… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with… more
- Molina Healthcare (TX)
- **Job Description** **Job Summary** The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research,… more
- Molina Healthcare (San Antonio, TX)
- …risks effects. Identifies and analyzes potential sources of loss to minimize risk and estimates the potential financial consequences of an occurring loss. Through ... **Knowledge/Skills/Abilities** * Assist in the daily operations of all aspects of risk adjustment data validation related activities, including, but not limited to:… more
- Baylor Scott & White Health (Temple, TX)
- …narratives. **Key Success Factors** + Exceptional understanding and experience with healthcare professional liability, safety, risk , and quality concepts. ... communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live...type and/or level **Job Summary** Manages detailed assessments of high- risk claims with a medical/legal plan to prevent claim… more
- Molina Healthcare (San Antonio, TX)
- …Summary** The Senior Analyst will serve a key role on the RADV ( Risk Adjustment Data Validation) team, contributing to the end-to-end data strategy and execution ... for audit response. + Collaborate with internal stakeholders-including IT, Risk Adjustment operations, clinical teams, and retrieval vendors-to ensure accurate… more
- National Multiple Sclerosis Society (Farmers Branch, TX)
- …Society staff, stakeholders and volunteer leaders to address these gaps to achieve healthcare access objectives, including communities at risk for poor health ... and providing feedback for reciprocal growth and learning. The Manager, Healthcare Stakeholder Engagement leads the development and management of healthcare… more