- CVS Health (FL)
- …Summary** CVS Health has an exciting opportunity for a Project Manager to join our Risk Adjustment Analytics team! In this role you will serve as a ... hybrid project manager and subject matter expert in Medicaid Risk Adjustment Medicaid analytics and reporting. You will be responsible for managing State… more
- Elevance Health (FL)
- …** is responsible for completing projects and performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare ... as needed. + Attends and actively participates in internal risk adjustment analytics and ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (St. Petersburg, FL)
- … Manager - Provider Engagement** plays a key role in driving risk adjustment and quality performance outcomes through effective program management, ... Development** + Develop, review, and update Standard Operating Procedures (SOPs) for risk adjustment and quality program workflows. + Maintain accurate,… more
- RELX INC (Boca Raton, FL)
- … at the link below, https:// risk .lexisnexis.com About the Role The Senior Manager of Data Analytics & Business Intelligence (BI) will lead a high-performing ... About the Business LexisNexis Risk Solutions is the essential partner in the...with cross-functional teams to design data-driven strategies, develop scalable analytics solutions, and enhance our BI capabilities to support… more
- Centene Corporation (Tallahassee, FL)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Manager , Healthcare Analytics drives the execution of analytics … more
- Molina Healthcare (St. Petersburg, FL)
- …SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...engine activity, risk adjustment targeting and reporting systems *… more
- AdventHealth (Maitland, FL)
- …+ Epic HB Certification Required 6 years experience performing data, financial and/or risk analytics in a healthcare environment Required 4 years of managerial ... in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms… more
- RELX INC (Boca Raton, FL)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the job: The Field Account Manager role will ensure and ... About the Business: LexisNexis Risk Solutions is the essential partner in the...assigned accounts. Support the efforts of the National Account Manager including on-site visits, demonstrations and customer educational activities.… more
- RELX INC (Boca Raton, FL)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the job: The National Account Manager role maintains and ... About the Business: LexisNexis Risk Solutions is the essential partner in the...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- RELX INC (Boca Raton, FL)
- …You can learn more about LexisNexis Risk at the link below, https:// risk .lexisnexis.com About the Role The Senior Manager , Enterprise Initiatives is a ... About the Business LexisNexis Risk Solutions is the essential partner in the...of accountability, agility, and results-driven execution Metrics, Reporting & Analytics + Define success criteria, KPIs, and business outcomes… more
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