- Molina Healthcare (Augusta, GA)
- …Summary** The Junior Analyst will play a supporting role on the RADV ( Risk Adjustment Data Validation) team, assisting in the execution of CMS and internal ... and confirm required data elements. + Collaborate with internal teams-including IT, Risk Adjustment operations, and clinical teams-to ensure accurate and… more
- Molina Healthcare (Columbus, GA)
- …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 ... required for audit response. + Collaborate with internal stakeholders-including IT, Risk Adjustment operations, clinical teams, and retrieval vendors-to ensure… more
- Molina Healthcare (Savannah, GA)
- …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
- Molina Healthcare (Savannah, GA)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. + Analyze… more
- Molina Healthcare (Savannah, GA)
- …role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling ... complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare...support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience… more
- Molina Healthcare (GA)
- …Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing ... queries within project management tools like Azure DevOps. + Risk Adjustment experience and some familiarity with...support for finance, pricing and actuarial functions. + Healthcare Analyst I experience desired. + PowerBI, Excel, Power Pivot,… more
- RELX INC (Atlanta, GA)
- Senior Third Party Risk Analyst Are you passionate about identifying and managing third-party risks that could impact business continuity, security, or ... compliance? About the role , the Senior 3rd Party Risk Analyst will analyze risks and help...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk...About our Team We are looking for a Business Analyst who will be the vital link between our… more
- RELX INC (Duluth, GA)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our insurance vertical, we provide customers with ... and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk...quality assistance. About the Role: As the Technical Support Analyst I, your purpose is to provide exceptional technical… more
- AIG (Atlanta, GA)
- At AIG, we are reimagining the way we help customers to manage risk . Join us as a Claims Analyst IV - General Aviation to play your part in that transformation. ... expertise to adjust aircraft physical damage claims. The Claims Analyst IV will identify loss trends and risk...a reasonable accommodation, please send an email to ###@aig.com. Functional Area: CL - Claims AIG AEROSPACE ADJUSTMENT SERVICES… more