- RELX INC (Atlanta, GA)
- …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
- 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...office weekly on Tuesday and Wednesday. The Data Relationship Analyst II a nalyzes process flows and makes recommendations… more
- CVS Health (Atlanta, GA)
- …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
- RELX INC (Atlanta, GA)
- …of our GRC team? About the role: We are seeking an experienced Governance, Risk , and Compliance (GRC) Analyst to lead the development and implementation of ... successful candidate will have a deep understanding of cybersecurity frameworks, risk management, and compliance standards, and will work collaboratively with… more
- RELX INC (Alpharetta, GA)
- About the Business At LexisNexis (R) Risk Solutions, we believe in using data for good to solve problems and make a positive impact on people, industry and society. ... and improve operations. You can learn more about LexisNexis Risk here: https:// risk .lexisnexis.com/ About our...and demonstrating meticulousness. About the Role A Sr Financial Analyst is a decision support role focused on the… more
- Molina Healthcare (Augusta, GA)
- …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 (Augusta, GA)
- …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
- Molina Healthcare (Macon, GA)
- …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
- Datavant (Atlanta, GA)
- …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
- RELX INC (Atlanta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more about… more