- Elevance Health (FL)
- ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days ... an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II...and New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Baylor Scott & White Health (Tallahassee, FL)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position ... to provide insight to decision-makers. This role supports program management activities around risk adjustment data management and submissions to CMS. This role… more
- Highmark Health (Tallahassee, FL)
- …for efficiencies. May provide guidance to Associate level employees. **This role sits within our Risk Adjustment team - it is a remote based role - looking for ... some claims experience and looking to become familiar with risk adjustment .** **ESSENTIAL RESPONSIBILITIES** + Intake operational...3 - 5 years of experience in a Business Analyst or Business Process Analyst role or… more
- Centene Corporation (Tallahassee, FL)
- …from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....compliance issues. Facilitates and leads external audits related to Risk Adjustment processes. Ensures visibility by way… more
- Molina Healthcare (Orlando, FL)
- …Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing ... + Experience developing queries within project management tools like Azure DevOps. + Risk Adjustment experience and some familiarity with Power BI level report… more
- CVS Health (Tallahassee, FL)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... At CVS Health , we're building a world of health...all body systems + Understand the audit process for risk adjustment models. + Identify and communicate… more
- RELX INC (Boca Raton, FL)
- …Would you like to collaborate across our diverse teams? About our Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- Northrop Grumman (Melbourne, FL)
- …and evaluating Requests for Equitable Adjustment (REAs). The Proposal Analyst will provide valuable insight into supplier risk , negotiation positions, ... history. Northrop Grumman Aerospace Systems (NGAS) is currently seeking a **Price/Cost Proposal Analyst Level 2** to join our team! This position will be located… 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