- RELX INC (Boca Raton, FL)
- …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...of the benefits we are delighted to offer: + Health Benefits: Comprehensive, multi-carrier program for medical, dental and… more
- Centene Corporation (Tallahassee, FL)
- …with data mining, machine learning, artificial intelligence, or statistical modeling preferred ** Risk Adjustment :** Experience in risk adjustment , ... preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired.Pay… more
- RELX INC (Boca Raton, FL)
- About the business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... to enhance investigations. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/government About...nation. About the job As a Senior Identity Data Analyst , you will work with cutting edge software, perform… more
- Molina Healthcare (FL)
- …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..., Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business… more
- Amcor (Miramar, FL)
- …strategy execution to meet P+ business objectives. + Assist in strategy review and adjustment in line with Amcor's strategies and P+ business objectives. + Assist in ... preferred. + Monitor key KPls to assess and rate risk regularly. + Assist in driving IT integration with...individual performance, as well as medical coverage and other health and welfare benefits. **Benefits** When you join Amcor,… more
- RELX INC (Boca Raton, FL)
- 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 ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more