- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. Develops… more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research,… more
- Molina Healthcare (Columbus, GA)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with… more
- Molina Healthcare (Augusta, GA)
- …laws and regulations, which will protect the Business from liability and potential risk . Ensures that the Business understands and complies with applicable laws and ... to the Health Care environment. **Knowledge/Skills/Abilities** The Operational/Regulatory Oversight Analyst works with health plans and operations departments to… more
- Molina Healthcare (Augusta, GA)
- …investigations, intelligence analysis, insider threat analysis / investigations, or IP risk management . * Strong understanding of the intelligence lifecycle, ... **Job Description** **Job Summary** The Insider Threat Program Analyst is responsible for identifying, analyzing, and mitigating risks associated with insider… more
- Molina Healthcare (Augusta, GA)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... unfavorable trends, develop recommendations to improve trends, communicate recommendations to management + Lead projects to completion by contributing to ad-hoc data… more
- AIG (Atlanta, GA)
- …way we help customers to manage risk . Join us as a Claims Law Firm Analyst to play your part in that transformation. It's an opportunity to grow your skills and ... Reporting directly to the NAM Head of Law Firm Management , the role will be responsible for supporting the...+ Proficiency in MS Excel (advanced formulas, pivot tables, V Look Ups) MS Word, PowerPoint, and MS Outlook.… more
- Molina Healthcare (Macon, GA)
- …quality improvement** + Experience working directly with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment, value-based care ... **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …meets with investment managers and presents hiring recommendations and monitors the management of an $11 billion endowment. + Conducts asset allocation studies and ... as requested. + Participates with the investment team in the formation of risk and return assumptions. + Researches and presents risk characteristics of… more
- Kemper (Alpharetta, GA)
- …and business analysis. + Education equivalent to a college degree in mathematics, statistics risk management or actuarial or related field, or the equivalent in ... pricing strategies for Kemper's non-standard auto line of business. Provide State Management with the detailed analysis required to profitably grow the personal… more
Recent Jobs
-
Summer Internship - Legal Services
- Duquesne Light Company (Pittsburgh, PA)
-
Treasury Consulting - Business Services Consultant
- JPMorgan Chase (New York, NY)
-
Platform Architect - Hybrid Cloud/AWS/GenAI
- Takeda Pharmaceuticals (Cambridge, MA)
-
Senior Computer User Support Specialist
- GovCIO (Washington, DC)