• Senior Analyst , Risk

    Molina Healthcare (Buffalo, NY)
    **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV ( Risk Adjustment Data Validation) team, contributing to the ... required for audit response. + Collaborate with internal stakeholders-including IT, Risk Adjustment operations, clinical teams, and retrieval vendors-to ensure… more
    Molina Healthcare (08/03/25)
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  • Senior Actuarial Analyst (Medicaid…

    Molina Healthcare (Yonkers, NY)
    …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 (08/08/25)
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  • Senior Actuarial Analyst (Medicare…

    Molina Healthcare (Syracuse, NY)
    **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 (07/25/25)
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  • Senior Analyst , Healthcare…

    Molina Healthcare (NY)
    …role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling ... of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance.… more
    Molina Healthcare (07/17/25)
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  • Senior Analyst , Healthcare…

    Molina Healthcare (NY)
    …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
    Molina Healthcare (08/14/25)
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  • Risk Adjustment Audit Operations…

    Molina Healthcare (NY)
    …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 (08/08/25)
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  • Risk Revenue Analyst - Senior

    Independent Health (Buffalo, NY)
    …benefits and a culture that fosters growth, innovation and collaboration. **Overview** As a Risk Revenue Analyst - Senior the incumbent will provide a full ... on pricing outcomes. + Establish and implement claims review processes to support risk adjustment . Analyze data and provide strategic insights to enhance pricing… more
    Independent Health (08/08/25)
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  • Virtual Currency Senior Blockchain…

    New York State Civil Service (Albany, NY)
    …Services, Department of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crimes Risk ), SG-23) ... candidates for the position of Virtual Currency Senior Blockchain Analytics Analyst , (Financial Services Specialist 2 (Financial Crimes Risk )) in Virtual… more
    New York State Civil Service (08/16/25)
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  • Sr. Risk Analyst , Cargo Claims

    Amazon (New York, NY)
    Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and ... and risk management in transportation. As a Senior Risk Analyst , you will...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
    Amazon (06/05/25)
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  • Surveillance Operations Analyst (Financial…

    New York State Civil Service (Albany, NY)
    NY HELP No Agency Financial Services, Department of Title Surveillance Operations Analyst (Financial Services Specialist 2 ( Risk ), SG-23) Occupational Category ... the stability of the global financial system.The Financial Services Specialist 2 ( Risk ) will be responsible for designing and overseeing the architecture that… more
    New York State Civil Service (08/08/25)
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