- Baylor Scott & White Health (Austin, TX)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This ... to provide insight to decision-makers. This role supports program management activities around risk adjustment data management and submissions to CMS. This role… more
- Molina Healthcare (TX)
- …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 (Austin, TX)
- **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 (Austin, TX)
- …This Sr . Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing risk ... + Experience developing queries within project management tools like Azure DevOps. + Risk Adjustment experience and some familiarity with Power BI level report… more
- Catholic Health Initiatives (Lufkin, TX)
- …to the financial performance of the service lines. * Make recommendations to Senior Management for action to improve such vulnerabilities and follow through on ... * Able to perform Payer Contract Compliance Audits to identify payers at risk as needed by Management. + Supports Revenue Cycle functions by maintaining PCON/PEA… more
- Amazon (Austin, TX)
- …the largest cloud services company on Earth! Amazon Web Services (AWS) is seeking a Senior Third-Party Risk Intelligence Analyst as part of its Supplier ... people who want to help. You'll join a diverse team of Risk Intelligence analysts, security engineers, and technical Program Managers. You'll collaborate with… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's),… more
- Lockheed Martin (Fort Worth, TX)
- …we work at Lockheed Martin\! Who You Are As a Global Supply Chain Contracts Analyst Sr you are an experienced professional with a legal or contracts negotiating ... negotiations and administration, ensuring compliance to policies and regulations, mitigating risk , and partnering with others to obtain positive business results\.… more
- Datavant (Austin, TX)
- …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 ... accountability for delivering results **Bonus Points If:** + You have experience in risk adjustment coding applications and technology \#LI-BC1 We are committed… more