- LA Care Health Plan (Los Angeles, CA)
- …the data processing, reporting, and analytics required to support the Risk Adjustment department operations Chief Architect for reporting and analytics ... to address business objectives. Provide recommendations to senior leadership based on analytics outcome. Knowledge of risk adjustment processes for multiple… more
- Ankura (Chicago, IL)
- …deliver work and seeks to gain additional opportunities for development in a variety of risk adjustment related areas. Qualifications: + Certified in Risk ... Coding (CRC) with at least five (5) recent years of experience in HCC/ Risk Adjustment and/or RADV Audit Methodology + Associate's or Bachelor's degree… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to blue. Position Summary: This role will provide analytical support to the Risk Adjustment Operations team. We're seeking a detail-oriented, curious, and ... throughout program cycles. + Manage data requirements for different Risk Adjustment activities such as in-home health...and in written format. + Work closely with the Manager and broader analytics team to collaborate… more
- PNC (Pittsburgh, PA)
- …our Model Risk Management team at PNC. The position reports to the Senior Validation Manager for Market Risk and Counterparty Risk Models and is part of ... have an opportunity to contribute to the company's success. As a Quantitative Analytics and Modeling Consultant Senior Validator within PNC's Model Risk … more
- Bristol Myers Squibb (Princeton, NJ)
- …work and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Manager , Business Development Analytics is a critical member of the BD ... and Strategy Analytics team. The Senior Manager serves as...have a strong background in statistics, forecasting, decision analysis, risk assessment, as well as prior experience working in… more
- Centene Corporation (Austin, TX)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... remote from home anywhere in the Continental United States. **Position Purpose:** The Manager , Healthcare Analytics drives the execution of analytics … more
- Molina Healthcare (Albany, NY)
- …SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...engine activity, risk adjustment targeting and reporting systems *… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Senior Manager , Data Architecture (Financial Services Specialist 4 ( Risk ), SG-27) Occupational Category ... various portfolios at the entity level. The individual will collaborate closely with the Risk Data & Analytics team to supply surveillance data for in-depth… more
- Amazon (Seattle, WA)
- …of relevant industry experience, either as an IC or manager , in risk or fraud investigations, regulatory compliance, ecommerce, analytics , or security - ... want a candidate that shares that passion. We are looking for an experienced, motivated Manager , Risk Management with a background in risk , digital fraud,… more
- Huron Consulting Group (Van Buren, AR)
- …of healthcare workflows, data structures (eg, claims, EMR/EHR, quality metrics, risk adjustment ), and regulatory considerations. + Familiarity with Agile/Scrum ... Product Owner to lead the development and delivery of analytics -based solutions within the healthcare domain. This role bridges...as a lead Business Analyst, Product Owner or Product Manager in a healthcare product domain, ideally in a… more
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