- 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
- Molina Healthcare (St. Petersburg, FL)
- … Manager - Provider Engagement** plays a key role in driving risk adjustment and quality performance outcomes through effective program management, ... Development** + Develop, review, and update Standard Operating Procedures (SOPs) for risk adjustment and quality program workflows. + Maintain accurate,… more
- Centene Corporation (Annapolis, MD)
- …on workplace flexibility. **Position Purpose:** Manage the business processes related to risk adjustment and quality improvement across Centene's for assigned ... competitive landscapes, and local market dynamics + Evaluate and manage the risk adjustment strategy across all functional areas that impact assigned… 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 (Jefferson City, MO)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... benefits including a fresh perspective on workplace flexibility. **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
Recent Jobs
-
Post Doctoral Fellow
- Emory Healthcare/Emory University (Atlanta, GA)
-
Construction Manager
- Raising Cane's (Baltimore, MD)
-
Production Supervisor 3rd Shift
- Ring Container Technologies (Kankakee, IL)
-
Driver - Class A Golden State Foods
- Golden State Foods (Waipahu, HI)