- UCLA Health (Los Angeles, CA)
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful ... others. + Serve as a key departmental resource for application use related to risk adjustment coding guidelines and gap closure reporting. Salary Range: $78,500… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III...based on analytics outcome. Knowledge of risk adjustment processes for multiple lines of business . ... required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides...which to create reports or conduct analysis to address business objectives, and recommendations for course of action. This… more
- Molina Healthcare (NY)
- …relevant findings. Performs Health Plan strategic analysis and planning and coordinates across business units on Risk Adjustment Program Valuation and ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research,… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Risk Adjustment Analyst provides analytic, technical, and decision support to ... timely, and consistent information enabling informed decisions related to risk adjustment activities. The Analyst ...inform business decisions and activities related to risk adjustment + Develops monitoring and tracking… more
- University of Utah Health (Murray, UT)
- …responsibility, integrity, quality and trust that are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for our health ... plan's risk adjustment program. + This role is responsible for analyzing... metrics, trends, and anomalies across various lines of business (eg, ACA, Medicaid). + Supports the evaluation of… more
- CareFirst (Baltimore, MD)
- …assist the organization in making better business decisions. The Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with ... & Qualifications** **PURPOSE:** The main purpose of a data analyst is to find meaning in data as a...adjustment . This person will support the Director of Risk Adjustment by monitoring and reporting on… more
- Centene Corporation (Tallahassee, FL)
- …from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the ... and correction of compliance issues. Facilitates and leads external audits related to Risk Adjustment processes. Ensures visibility by way of reporting out audit… more
- Molina Healthcare (Buffalo, NY)
- …Summary** The Senior Analyst will serve a key role on the RADV ( Risk Adjustment Data Validation) team, contributing to the end-to-end data strategy and ... required for audit response. + Collaborate with internal stakeholders-including IT, Risk Adjustment operations, clinical teams, and retrieval vendors-to ensure… more
- Molina Healthcare (Grand Island, NE)
- …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
- Elevance Health (Grand Prairie, TX)
- **Medicare Risk Adjustment Advanced Analyst Senior** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration ... a dynamic and adaptable workplace. Alternate locations may be considered. The **Medicare Risk Adjustment Advanced Analyst Senior** is responsible for… more