- 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 ... of compliance issues. Facilitates and leads external audits related to Risk Adjustment processes. Ensures visibility by way of reporting out audit deliverables… 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 ... Alternate locations may be considered. The **Medicare Risk Adjustment Advanced Analyst Senior ** is responsible for creating statistical models to… more
- Molina Healthcare (Everett, WA)
- …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 (Tampa, FL)
- **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 (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 (Houston, TX)
- …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
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, ... required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides...senior leadership based on analytics outcome. Knowledge of risk adjustment processes for multiple lines of… 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...and analyses for tracking and reporting at the department, senior leadership, and provider level. + RAD-V audit experience… 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
- RELX INC (Atlanta, GA)
- Senior Third Party Risk Analyst...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant ... impact business continuity, security, or compliance? About the role , the Senior 3rd Party Risk Analyst will analyze risks and help operate the enterprise… more