- CareOregon (Portland, OR)
- …Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Risk Adjustment Analyst Department Finance Exemption Status Exempt ... remote but must reside in Oregon or SW Washington Job Summary The Risk Adjustment Analyst performs data extraction, conducts data analysis, and prepares… more
- CareFirst (Baltimore, MD)
- … Analytics team is hiring a lead data analyst with deep experience in risk adjustment . This person will support the Director of Risk Adjustment ... by monitoring and reporting on risk adjustment KPIs, delivering insights for prospective and retrospective risk adjustment operational decisions, and… more
- Corewell Health (Grand Rapids, MI)
- …service excellence. Qualifications Required + Bachelor's Degree or equivalent + Must have risk adjustment knowledge and working experience + 5 years of relevant ... - Priority Health - 1231 E Beltline - Grand Rapids Department Name Risk Adjustment Employment Type Full time Shift Day (United States of America) Weekly… more
- Elevance Health (Indianapolis, IN)
- ** Risk Adjustment Advanced Analyst Senior** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... dynamic and adaptable workplace. Alternate locations may be considered. The ** Risk Adjustment Advanced Analyst Senior** is responsible for creating… more
- CDPHP (Albany, NY)
- …share these values and invites you to be a part of that experience. The Risk Adjustment Claims Analyst will be responsible for identifying, interpreting, ... (charts, graphs) or summaries to assist with explanation of the findings. The Risk Adjustment Claims Analyst will interpret the needs of the department and… more
- Molina Healthcare (Bowling Green, KY)
- …role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling ... complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare...support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience… more
- Elevance Health (Mason, OH)
- …actuarial studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements risk ... background. **Preferred skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience is strongly preferred. Please be… more
- UNC Health Care (Chapel Hill, NC)
- …the health and well-being of the unique communities we serve. Summary: The Risk Adjustment Coordinator will be responsible for analyzing and auditing medical ... by the third party payer under the value care contracts. In addition, the Risk Adjustment Coordinator will be responsible for working the EPIC WQ to reorder the… more
- System One (Baltimore, MD)
- ALTA IT Services is staffing a contract opportunity for a Risk Adjustment Data Analyst to support a leading health insurance customer. The main purpose of a ... data analyst is to find meaning in data as a...decisions. The individual will interpret and apply Medicare Advantage Risk Adjustment rules, regulations, and processes in… more
- Amazon (Arlington, VA)
- Description We are seeking a Senior Risk Analyst to support the Internal Audit Forensics and Fraud team. This team takes a holistic approach to evaluating fraud ... investigation standards A day in the life The Senior Risk Analyst will lead the planning, scoping,...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
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