- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk ... the end to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products.… more
- 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
- 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
- RELX INC (Dayton, OH)
- … at the link below, https:// risk .lexisnexis.com About the Role The Senior Manager of Data Analytics & Business Intelligence (BI) will lead a high-performing ... About the Business LexisNexis Risk Solutions is the essential partner in the...with cross-functional teams to design data-driven strategies, develop scalable analytics solutions, and enhance our BI capabilities to support… 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 (Harrisburg, PA)
- …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 (Kearney, NE)
- …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
- OhioHealth (Columbus, OH)
- …achieve more - in our careers and in our communities. **Job Description Summary:** The Manager , Quality & Risk Adjustment is responsible for the strategic ... coordination of quality and risk adjustment programs supporting OhioHealth's Population Health...Management, CIN Medical Directors & Quality Enhancement Council, Pharmacy, analytics & IT, Clinical Enterprise/Service Lines, OhioHealth Quality &… 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
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