- 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
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... Adjustment and Coding programs. Support management in ensuring that key risk adjustment performance metrics and business objectives are defined and… more
- CareFirst (Baltimore, MD)
- …leadership roles. + Experience in healthcare industry and deep understanding of Medicare risk adjustment (clinical,submission cycle, and financial ... organization in making better business decisions. The Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience… more
- BlueCross BlueShield of North Carolina (NC)
- …at least 9 years of relevant actuarial experience. **Bonus Points** + Experience in Medicare Advantage Risk Adjustment highly preferred **What You'll Get** + ... You'll lead initiatives that directly impact patient outcomes and business performance-whether it's designing innovative insurance products, optimizing pricing… more
- TEKsystems (Sunrise, FL)
- …customer service Additional Skills & Qualifications Associate's degree in Business , Healthcare or equivalent experience. Skilled in Microsoft Office products. ... and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business ...of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy,… more
- TEKsystems (Sunrise, FL)
- …is preferred. Additional Skills & Qualifications + Associate's degree in Business , Healthcare, or equivalent experience. + Skilled in Microsoft Office products. ... and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business ...of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy,… more
- Ankura (New York, NY)
- …master's degree from an accredited college/university + 8+ years of experience in Medicare Risk Adjustment operations, internal audit, or compliance either ... compliance, accreditations, operations, investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The… more
- Fallon Health (Worcester, MA)
- …and analytics. + Provide feedback on revenue projections and forecasting for all risk adjustment lines of business . + Comprehensive program integration ... , Healthcare, or Information Systems **Experience:** + 7-10+ years' experience in the risk adjustment and Medicare managed care environment + Understanding… more
- Commonwealth Care Alliance (Boston, MA)
- …skills in SQL, data integration, and systems development are essential. Knowledge of Medicare risk adjustment methodologies is highly desirable. The ideal ... adjustment data ecosystem. + Support audit readiness and regulatory compliance for Medicare and Medicaid risk adjustment programs. + Represent the … more
- Elevance Health (FL)
- …for completing projects and performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of ... develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives....vary depending on the above factors as well as market/ business considerations. No amount is considered to be wages… more
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