• Senior Risk Adjustment

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... integrity of key risk adjustment performance metrics through coordination of...support as required. We are looking for an experienced professional in the greater Baltimore metropolitan area who is… more
    CareFirst (10/15/25)
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  • Senior Risk Adjustment Coding…

    Centene Corporation (Jefferson City, MO)
    …the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1 ... complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical...Business Management or related field preferred + 5+ years professional coding experience in a hospital or physician setting… more
    Centene Corporation (10/29/25)
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  • Risk Adjustment Coding Compliance…

    Centene Corporation (Jefferson City, MO)
    …the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, to include identifying compliance risks, auditing ... findings to business stakeholders to ensure the quality of risk adjustment data. + Ensure coding accuracy...Associate's Degree in related field preferred + 2+ years Professional coding experience in a hospital, physician, or health… more
    Centene Corporation (10/29/25)
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  • Risk Adjustment Analyst -…

    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 ... payer under the value care contracts. In addition, the Risk Adjustment Coordinator will be responsible for...of Professional Coders) certification - CPC (Certified Professional Coder) or CRC (Certified Risk Coder)… more
    UNC Health Care (10/30/25)
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  • Workers' Compensation Risk Analyst

    Ventura County (Ventura, CA)
    Workers' Compensation Risk Analyst Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5142408) Apply  Workers' Compensation Risk Analyst ... role of Risk Management within a county-wide environment. PAYROLL TITLE: Risk Analyst AGENCY/DEPARTMENT: County Executive Office/ Risk Management -… more
    Ventura County (11/15/25)
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  • Surveillance Operations Analyst (Financial…

    New York State Civil Service (Albany, NY)
    …operations.* Other duties as assigned. Minimum Qualifications Preferred Qualifications* Professional Risk Managers' International Association certifications: o ... No Agency Financial Services, Department of Title Surveillance Operations Analyst (Financial Services Specialist 2 ( Risk ), SG-23)...Associate Professional Risk Managero Credit and Counterparty Managero Market, Liquidity and… more
    New York State Civil Service (11/07/25)
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  • Virtual Currency Senior Blockchain Analytics…

    New York State Civil Service (Albany, NY)
    …Financial Services, Department of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crimes Risk ), SG-23) ... seeking candidates for the position of Virtual Currency Senior Blockchain Analytics Analyst , (Financial Services Specialist 2 (Financial Crimes Risk )) in Virtual… more
    New York State Civil Service (11/15/25)
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  • Senior Third-Party Risk Intelligence…

    Amazon (Austin, TX)
    …services company on Earth! Amazon Web Services (AWS) is seeking a Senior Third-Party Risk Intelligence Analyst as part of its Supplier Governance team. In this ... people who want to help. You'll join a diverse team of Risk Intelligence analysts, security engineers, and technical Program Managers. You'll collaborate with… more
    Amazon (09/23/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates complex ... Protocols and any additional applicable rule set. *Utilize HHS' Risk Adjustment Model to confirm accuracy of...needed. Education & Experience: The Quality Review & Audit Analyst will have a high school diploma and at… more
    The Cigna Group (11/13/25)
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  • Senior Investigative Analyst I (Remote USA)

    RELX INC (Washington, DC)
    About the BusinessLexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... decisions to enhance investigations. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/government About the TeamThe… more
    RELX INC (10/31/25)
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