• Senior Risk Adjustment

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity ... of key risk adjustment performance metrics through coordination of... results and quality, accuracy and identification of member health conditions. Update, create and maintain business process and… more
    CareFirst (09/26/25)
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  • 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 ... to improve awareness and understanding of risk adjustment and identification of member health conditions. + Understand CMS risk score methodology,… more
    CareFirst (10/15/25)
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  • ACA/Medicare Risk Adjustment

    Baylor Scott & White Health (Austin, TX)
    + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position ... to provide insight to decision-makers. This role supports program management activities around risk adjustment data management and submissions to CMS. This role… more
    Baylor Scott & White Health (10/03/25)
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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 ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical… more
    Centene Corporation (10/29/25)
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  • Senior Compliance Risk Adjustment

    Centene Corporation (Jefferson City, MO)
    …from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....compliance issues. Facilitates and leads external audits related to Risk Adjustment processes. Ensures visibility by way… more
    Centene Corporation (10/29/25)
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  • Risk Adjustment Analyst -…

    UNC Health Care (Chapel Hill, NC)
    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...*Must have one of the following: - AHIMA (American Health Information Management Association) certification - AAPC (American Academy… more
    UNC Health Care (10/30/25)
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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 ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....findings to business stakeholders to ensure the quality of risk adjustment data. + Ensure coding accuracy… more
    Centene Corporation (10/29/25)
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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 ... to a 3% match on your 401(k) contributions. + Health Plans: You are afforded a flexible credit allowance...Risk Management within a county-wide environment. PAYROLL TITLE: Risk Analyst AGENCY/DEPARTMENT: County Executive Office/ Risk more
    Ventura County (11/15/25)
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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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  • Surveillance Operations Analyst (Financial…

    New York State Civil Service (Albany, NY)
    NY HELP No Agency Financial Services, Department of Title Surveillance Operations Analyst (Financial Services Specialist 2 ( Risk ), SG-23) Occupational Category ... responsible for empowering consumers and protecting them from financial harm; ensuring the health of the entities we regulate; driving economic growth in New York… more
    New York State Civil Service (11/07/25)
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