- Elevance Health (Hanover, MD)
- ** Risk Adjustment Actuarial Business Analyst II** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Business Analyst II** is responsible for completing projects and performing… more
- 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
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III...based on analytics outcome. Knowledge of risk adjustment processes for multiple lines of business . ... required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides...which to create reports or conduct analysis to address business objectives, and recommendations for course of action. This… more
- Molina Healthcare (NY)
- …relevant findings. Performs Health Plan strategic analysis and planning and coordinates across business units on Risk Adjustment Program Valuation and ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research,… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Risk Adjustment Analyst provides analytic, technical, and decision support to ... timely, and consistent information enabling informed decisions related to risk adjustment activities. The Analyst ...inform business decisions and activities related to risk adjustment + Develops monitoring and tracking… more
- Centene Corporation (Tallahassee, FL)
- …from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the ... and correction of compliance issues. Facilitates and leads external audits related to Risk Adjustment processes. Ensures visibility by way of reporting out audit… more
- Molina Healthcare (Buffalo, NY)
- …Summary** The Senior Analyst will serve a key role on the RADV ( Risk Adjustment Data Validation) team, contributing to the end-to-end data strategy and ... required for audit response. + Collaborate with internal stakeholders-including IT, Risk Adjustment operations, clinical teams, and retrieval vendors-to ensure… more
- Molina Healthcare (Grand Island, NE)
- …Summary** The Junior Analyst will play a supporting role on the RADV ( Risk Adjustment Data Validation) team, assisting in the execution of CMS and internal ... and confirm required data elements. + Collaborate with internal teams-including IT, Risk Adjustment operations, and clinical teams-to ensure accurate and… more
- Corewell Health (Grand Rapids, MI)
- …develop processes to achieve business goals and objectives, and serve as a Risk Adjustment subject matter expert. The individual will also contribute to the ... for remote work (CA and NY). Positioned in the Risk Adjustment Department, the Manager, Risk...experience in data analysis and reporting, preferably as a business analyst in the health insurance industry… more
- Amazon (New York, NY)
- … Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and data analytics. ... risk management in transportation. As a Senior Risk Analyst , you will partner with our...review benchmarking data, and communicate with internal stakeholders through business reviews. In this individual contributor role, you'll lead… more
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