• Risk Adjustment Actuarial…

    Elevance Health (FL)
    ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 ... for employment, unless an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** is responsible… more
    Elevance Health (09/30/25)
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  • Actuarial Analyst (Medicaid…

    Molina Healthcare (Orlando, FL)
    …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid...models based on state programs + Develop and lead actuarial studies related to risk scores and… more
    Molina Healthcare (09/20/25)
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  • Senior Actuarial Analyst (Medicare…

    Molina Healthcare (Tampa, FL)
    … risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. ... **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting.… more
    Molina Healthcare (07/25/25)
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  • Senior Analyst , Healthcare Analytics…

    Molina Healthcare (St. Petersburg, FL)
    …Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing ... queries within project management tools like Azure DevOps. + Risk Adjustment experience and some familiarity with...trends to provide analytic support for finance, pricing and actuarial functions. + Healthcare Analyst I experience… more
    Molina Healthcare (08/14/25)
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  • Data Analyst II Medical Economics

    Centene Corporation (Tallahassee, FL)
    …with data mining, machine learning, artificial intelligence, or statistical modeling preferred ** Risk Adjustment :** Experience in risk adjustment , ... preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired.Pay… more
    Centene Corporation (09/30/25)
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