- Datavant (Tallahassee, FL)
- …the healthcare industry + Experience and familiarity with MA, ACA and Medicaid Risk Adjustment models. + Experience with other business intelligence backend and ... Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data… more
- Molina Healthcare (Orlando, FL)
- …analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and Risk Adjustment submissions data to evaluate healthcare ... be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research,...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data … more
- RELX INC (Boca Raton, FL)
- …the quality and timely delivery of information. About the Role: The Senior Fraud Data Analyst position exists to provide investigative support to a federal ... About the Business: LexisNexis Risk Solutions is the essential partner in the...agencies and law enforcement to drive insights from complex data sets, improving operation efficiency, increasing program integrity, discovering,… more
- RELX INC (Boca Raton, FL)
- Do you enjoy managing multiple work streams and complex projects? Are you data -driven and customer-centric? About the Business LexisNexis Risk Solutions is the ... Laundering/ Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn… more
- RELX INC (Boca Raton, FL)
- …Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn ... About the Business LexisNexis Risk Solutions is the essential partner in the...the Business Intelligence arm of the team, which leverages data to track progress, mitigate risks, and empower stakeholders… more
- AdventHealth (Maitland, FL)
- …administrative claims data + Works alongside Senior Medical Economics Analyst in identify risk /exposure associated with various reimbursement structures. ... + Assisting in analysis of complex and varied healthcare data including financial modeling and risk forecasting...and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs… more
- Centene Corporation (Tallahassee, FL)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... care for members and improve their clinical outcomes. + Interpret and analyze data from multiple sources including claims, provider, member, and encounters data .… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... systems and interface tools + Performs analysis of complex and varied healthcare data including financial modeling and risk forecasting + Work to… more
- Northrop Grumman (Melbourne, FL)
- …and evaluating Requests for Equitable Adjustment (REAs). The Proposal Analyst will provide valuable insight into supplier risk , negotiation positions, ... Northrop Grumman Aerospace Systems (NGAS) is currently seeking a Price/Cost Proposal Analyst , to support the Strike Division in Melbourne, FL, Palmdale, CA or… more
- ChenMed (Miami, FL)
- …support to markets; creates and distributes reports; responds to inquiries. + Runs CMS risk adjustment model to calculate member level risk scores. + ... great people to join our team. The Actuarial Services Analyst - Service Fund is responsible for managing and...data and calculations. Reports and interprets results of data analysis. Analyzes risk evaluation data… more