- Commonwealth Care Alliance (Boston, MA)
- …residing in other states will not be considered at this time._** Position Summary: The Risk Adjustment Business Analyst is responsible for understanding ... Responsibilities: * Identifying opportunities for improvement that drives risk adjustment initiatives and program. * Operational Business Partner supporting… more
- Elevance Health (Woburn, MA)
- **Medicare Risk Adjustment Actuarial Analyst III** **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 **Medicare Risk Adjustment Actuarial Analyst III**...adjustment analytics in the Medicare Advantage line of business . **How You Will Make an Impact** Primary duties… more
- Evolent (Boston, MA)
- …knowledge of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...Analyst , Performance Analytics to join our Performance Suite business unit. Our mission is to improve and innovate… more
- Point32Health (Canton, MA)
- …health care claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment . In-depth health care reimbursement and managed care ... direction of the Director or Senior Manager, the Senior Analyst will be part of a team responsible for...Other duties and projects as assigned. + Bachelors in Business Administration, Finance, Health Services required; Masters preferred +… more
- Point32Health (Canton, MA)
- …health care claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment . In-depth health care reimbursement and managed care ... the direction of the Director or Senior Manager, the Senior Network Performance Analyst will be part of a team responsible for the development, negotiation,… more
- Amazon (Westborough, MA)
- …Design and prototype GenAI applications (eg, summarizers, root cause generators, business Reveiws insight copilot) using LLMs via SageMaker, Bedrock, or open-source ... of AR sites with predictive insights, proactive network monitoring, and comprehensive risk assessments, enabling an "Always Ready" support model. We also develop… more
- Amazon (Boston, MA)
- …and influential solutions to challenging and ambiguous problems. A practiced analyst , who uses data engineering, statistics, data visualization, and data science ... support teams with predictive insights, proactive network monitoring capabilities, and risk assessments to enable an Always Ready support approach. Basic… more
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