- Elevance Health (Atlanta, GA)
- ** Risk Adjustment Actuarial Business Analyst II** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... for employment, unless an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Business Analyst II** is responsible for… more
- CVS Health (Atlanta, GA)
- …regulatory compliance. + Serve as a subject matter expert on CMS regulations, risk adjustment , and revenue optimization. + Collaborate with internal stakeholders ... CMS Part C/D operations. + 5+ years' experience working with CMS regulations, risk adjustment methodologies, and revenue management. + 5+ years' experience… more
- Molina Healthcare (Atlanta, GA)
- …Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis ... Health Plan strategic analysis and planning and coordinates across business units on Risk Adjustment ... to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst… more
- Elevance Health (Columbus, GA)
- …insights to support business solution development for Medicare and ACA risk adjustment initiatives. + Analyzes and develops SAS and SQL programming ... **Medicare Risk Adjustment Advanced Analytics Consultant** **On-Site...performance, and population health. This role will consult with business leaders and internal partners to apply the insights… more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** The Analyst, Risk Adjustment -Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics ... support Molina's Prospective and Retrospective Interventions. **Knowledge/Skills/Abilities** + Assist Risk Adjustment Data Analytics Leaders in Prospective and… more
- AIG (Atlanta, GA)
- …Head of NA Aerospace claims as well as relevant Aerospace stakeholders (underwriting, actuarial , finance, risk management) + Support Head of NA Aerospace Claims ... stakeholder reporting requirements including critical identification of loss trends and risk management opportunities. You will be required to develop talent from… more
- Molina Healthcare (Atlanta, GA)
- …Management (data), Actuarial (review / validation), Finance (review / validation), Risk Adjustment , and Quality. + Implement and execute the defined ... Excellence. The position acts as a strategic partner with Network, Medical Economics, Risk Adjustment and Quality, Finance, EIM/IT, and Clinical leadership to… more
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