• Risk Adjustment Data

    Datavant (Frankfort, KY)
    …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
    Datavant (05/21/25)
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  • Sr Analyst , Healthcare Analytics…

    Molina Healthcare (Owensboro, KY)
    …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
    Molina Healthcare (05/03/25)
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  • Sr Analyst , Specialty Performance…

    Evolent (Frankfort, KY)
    …knowledge of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and ... Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst more
    Evolent (05/22/25)
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  • Sr Analyst , Medical Economics (Medicaid)…

    Molina Healthcare (Lexington, KY)
    …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
    Molina Healthcare (04/16/25)
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  • Sr Analyst , Medical Economics (Clinical…

    Molina Healthcare (KY)
    …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), + Diagnosis Related Groups ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...Healthcare products. Understands and assess critical UM and CM data and designs / develops reports to monitor UM… more
    Molina Healthcare (04/12/25)
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  • Sr Actuarial Analyst (Marketplace) - REMOTE

    Molina Healthcare (Louisville, KY)
    …subject matter expertise in at least one actuarial function (pricing, reserving, risk adjustment , analytics, modeling, etc.) + Leads an analytical project ... and complexity with limited direct supervision. **KNOWLEDGE/SKILLS/ABILITIES** + Analyzes data , assists in designing studies, authors effective communication, and… more
    Molina Healthcare (05/10/25)
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