- Molina Healthcare (Yonkers, NY)
- …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
- Molina Healthcare (Yonkers, NY)
- …**Job Summary** This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing ... + Experience developing queries within project management tools like Azure DevOps. + Risk Adjustment experience and some familiarity with Power BI level report… more
- New York State Civil Service (New York, NY)
- …Opinion ("SAO"), Actuarial Opinion Summary ("AOS") reviews, loss and loss adjustment expense reserves analysis; solvency reviews (eg, RBC calculations), risk ... data reconciliations and other related examination tasks requiring knowledge of the actuarial functions;* Reviews Own Risk and Solvency Assessment ("ORSA")… more
- Centene Corporation (Queens, NY)
- …(shared savings/ risk , capitation, bundles), including baseline setting, risk adjustment , performance metrics, and reconciliation logic. ... business needs. **Position Purpose:** Conduct complex financial analysis, risk assessment, and negotiation support focusing specifically on **Value-Based Care… more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** The AVP, Risk Adjustment Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of ... the integrity of enterprise revenue, and enabling the organization's overall risk adjustment strategy. Knowledge/Skills/Abilities + Responsible for encounters… more
- Zurich NA (New York, NY)
- …recommendations for quarterly financial results including IFRS 17 components of discount and risk adjustment . + Assist in the preparation of materials for ... along with insights derived from reserving work to management within Actuarial , Finance, and Underwriting. Basic Qualifications: + Zurich Certified Insurance… more
- Deloitte (New York, NY)
- …product strategy + Reimbursement models - including value-based care/ACO modeling + Risk adjustment mechanisms + Group insurance products including disability, ... innovative, capable of addressing ill defined, complex problems and have a business orientation. Other responsibilities include:-Lead a team creating a model to… more
- New York State Civil Service (New York, NY)
- …order to be eligible for appointment.Non-Competitive: Bachelor's Degree in accounting, actuarial sciences, auditing, banking, business , business ... and resilient financial system that benefits individuals and supports business . Through engagement, data-driven regulation and policy, and operational excellence,… more
- Centene Corporation (Queens, NY)
- …opportunities. + Develop and refine Medicare contract models to incorporate RAF ( Risk Adjustment Factor) trends, Stars quality metrics, and benchmarking ... health, improve quality outcomes, and achieve financial sustainability under CMS-aligned risk -based models. This position will be responsible for working with the… more
- New York State Civil Service (New York, NY)
- …to be eligible for appointment.Non-Competitive: A Bachelor's Degree in accounting, actuarial sciences, auditing, banking, business , business administration, ... and resilient financial system that benefits individuals and supports business . Through engagement, data-driven regulation and policy, and operational excellence,… more
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