• Risk Adjustment Performance…

    Humana (Columbus, OH)
    …+ Experience in healthcare operations, preferably with exposure to MRA or risk adjustment + Strong understanding of financial concepts (budgeting, ROI, ... us put health first** This role will support ongoing performance evaluation and enhancement for STP initiatives, while also...cost management ) + Proficient Excel skills; familiarity with business intelligence… more
    Humana (07/11/25)
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  • Senior Analyst, Healthcare Analytics ( Risk…

    Molina Healthcare (Cleveland, OH)
    …Risk Adjustment submissions data to evaluate healthcare intervention program performance . Develops and presents Risk Adjustment intervention ROI, ... Services (SSIS), and other analytic / programming tools as needed + Reporting includes Risk Adjustment program performance metrics, risk score and… more
    Molina Healthcare (07/17/25)
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  • Medicare Risk Adjustment Actuarial…

    Elevance Health (Cincinnati, OH)
    …historical program performance and to inform current operating decisions. + Prepares management reports for risk adjustment related projects. + Collects ... ​ **Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,**… more
    Elevance Health (07/18/25)
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  • Product Manager, Risk Adjustment…

    Datavant (Columbus, OH)
    …to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and ... execution of analytics capabilities that power Datavant's risk adjustment solutions. You'll drive the development of robust, scalable, and actionable analytics… more
    Datavant (06/06/25)
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  • Manager, Risk Adjustment Analytics

    Datavant (Columbus, OH)
    …planning and management of workloads, communication with stakeholders, and the risk adjustment subject matter expertise necessary to be operating proactively ... vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping...analytics + Experience using Jira for workflow and project management + Experience using both Microsoft and Google office… more
    Datavant (06/12/25)
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  • Director of Client Success, Payer Risk…

    Datavant (Columbus, OH)
    …strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a ... to escalate and create solutions. + Own client operations project management processes, tools, reference materials, and cross‐functional usage. + Identify, define,… more
    Datavant (07/18/25)
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  • Supervisor, Risk Adjustment…

    Datavant (Columbus, OH)
    …for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring ... lives we impact. You will: + Supervise day-to-day team performance , conduct 1:1's and performance assessments. +...findings on a daily basis, including education on time management and best coding practices. + Provide coaching and… more
    Datavant (07/10/25)
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  • Risk & Quality Performance Manager…

    Molina Healthcare (Akron, OH)
    …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems *… more
    Molina Healthcare (06/18/25)
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  • Senior Analyst, Risk & Quality Reporting…

    Molina Healthcare (OH)
    …Azure, AWS, or Hadoop + 3-5 years of experience in Analysis related to HEDIS and/or Risk Adjustment + 3-5 years of experience in working with complex data to ... **Job Description** **Job Summary** The Sr Analyst, Risk and Quality Reporting role supports Molina's ...include quantifying, measuring, and analyzing financial/ performance management and utilization metrics To all… more
    Molina Healthcare (05/31/25)
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  • IPA Coding Associate Director

    CenterWell (Columbus, OH)
    …(including Annual Proof of Documentation (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the ... entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing… more
    CenterWell (04/24/25)
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