- Molina Healthcare (Mesa, AZ)
- …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES**...models based on state programs + Develop and lead actuarial studies related to risk scores and… more
- Elevance Health (West Des Moines, IA)
- ** Risk Adjustment Actuarial Analyst II...and performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and ... an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II...Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives.… more
- Fallon Health (Worcester, MA)
- …**Primary Job Responsibilities** + Assist in the development and maintenance of actuarial models for valuation, forecasting, pricing, and/or risk analysis + ... actuarial components of financial reports, regulatory submissions, and risk adjustment analyses + Collaborate with cross-functional teams including finance,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... coordination of analytical processes, investigation and interpretation of Maryland Medicaid risk score methodology, risk ...of any changes to the HCC model and supporting actuarial in the calculation risk adjustment revenue.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Supply Chain Analyst (Data Science Analyst I) collaborates with stakeholders from across the organization to develop sophisticated ... such as IDX, Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR,… more