- Marshfield Clinic (Marshfield, WI)
- …the most exciting missions in the world!** **Job Title:** Director of Actuarial and Risk Adjustment Services **Cost Center:** 682891378 SHP- Actuarial ... States of America) **Job Description:** **JOB SUMMARY** The Director of Actuarial & Risk Adjustment Services is a key leader for commercial and… more
- Datavant (Columbus, OH)
- …to realize our bold vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role on the ... manager will collaborate with other managers and the department director to set strategy and mobilize the team to...and management of workloads, communication with stakeholders, and the risk adjustment subject matter expertise necessary to… more
- WelbeHealth (Los Angeles, CA)
- …and financial analysis. This role will focus on overseeing capitation rates, risk adjustment methodologies, claims forecasting, and Incurred But Not Reported ... better quality and compassion in a value-based model. The Director , Actuary is accountable for all actuarial ...and financial modeling tools + Deep understanding of CMS risk adjustment , Medicaid rate-setting, and Medicare Advantage/Part… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …+ Evaluates and pursues execution of business strategies including but not limited to risk adjustment , reinsurance and risk corridor. + Interacts with all ... right for you, we encourage you to apply! Job Description: Summary: The Director of Government Programs Finance is responsible for the management and coordination of… more
- New York State Civil Service (Albany, NY)
- …No Agency Financial Services, Department of Title Data Quality Lead ( Director Financial Services Programs 2, SG-33) Occupational Category Financial, Accounting, ... Governance or Data Management, Data Stewardship, Data Analytics, Statistical or actuarial analysis, Data and/or Information Security, Metrics and Reporting, Internal… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency Financial Services, Department of Title Data Steward ( Director Financial Services Programs 2, SG-33) Occupational Category Administrative or General ... Governance or Data Management, Data Stewardship, Data Analytics, Statistical or actuarial analysis, Data and/or Information Security, Metrics and Reporting, Internal… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Director for Virtual Currency Applications ( Director Financial Services Programs 2, SG-33) Occupational ... Department of Financial Services is seeking candidates for the position of Director for Virtual Currency Applications in Virtual Currency. Duties include, but are… more
- New York State Civil Service (Albany, NY)
- …Agency Financial Services, Department of Title Supervising Insurance Examiner ( Director Financial Services Programs 1, SG-31) Occupational Category Financial, ... be eligible for appointment.Non-Competitive: A Bachelor's Degree in accounting, actuarial sciences, auditing, banking, business, business administration, business and… 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
- Centene Corporation (Providence, RI)
- …refining Medicare contract models, incorporating CMS and NYSDOH guidelines related to risk adjustment , quality metrics, and financial benchmarks. + Collaborate ... decision-making. The Analyst will work closely with the VBP Manager, Director , and cross-functional teams to support contract implementation, performance tracking,… more