- Elevance Health (Indianapolis, IN)
- ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement:** **Hybrid 1;** **This role requires associates to be in-office 1 - ... for employment, unless an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** is responsible… more
- 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 ... risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid...models based on state programs + Develop and lead actuarial studies related to risk scores and… more
- Providence (Portland, OR)
- …the rate development and filing efforts including competitive analysis, network analysis, risk adjustment , trend, actuarial value analysis, rate adequacy ... **Description** **Senior Actuarial Analyst \*Remote Reporting to the Senior Manager Actuarial Analytics the Senior Actuarial Analyst analyzes the… more
- Providence (CA)
- …the rate development and filing efforts including competitive analysis, network analysis, risk adjustment , trend, actuarial benefit value analysis, rate ... **Description** **Senior Actuarial Analyst ** **_Remote_** Reporting to the Manager Actuarial Analytics the Senior Actuarial Analyst analyzes the… more
- Fallon Health (Worcester, MA)
- …of actuarial components of financial reports, regulatory submissions, and risk adjustment analyses + Collaborate with cross-functional teams including ... **Primary Job Responsibilities** + Assist in the development and maintenance of actuarial models for valuation, forecasting, pricing, and/or risk analysis +… more
- Amazon (Seattle, WA)
- Description Amazon One Medical is hiring a Actuarial Manager Analyst . Actuarial rigor is one of the keys to our success. This candidate will responsible ... estimates. -Value based care contracting support and ongoing financial and risk analysis. -Support ongoing actuarial support for outside auditor review… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity ... the impact of any changes to the HCC model and supporting actuarial in the calculation risk adjustment revenue. + Assists in designing an overall suite… more
- New York State Civil Service (Albany, NY)
- …Financial Services, Department of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crimes Risk ), SG-23) ... seeking candidates for the position of Virtual Currency Senior Blockchain Analytics Analyst , (Financial Services Specialist 2 (Financial Crimes Risk )) in Virtual… more
- Centene Corporation (Tallahassee, FL)
- …with data mining, machine learning, artificial intelligence, or statistical modeling preferred ** Risk Adjustment :** Experience in risk adjustment , ... preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired.Pay… more
- New York State Civil Service (Albany, NY)
- …Agency Financial Services, Department of Title Virtual Currency Senior Analyst (Financial Services Specialist 2 (Compliance), SG-23) Occupational Category Financial, ... Financial Services is seeking candidates for the position of Virtual Currency Senior Analyst , SG-23, in the Virtual Currency Unit within the Research & Innovation… more