- Elevance Health (Mendota Heights, MN)
- **Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... employment, unless an accommodation is granted as required by law._ The **Medicare Risk Adjustment Actuarial Analyst III** is responsible for completing… more
- Molina Healthcare (Des Moines, IA)
- … risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. ... **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting.… more
- Molina Healthcare (Roswell, NM)
- …Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis ... complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare... to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or… more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** The Analyst , Risk Adjustment -Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics ... support Molina's Prospective and Retrospective Interventions. **Knowledge/Skills/Abilities** + Assist Risk Adjustment Data Analytics Leaders in Prospective and… more
- Centene Corporation (Providence, RI)
- …refining Medicare contract models, incorporating CMS and NYSDOH guidelines related to risk adjustment , quality metrics, and financial benchmarks. + Collaborate ... supporting provider engagement efforts, and ensuring alignment with CMS-aligned risk -based models. The Analyst will play a...with internal teams (eg, Actuarial , Clinical, Legal, and Provider Relations) to align on… 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
- Centene Corporation (Jefferson City, MO)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... standards **Education/Experience:** Bachelor's degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance… more
- Centene Corporation (Jefferson City, MO)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... analysts **Education/Experience:** Bachelor's degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Reporting to the Senior Vice President, the Vice President, HEDIS / Stars Risk Adjustment Performance Strategy serves as the leader responsible for driving ... the Quality Performance Reporting & Analytics and Risk Adjustment for Medicaid Quality, Medicare Stars,...high performing teams including directors, managers, coders, auditors, and analyst . ; **Program Oversight:** + Lead the planning and… more