• Risk Adjustment Analyst

    University of Utah Health (Murray, UT)
    …and trust that are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for our health plan's risk adjustment ... Science, Applied Math, or related field. + 2+ years of experience in risk adjustment analytics within a health plan or healthcare organization. + Proficiency… more
    University of Utah Health (08/13/25)
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  • Enterprise Risk Adjustment

    LA Care Health Plan (Los Angeles, CA)
    Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, ... required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides...adjustment changes that regulatory bodies pass on to health plans as it relates to reimbursement reporting requirements.… more
    LA Care Health Plan (07/11/25)
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  • Risk Adjustment Analyst

    Martin's Point Health Care (Portland, ME)
    …has been certified as a "Great Place to Work" since 2015. Position Summary The Risk Adjustment Analyst provides analytic, technical, and decision support to ... Join Martin's Point Health Care - an innovative, not-for-profit health...timely, and consistent information enabling informed decisions related to risk adjustment activities. The Analyst more
    Martin's Point Health Care (09/09/25)
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  • Senior Analyst , Healthcare Analytics…

    Molina Healthcare (NY)
    …role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling ... of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance.… more
    Molina Healthcare (07/17/25)
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  • Professional, Sr. Risk Adjustment

    MVP Health Care (Rochester, NY)
    At MVP Health Care, we're on a mission to create a...To achieve this, we're looking for a **Professional, Sr. Risk Adjustment Analyst ** to join #TeamMVP. ... well-being + An opportunity to shape the future of health care by joining a team recognized as a...while achieving desired results required + Knowledge of CMS risk adjustment and reinsurance payment processes and… more
    MVP Health Care (09/10/25)
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  • Risk Adjustment Analyst

    Fallon Health (Worcester, MA)
    …fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Risk Adjustment Analyst (RAA) will be a SME for the ... MassHealth risk adjustment model(s) and related data submission...Attend meetings with Accountable Care Organiztions (ACOs) that Fallon Health shares risk with + Routinely run… more
    Fallon Health (09/06/25)
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  • Lead Data Analyst , Medicare Risk

    CareFirst (Baltimore, MD)
    … Analytics team is hiring a lead data analyst with deep experience in risk adjustment . This person will support the Director of Risk Adjustment ... & Qualifications** **PURPOSE:** The main purpose of a data analyst is to find meaning in data as a... by monitoring and reporting on risk adjustment KPIs, delivering insights for prospective and retrospective … more
    CareFirst (08/19/25)
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  • Medicare Risk Adjustment Advanced…

    Elevance Health (Grand Prairie, TX)
    **Medicare Risk Adjustment Advanced Analyst ...SAS required, and a minimum of 3 years in health care setting; or any combination of education and ... a dynamic and adaptable workplace. Alternate locations may be considered. The **Medicare Risk Adjustment Advanced Analyst Senior** is responsible for… more
    Elevance Health (08/16/25)
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  • Medicare Advantage Risk Adjustment

    UCLA Health (Los Angeles, CA)
    Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful ... cycles. + Collaborate closely with Decision Support Services and Health Outcome & Analysis teams to transition ongoing reports...a key departmental resource for application use related to risk adjustment coding guidelines and gap closure… more
    UCLA Health (09/10/25)
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  • Senior, Compliance Risk Adjustment

    Centene Corporation (Tallahassee, FL)
    …from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....compliance issues. Facilitates and leads external audits related to Risk Adjustment processes. Ensures visibility by way… more
    Centene Corporation (07/31/25)
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