- Strategic Staffing Solutions (Grand Rapids, MI)
- …Contract Engagement Pay Rate: $50-$52/HR Engagement Description This engagement requires a highly skilled Risk Adjustment Business Analyst who can bridge ... OPENING! Strategic Staffing Solutions is currently looking for a Business Analyst (CMS Regulations / Risk...o They collaborate with stakeholders to gather and document business requirements for risk adjustment … more
- Allianz (New York, NY)
- We are looking for a Complex Claims Analyst - Management Liability (m/f/d), based in our New York City office. Your Team You will be working with a small but diverse ... in industry leadership. The Impact You Will Have The Complex Claims Analyst , will proactively investigate, evaluate, and negotiate resolution of assigned primary and… more
- Amazon (Seattle, WA)
- …the world? Amazon B2B Payments and Lending (ABPL) is looking for a Sr. Fraud Analyst to manage our loss mitigation strategy for fraud or credit abuse. The successful ... fraud insights into fraud mitigation strategies, feature proposals, or to inform business decisions. -Support and deep dive fraud risks associated with payment… more
- RELX Group plc (Alpharetta, GA)
- About the Business At LexisNexis(R) Risk Solutions, we believe in using data for good to solve problems and make a positive impact on people, industry and ... and improve operations. You can learn more about LexisNexis Risk here: https:// risk .lexisnexis.com/ About our Team The...and demonstrating meticulousness. About the Role A Sr Financial Analyst is a decision support role focused on the… more
- Commonwealth Care Alliance (Boston, MA)
- …residing in other states will not be considered at this time._** Position Summary: The Risk Adjustment Business Analyst is responsible for understanding ... Responsibilities: * Identifying opportunities for improvement that drives risk adjustment initiatives and program. * Operational Business Partner supporting… more
- 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 ... others. + Serve as a key departmental resource for application use related to risk adjustment coding guidelines and gap closure reporting. Salary Range: $76,200… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III...based on analytics outcome. Knowledge of risk adjustment processes for multiple lines of business . ... required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides...which to create reports or conduct analysis to address business objectives, and recommendations for course of action. This… more
- Molina Healthcare (Roswell, NM)
- …relevant findings. Performs Health Plan strategic analysis and planning and coordinates across business units on Risk Adjustment Program Valuation and ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research,… more
- 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 ... timely, and consistent information enabling informed decisions related to risk adjustment activities. The Analyst ...inform business decisions and activities related to risk adjustment + Develops monitoring and tracking… more
- 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 ... accommodation is granted as required by law._ The **Medicare Risk Adjustment Actuarial Analyst III**...adjustment analytics in the Medicare Advantage line of business . **How You Will Make an Impact** Primary duties… more
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