- Datavant (Madison, WI)
- …the healthcare industry + Experience and familiarity with MA, ACA and Medicaid Risk Adjustment models. + Experience with other business intelligence backend and ... Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data… more
- System One (Baltimore, MD)
- ALTA IT Services is staffing a contract opportunity for a Risk Adjustment Data Analyst to support a leading health insurance customer. The main purpose ... of a data analyst...of a data analyst is to find meaning in data ...decisions. The individual will interpret and apply Medicare Advantage Risk Adjustment rules, regulations, and processes in… more
- CareOregon (Portland, OR)
- …remote but must reside in Oregon or SW Washington Job Summary The Risk Adjustment Analyst performs data extraction, conducts data analysis, and ... Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Risk Adjustment Analyst Department Finance... score improvements. + Evolve technical skills in analyzing risk adjustment data , learning how… more
- Molina Healthcare (Seattle, WA)
- …analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and Risk Adjustment submissions data to evaluate healthcare ... be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research,...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data … more
- CVS Health (Harrisburg, PA)
- …day. **Position Summary** + Provide evaluation of vendor outcomes used for At-Time-of-Care Risk Adjustment solutions + Provide data analytic and evaluation ... collaborative role in supporting the organization's risk adjustment strategies and operations through advanced data ...trends, gaps, and opportunities for improving risk adjustment factor (RAF) scores. The Sr Analyst … more
- MVP Health Care (Schenectady, NY)
- Professional, Risk Adjustment Analyst Headquarters Office, 625 State Street, Schenectady, New York, United States of America * Rochester Office, 20 S. ... improvement. To achieve this, we're looking for a **Professional, Risk Adjustment Analyst ** to join...Adjustment efforts. + Design targeting based upon disparate data sources to identify members with likely risk… more
- UNC Health Care (Chapel Hill, NC)
- …the health and well-being of the unique communities we serve. Summary: The Risk Adjustment Coordinator will be responsible for analyzing and auditing medical ... payer under the value care contracts. In addition, the Risk Adjustment Coordinator will be responsible for...PCIC dashboard and reports, excel spreadsheets to ensure accurate data collection both pre-visit and post-visit for reporting KPI… more
- Amazon (Arlington, VA)
- Description We are seeking a Senior Risk Analyst to support the Internal Audit Forensics and Fraud team. This team takes a holistic approach to evaluating fraud ... fraud, waste, abuse, and compliance risks. They will leverage data analytics for risks assessment, project planning and delivery....investigation standards A day in the life The Senior Risk Analyst will lead the planning, scoping,… more
- Amazon (Arlington, VA)
- Description Amazon's Global Risk Management and Claims team is seeking a Risk Analyst to assist with the development and management of Amazon's corporate ... management tools and techniques for new and existing business initiatives. Additionally, the Risk Analyst will manage the insurance programs for some Amazon… more
- Basin Electric Power Cooperative (Bismarck, ND)
- …preferred. + Knowledge of property and casualty insurance, claims adjustment and risk analysis. + Able to analyze data and reports, conduct research, ... **Job Description** **Position Title:** Risk Analyst (Insurance Risk ...control activities. **Essential Functions:** + Compile and analyze underwriting data for insurance program renewals. + Participate in the… more