- 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
- Molina Healthcare (Orem, UT)
- …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 (Salt Lake City, UT)
- …Summary** The Junior Analyst will play a supporting role on the RADV ( Risk Adjustment Data Validation) team, assisting in the execution of CMS and internal ... and confirm required data elements. + Collaborate with internal teams-including IT, Risk Adjustment operations, and clinical teams-to ensure accurate and… more
- Molina Healthcare (Provo, UT)
- …Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing ... + Experience developing queries within project management tools like Azure DevOps. + Risk Adjustment experience and some familiarity with Power BI level report… more
- Molina Healthcare (UT)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to..., Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business… more
- Molina Healthcare (Provo, UT)
- …directly with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment , value-based care models, or healthcare performance metrics + ... **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by… more
- Molina Healthcare (UT)
- …directly with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment , value-based care models, or healthcare performance metrics + ... **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating… more
- Datavant (Salt Lake City, UT)
- …reports directly to the Director of Strategic Operations. As a trusted partner to the Risk Adjustment COO and broader leadership team, you'll play a key role in ... a data platform company and the world's leader in health data exchange. Our vision is that every healthcare...results **Bonus Points If:** + You have experience in risk adjustment coding applications and technology \#LI-BC1… more
- Molina Healthcare (UT)
- …including expected and actual revenues/volumes, past performance, proposed contract language, risk adjustment and regulatory changes To all current Molina ... staff for mentoring, coaching, and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + Reviews regulatory… more
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