- Molina Healthcare (Spokane, WA)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV ( Risk Adjustment Data Validation) team, contributing to the ... required for audit response. + Collaborate with internal stakeholders-including IT, Risk Adjustment operations, clinical teams, and retrieval vendors-to ensure… more
- Molina Healthcare (Bellevue, WA)
- …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 (Tacoma, WA)
- …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment… more
- Molina Healthcare (WA)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. + Analyze… more
- Molina Healthcare (WA)
- …Azure, AWS, or Hadoop + 3-5 years of experience in Analysis related to HEDIS and/or Risk Adjustment + 3-5 years of experience in working with complex data to ... **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops… more
- Amazon (Seattle, WA)
- … Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and ... and risk management in transportation. As a Senior Risk Analyst , you will...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (Seattle, WA)
- …processes that minimize risk and maximize trust in Amazon.com. As a Sr. Risk Analyst in BRP, you will be responsible for analyzing terabytes of data ... identify and neutralize new and emerging fraud threats? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest place to transact online.… more
- Amazon (Bellevue, WA)
- … Risk and Compliance (GRC) process for World Wide Operations IPAT team. The Senior Financial Analyst will partner with the World Wide Operations teams to ... setup scalable processes and controls. The Senior Financial Analyst will need to own...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (Seattle, WA)
- …and reactive analysis and insights to help make meaningful business decisions. As a Senior Business Analyst , you will focus on improving the success within ... make history. We are looking for a talented business analyst to join the Regulatory Intelligence, Safety & Compliance...and providing timely data support for escalations to mitigate risk . We are focused on your success and want… more
- Molina Healthcare (Bellevue, WA)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's),… more
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