- Highmark Health (Madison, WI)
- …riskacross Highmark Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for monitoring ... matter expert, providing insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case… more
- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists...use reports + Builds intervention strategy reporting for the Risk and Quality interventions and measures gap closure +… more
- Lincoln Financial (Madison, WI)
- …for this opportunity. **Requisition #:** 74274 **The Role at a Glance** We are seeking a Senior Analyst , Risk Management to join the Market Risk ... and verbal communication skills, with the ability to present complex risk information to senior stakeholders. + High level of attention to detail, with the… more
- Molina Healthcare (Green Bay, WI)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with… more
- Molina Healthcare (Racine, WI)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. Develops… more
- Elevance Health (Waukesha, WI)
- **Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... accommodation is granted as required by law._ The **Medicare Risk Adjustment Actuarial Analyst III** is responsible...+ Comfortable with sharing complex ideas or findings with senior leaders. For candidates working in person or virtually… more
- SolomonEdwards (Madison, WI)
- Project Analyst II and Senior Program Analyst (Consulting) Remote - USA,USA About Us SolomonEdwardsGroup, LLC ("SolomonEdwards") is a full-service ... visit SolomonEdwards Position Summary: We are seeking a Project Analyst II and a Senior Program ...budgets, forecast resources, and report financial variances. * For senior roles: Lead cross-project reporting, risk management,… more
- Guardian Life (Madison, WI)
- …Do you want to be part of a collaborative Compliance Legal Team? As a Senior Compliance Analyst , Park Avenue Securities, and Park Avenue Investment Advisory, you ... Rule 3110 and, in certain circumstances, various state insurance laws. The Lead Compliance Analyst is responsible for developing a risk -based plan for the branch… more
- Ally (Madison, WI)
- …Opportunity** This role is Detroit Hybrid preferred, however remote option possible The Senior Actuarial Analyst is responsible for developing and supporting a ... robust pricing framework at Ally Insurance. The Senior Actuarial Analyst will be expected to...or equivalent required * Minimum of Bachelor's degree in risk management, finance, economics, actuarial science, mathematics, statistics, or… more
- Quad (Sussex, WI)
- …Credit Business Associate (preferred but not required) + CCRA - NAM Certified Credit Risk Analyst (preferred but not required) Knowledge, Skills & Abilities: + ... always create a better way. GENERAL PURPOSE OF JOB Senior Credit Analyst is responsible for administering...existing and new customers for changes to exposure and risk tolerance. Additional responsibilities to be assigned either on… more