- The Cigna Group (Bloomfield, CT)
- ** Risk Adjustment Provider Educator** **_Incumbent_** **_candidate must reside in assigned territory and have the ability to travel to the local office and ... to base salary._** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market.… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, ... required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III will...senior leadership based on analytics outcome. Knowledge of risk adjustment processes for multiple lines of… more
- City of Stockton, CA (Stockton, CA)
- SENIOR RISK ANALYST Print...SALARY INCREASES: + Effective 7/1/2024, 3% Cost of Living Adjustment + Effective 7/1/2025, 3% Cost of Living ... (https://www.governmentjobs.com/careers/stockton/jobs/newprint/4530696) Apply SENIOR RISK ANALYST Salary $7,641.46 - $9,809.28 Monthly Location City of… more
- Bloomberg (New York, NY)
- …regulators, clients, and other external stakeholders continue to evolve. We are looking for a Senior Risk Analyst who will develop a deep understanding of ... and be able to analyze and understand the inherent risks within our processes. The Senior Risk Analyst will be accountable to perform detailed analytics work… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Supports Risk Adjustment & Stars organization to optimize Risk Adjustment revenue and coding accuracy through ... Responsible for developing performance monitoring reports and analytics related to Risk Adjustment & Stars programs and processes. We are looking for an… more
- The Cigna Group (Bloomfield, CT)
- …TAMPA** **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an ... market. The role will be accountable for assigned provider groups reaching risk adjustment and stars related annual metrics. This role will work directly with… more
- Truist (Charlotte, NC)
- …of the Market and Liquidity Risk Management (MLRM) team within the Risk Management Organization (RMO), works with the Senior Treasury Market and Liquidity ... tools and processes. Preferred Qualifications: 1. Industry certification such as Chartered Financial Analyst (CFA) or Financial Risk Manager (FRM). 2. 2-5 years… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... 3 days at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating… more
- RELX INC (Washington, DC)
- …to provide investigative support to a dedicated federal government customer. The Senior Investigative analyst will enable federal government customers with the ... Senior Investigative AnalystAre you looking to utilize your...to uncover information and insights? About the Business LexisNexis Risk Solutions is the essential partner in the assessment… more
- RELX INC (Houston, TX)
- Senior Market Analyst Do you enjoy being part of a team that works with a diverse range of products /technology? Do you excel at translating market knowledge? ... of major producers, converters, traders, and the financial markets. About the Role The Senior Market Analyst is responsible for managing a variety of market… more
- RELX INC (Houston, TX)
- Senior Market Analyst - Petrochemicals Do you enjoy being part of a team that works with a diverse range of products /technology? Do you excel at translating ... of major producers, converters, traders, and the financial markets. About the Role The Senior Market Analyst is responsible for managing all market products they… more
- Dow Jones (New York, NY)
- …Mansion Global, Financial News, Investor's Business Daily, Factiva, Dow Jones Risk & Compliance, Dow Jones Newswires, OPIS and Chemical Market Analytics. ... important role in year-end processes and will have direct interaction with senior -level executives. Strong data analytics and data integrity skills are necessary for… more
- Healthfirst (NY)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRGs), ... per week located at 100 Church Street, NYC. + As a Senior Healthcare Analyst within Medical Economics, you will manage projects from analysis to implementation… more
- CVS Health (Topeka, KS)
- …+ Charlottesville, VA + San Antonio, TX + Southern, IL Position Summary This Senior Analyst , Healthcare Quality Management will be a Quality Practice Liaison who ... + Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding, Medicaid risk adjustment methodology, and common billing and common billing practices +… more
- Aston Carter (Overland Park, KS)
- Great AR Analyst role with a well-known company in Kansas City! Our client is looking for someone with strong AR/Credit/Collections experience with a large ... analysis on all assigned accounts. + Ensuring that credit risk ratings on accounts are appropriate and that actions...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process… more
- The Cigna Group (Chattanooga, TN)
- …**Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market. ... The role will be accountable for assigned provider groups reaching risk adjustment related annual metrics. This role will work directly with providers to assist… more
- CVS Health (Hartford, CT)
- …to the forecasting, budgeting and reporting of the Commercial minimum Medical Loss Ratio and Risk Adjustment . We are looking for this role to work on existing ... & processes to calculate and report the expected Commercial MLR rebates and Risk Adjustment results. This person will act as a resource to other actuarial and… more
- Highmark Health (Dover, DE)
- …Healthcare-related field **Substitutions** + 6 years of combined experience with RN/LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS, and/or health ... None **EXPERIENCE** **Required** + 5-10 years of combined experience with RN/LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS, and/or health… more
- The Walt Disney Company (Glendale, CA)
- …territories + Support segment level control steps, including balance sheet reconciliation risk assessment and status check, passed adjustment summary, late ... journal entries reports, etc. + Other ad hoc projects as needed for system cleaning up, entity liquidation, and integration **Education:** + Bachelor's degree in Accounting **Work Experience:** + Minimum 2 years accounting experience **Skills /Specialized**… more
- The Cigna Group (Seattle, WA)
- …on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. + Schedules, prepares for and ... **Role Summary:** The Provider Performance Lead Analyst is a key member of the market...to Health Services, Medical Economics, Sales, and Sales & Risk Adjustment in order to develop solutions… more