- The Cigna Group (Bloomfield, CT)
- …needs of CMS Medicare Risk Adjustment processes and systems. The ** Medicare Risk Adjustment Analytics Advisor** would be a member of the ... if do not live near a Cigna Office]** We have an immediate need to strengthen our Risk Adjustment and Stars Enablement team. The Risk Adjustment and… more
- The Cigna Group (Denver, CO)
- **Summary** The Medicare Risk Adjustment Advanced Analytics team is searching for a highly motivated and collaborative person to build new data ... and enable analytics . You will work closely with colleagues across the Risk Adjustment business, data science, and data analytics teams to develop new… more
- Elevance Health (Indianapolis, IN)
- …actuarial studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements ... would provide an equivalent background. **Preferred skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience… more
- Molina Healthcare (Richmond, KY)
- …Risk Adjustment for Medicaid, Marketplace and Medicare /MMP. + Assist Risk Adjustment Data Analytics Leaders in designing and developing Automated ... oneself as subject matter expertise by following CMS/State regulations related to Risk adjustment Analytics . **Job Qualifications** **Required Education**… more
- The Cigna Group (Houston, TX)
- **Summary** The Medicare Risk Adjustment Analytical Consulting team is searching for a highly motivated and collaborative business analytics advisor to ... questions and influence decision-making. You will work closely with colleagues across the Risk Adjustment business, data science, and data engineering teams to… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The Sr. Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and ... with Finance and Analytics team to establish risk adjustment analytics such as...experience required. + Proven experience with commercial and/ or Medicare Advantage risk adjustment functions.… more
- Martin's Point Health Care (Portland, ME)
- …Ideal candidates are those who are coming from a Health Plan and with strong Risk Adjustment and Medicare backgrounds. Job Description 100Key Outcomes: + ... Develops and maintains an expert level of knowledge of Medicare and risk -based reimbursement methodologies. + Operational...submissions for the Health Plan. + Leverages data & analytics to ensure that risk adjustment… more
- Fallon Health (Worcester, MA)
- …Adjustment Analyst (RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department. The RAAimplements data analytic reports, as ... be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for... staff for product line(s) as assigned by the Risk Adjustment Operations and Analytics … more
- Providence (OR)
- …for our Medicare Advantage plans + Have a deep understanding of Medicare Advantage regulations, risk adjustment methodologies, and a strong analytical ... **Providence Health Plan is calling a Senior Actuarial Analyst, Medicare Bid who will:** + Be responsible for developing...the pricing process + Staying informed of changes in risk adjustment methodologies and assess their implications… more
- CVS Health (New Albany, OH)
- …has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, Medicare , MMP and DSNP lines of business! In ... provider/vendor/network outreach, production management, and reporting for the Risk Adjustment Retrospective Program for ACA, Medicare , MMP and DSNP lines… more