Remote Medicare Analytics Manager (Risk Adjustment)
CVS Health Corporation
- Remote job
CVS Health Corporation is expanding its Medicare strategy and insights team to act as a subject matter expert on Medicare Risk Adjustment for at-risk provider reporting. The role focuses on tracking risk adjustment activities, provider group performance, and collaborating with RIPOE to drive at-risk provider enablement initiatives. The position requires 5+ years in SAS/SQL/Python analytics and a track record of delivering impactful analytic solutions, with the ability to work remotely from #J-18808-Ljbffr CVS Health Corporation
- ...Description Job Description Position:Manager of Risk Adjustment AnalyticsLocation: Hybrid (Must... ...the RoleThe Manager of Risk Adjustment Analytics strengthens VillageCare Max's ability... ...in shared savings arrangements across Medicare Advantage, Medicaid, commercial, and...SuggestedContract workMonday to Friday
- ...Manager Risk Adjustment Program At BayCare, we are proud to be one of the largest employers in the... ...details: Location: Tampa, FL (Remote - Must Reside in the State of Florida)... ...risk adjustment role working with OR for Medicare Advantage health plans. *Any equivalent...Remote workFull timeShift work
- Role Description Director, Product Manager - Risk Adjustment (Remote) About the Role: ~Type: Full-Time... ...Building scalable capabilities supporting Medicare Advantage (CMS-HCC), ACA Marketplace... ...longitudinal patient records, audit analytics, and risk prediction platforms. ~...Remote workFull timeTemporary workFlexible hours
- ...healthcare technology firm is seeking a Senior Product Manager to lead the strategy and execution of a risk adjustment product. The ideal candidate should have 5-7... ...enhance product offerings. The position is fully remote and offers a competitive salary and comprehensive...Remote job
- ...Customer Success Manager - Healthcare Risk Adjustment Remote Opportunity About Reveleer Reveleer delivers a unified platform spanningrisk adjustment... ...nationwide, the platform integrates data, analytics, and intelligent workflow automation into one governed...Remote workWork experience placementLocal areaFlexible hours
- Affirm is seeking a seasoned professional for the Bank Model Risk Management (MRM) team. You will validate credit/fraud models, build automated... ...Bank Model Risk Management function for bank-owned models. Remote-first, with location flexibility in the U.S. #J-18808-Ljbffr...Remote job
- Affirm is seeking an experienced professional to join the Bank Model Risk Management team. You will validate credit/fraud models, develop automated monitoring in Python, and work with cross-functional teams to ensure robust, compliant risk management. You will collaborate...Remote job
- Affirm is looking for an intelligent, driven professional to join our Bank Model Risk Management (MRM) team in a remote-friendly capacity. You will validate credit/fraud models, develop automated monitoring in Python, and work with developers to ensure robust, compliant...Remote job
- Affirm is a remote-first company reinventing credit to make it more honest and friendly. Affirm seeks an experienced professional to join the Bank Model Risk Management team to identify, quantify, monitor and report on model risk across credit and fraud domains. You will...Remote job
- Affirm is seeking an experienced Bank Model Risk Manager to lead independent validations of credit and fraud models. You will build automated... ...and Compliance to satisfy regulatory requests. The role is remote-first across the United States with occasional office presence...Remote workWork at office
- Affirm is seeking an experienced Bank Model Risk Management professional to lead independent validations of sophisticated credit and fraud... ...compliance teams to support regulatory requests. Join Affirm’s remote-first environment and contribute to the Bank Model Risk...Remote job
- ...designed to help customers manage cash flow, build credit... ...to strengthen our risk leadership as we expand... ...re hiring a Senior Risk Analytics Manager to own and evolve... ...to improve risk-adjusted returns Provide clear... ...real decision authority Remote-friendly culture and flexible...Remote workFlexible hours
- Affirm is seeking an experienced professional for Bank Model Risk Management (MRM) to build and oversee risk frameworks for credit and fraud... ...life cycle, Python (pandas, scikit-learn), and SQL. This remote-first position offers competitive base pay in California. #J...Remote work
- ...future sponsorship.Great American Risk Solutions (GARS) is a growing... ...Insurance Group. The GARS Analytics Team develops reporting and... ...We are seeking an Analytics Manager to serve as a people leader and... ...flexibility to work one day remotely. Core in‑office days are Tuesday...Remote workFull timePart timeSeasonal workWork at office
$198.22k - $297.33k
Role Description The Sr. Director, Risk Adjustment Data & Analytics (Remote) is a senior technical and operational... ..., and strategic value of Medicare Risk Adjustment (MRA) data and analytics... ...Demonstrated experience leading or managing data teams responsible for regulated...Remote workFull timeWork experience placement- ...is seeking a Director to lead Provider Risk Adjustment programs, focusing on risk-based care initiatives... ...documentation quality. This role manages client relationships, ensures SLA... ...continuous process improvement. The position is remote within the US, enabling leadership of...Remote job
$170k - $225k
Role Description The Director, Risk Adjustment Products will lead the strategy, roadmap, and execution... ...your product development and people management expertise to mentor a high-performance... ...structure. ~Comfortable in a fully remote environment that relies heavily on...Remote workFull time- ...with leading technology allows analytics to guide our solutions and... ...The Director, Provider Risk Adjustment has a key leadership role responsible... ..., and performance management related to contracted deliverables... ...processes. This is a remote position. Location: Remote within...Remote workTemporary workFlexible hours
$120k - $150k
...Headquartered in South Florida with a remote-first team spanning over 15... ...to become a trusted analytical partner, not just a builder... ...our Credit Cards, Make Money/Manage Money, Banking, and Marketplace... ...performance, not annual cost of living adjustments. APPLICATION & EEO...Remote work$100k - $125k
...Title: Analytics Manager Department: Truly Free Marketplace, Marketplace... ...and the salary can be adjusted for the level of the candidate... ...if appropriate Location: Remote Role Summary The Analytics... ..., broken logic, latency risks, and process breakdowns, then...Remote workFull timeFor contractorsWork at office- Elevance Health is seeking a Risk Adjustment Compliance Manager to lead regulatory and privacy compliance efforts in a hybrid in-office/remote setting. The role may report to multiple Pulse Point locations (Atlanta, GA or nearby states) with options for alternate sites...Remote workWork at office
- About the job Actuarial Analytics Manager Calling Actuarial Leaders! Phenom Consulting has partnered... ...guide the organization’s Medicaid and Medicare programs. This role involves leading... .... What You’ll Get: Ability to work remote (must reside in California, Oregon, or...Remote workImmediate start
$157.55k - $190.91k
...Protection & Insider Risk Senior Specialist will... ...cyber security, risk management, and compliance.This role... ...related field.Strong analytical and problem-solving skills... ...centers. Employees in remote-by-design or lab-based... ...accommodations/adjustments and ongoing support in...Remote workHourly payFull timeTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaFlexible hoursShift work- ...supply chain efficiency. We manage bulk freight and chartered vessels... ...GENERAL PURPOSE The Data & Analytics Manager is the operational... ...comfort zones and in physically remote locations. While performing... ...close vision and the ability to adjust focus. The physical demands...Remote workWork at officeWorldwideOverseasDay shift
$118.1k - $147.8k
...tandemdiabetes.comA DAY IN THE LIFE:The Marketing Analytics Manager supports measurement and insights... ..., and recommendations to continue, adjust, or stop programs.Measures the patient... ...priority programs.WHEN & WHERE YOU’LL WORK:Remote: This position is fully remote and open...Remote workWork experience placementLocal areaWork visaFlexible hours- ...the Alliance as the Risk Adjustment Director leading the... ...Cruz, or San Benito) or remotely in California with... ...Provide strategic management oversight in designing... ...This role will lead Medicare DSNP Risk Adjustment... ...Strong data and analytical skills, including SQL...Remote workFull timeContract workTemporary workPart timeLive inWork at officeLocal area
- ...strategic, committed Senior Manager, Live Seller Risk Policy to own and scale... ...and making proactive policy adjustments to keep losses within... ...automated controls.Outstanding analytical capability; comfort with... ...performance, and market factors.Remote roles are not eligible for...Remote workImmediate startVisa sponsorship
$110k - $150k
...Corporation has an exciting opportunity to join the Global Risk & Compliance team (GRC) as a Risk & Analytics Manager. This position will be based permanently in... ...business initiatives like strategy design and adjustments. Perform quantitative analysis, statistical...Hourly payWork experience placementLocal area$114.6k - $191k
...Deloitte’s GPS Security team as a Specialist Manager, Risk and Compliance Services, supporting... ...our Chantilly, VA office with no defined remote work role Preferred: Experience... ...The disclosed range estimate has not been adjusted for the applicable geographic differential...Remote workContract workWork at office$170k - $200k
Role Description As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for Datavant’s Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations, database management, and optimization...Full time
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