Remote Risk Adjustment Analytics Specialist
Humana
Humana Inc. is seeking a Risk Adjustment Coding Analyst to provide analytical and administrative support to business leaders. You will develop recurring dashboards, analyze operational trends, and prepare executive-ready summaries to explain the data story beyond raw reports. The role requires a Bachelor's degree and experience in operations analytics, with proficiency in MS Office and Power BI. Remote work is supported, with travel occasionally for training or meetings. #J-18808-Ljbffr
$99k - $124k
...transform chronic conditions by identifying risk earlier, coordinating thoughtful care,... ...at Strive! Benefits & Perks Hybrid-Remote Flexibility -Work from home while fulfilling... ...DoWe are seeking a Lead Analyst, Risk Adjustment Analytics to join our high-performing, insights-...Remote workRiskWork at officeWork from homeFlexible hours2 days per week$91k - $169k
...’s success. As a Portfolio Analytics & Strategy Specialist (Fraud Model Analyst) within... ...identified model risks, defects, and issues, and reaches... ...multiple model developers in remote locations, including offshore... ...datasets, improve risk adjusted returns, deliver profitable...Remote workRiskFull timeTemporary workPart timeWork experience placementWork at office$77.6k - $176k
People Analytics & Insights Specialist, SeniorThe Opportunity:Advance Booz Allen’s workforce and talent priorities... ...environments to identify trends, risks, opportunities, and potential drivers... ...their cameras on during meetings.Remote: If this position is listed as remote...Remote workRiskFull timeContract workPart timeWork at officeLocal area- ...seeking an experienced HCC Coding Specialist to deliver quality coding for various risk adjustment programs. The ideal candidate will... ...participating in coding educational initiatives. This remote position requires excellent communication and analytical skills. #J-18808-Ljbffr...Remote workRisk
- ...Omnissa Intelligence Specialist / DEX Analytics Engineer Digital Employee Experience (DEX) Analytics... ...[Columbus, Jersey City, Plano] / Remote / Hybrid Department IT Operations... ...solutions) into Intelligence for unified risk scoring. Use Omni (the AI assistant...Remote workRisk
- ...seeking a Sr. Underwriting Specialist to join their growing... .... This is a hybrid or remote opportunity.While... ...technical, sales and analytical skills to provide insurance... ...’s customers manage risk. Demonstrates a... ...monitors performance, adjusts plan to ensure a substantial...Remote workRiskFull timeLocal area
$20.96 - $34.59 per hour
...Fraud Triage Specialist The Fraud Triage Specialist position plays... ...responsible for processing claims with risk issues, researching fraud... ...pass the required Insurance Adjuster License courses. ~ Ability... ...required Licenses. ~ Analytical skills including experience with...Remote workRiskWork at officeShift work$167k - $260k
...begins with you.Wells Fargo Bank N.A. seeks a Senior Quantitative Analytics Specialist in San Francisco, CA.Job Role and Responsibility: Design,... ...of financial regulatory requirements related to model risk management (FRB/OCC SR 11-7). Adhere to corporate model risk...Remote workRiskFull time2 days per week$28.89 - $38.59 per hour
...Overview The HSE Specialist is responsible for assisting... ...attention to detail with good analytical skills. ~ Effective... ...work that includes adjusting and/or moving objects up... ...6-10960 Category HR/Legal/Safety/Risk Position Type Full-Time Remote No...Remote workRiskFull timeWork at office$110k - $130k
...turn to when you need a specialist who not only knows... ...required to conduct on-site risk assessments, consult... ...and makes strategic adjustments to enhances outcomes as... ...assigned. #LI-Remote Job Requirements... ...complexity. Displays advanced analytical, risk assessment, and...Remote workRiskFull timePart timeSeasonal work- ...Remote Clinical Documentation Integrity Specialist The Remote Clinical Documentation Integrity (CDI) Specialist... ...a CDI that has experience with Risk Adjustment Tools like Vizient, Elixhauser,... ...physiology). Demonstrated skills in analytical thinking and problem solving....Remote workRiskHourly payWeekly payFor contractorsFlexible hoursAfternoon shift
$108k - $135k
...and Places, General Counsel, Risk, Internal Audit, Strategy and... ...professional judgement, and analytical expertise to support the integrity... ..., consolidation adjustments, and elimination entries.Perform... ...designation (in-office, hybrid, remote) and operational needs. Salary...Remote workRiskFull timeContract workWork at officeWorldwide- ...Adoption Specialist This position is listed on behalf... ...insights to identify risks, strengthen retention,... ...working with data and usage analytics to identify customer... ...under pressure and adjust effectively as... ...Benefits Fully remote position based in the...Remote workRiskFull time
$132.9k - $182.7k
..." candidates.The Code Specialist is a senior-level Registered... ...while supporting risk mitigation, quality... ...code knowledge Strong analytical and problem-solving skills... ...offices/projects and remote locations enabling... ...support or reasonable adjustments with regards to the recruitment...Remote workRiskFull timeWork at officeLocal area$100k - $186k
...Description: The Transformation Specialist plays a key role in... ...position delivers analytical insights, structured... ...and helping identify risks and value drivers.Experience... ...is a hybrid of office/remote workingSkills:Agility... ...need may request an adjustment/accommodation related...Remote workRiskFull timeTemporary workPart timeWork experience placementWork at officeLocal areaFlexible hours- ...Proposal Specialist At Workplace Options (WPO), we... ...States Onsite/Hybrid/Remote: Remote Required Languages... ..., identifying risks, scheduling and facilitating... ...content approaches and adjust strategies accordingly... ...priorities. Strong analytical, problem-solving, and...Remote workRiskFull timeWork at officeWorldwideFlexible hours
$76.72k - $85.05k
...Description The EHS Specialist supports the overall delivery of... ...required standards while minimizing risk. This full-time position... ...certification. Excellent analytical and problem-solving skills.... ...depth perception and able to adjust focus Hearing and speaking...Remote workRiskFull timeWork at officeFlexible hours- ...Crime, Senior Underwriting Specialist (Hybrid/Remote) Atlanta, GA, USA Position... ...technical, sales and analytical skills to provide insurance... ...Hanover’s customers manage risk. Demonstrates a thorough understanding... ...monitors performance, and adjusts plans to ensure a...Remote workRiskTemporary workLocal areaWork from home
- ...Experienced Professional Coding Specialist Department: Revenue Integrity Job Description Remote Eligibility: Candidates must... ...in the EHR across settings. Analytical problem solving for denial/... ...workflows Working knowledge of risk adjustment concepts and HCC validation...Remote workRiskFull timeWork at officeFlexible hours
$70k - $80k
...Control Risks is hiring a Regional Threat Intelligence Specialist to support a Fortune 50 technology... ...as well as some other analytical content for the Americas... ...support flexible and remote working. Control Risks... ...require any reasonable adjustments to be made in order to...Remote workRiskWork at officeLocal areaFlexible hours- ...Compensation Specialist The Compensation Specialist is responsible... ...preferred), reporting and HR Analytics. Skills Knowledge... ..., time, cost, quality, risk and communications. Physical... ...and computer screens, and to adjust focus. This job is performed...Remote workRiskWork experience placementWork at officeLocal areaNight shift
$19.21 - $28.73 per hour
...Revenue Cycle Specialist The Revenue Cycle Specialist... ...issues. This is a remote position. ESSENTIAL... ...: Analyze and adjust/reprice claims to ensure... ...thinking Strong analytical and problem-solving skills... ...| Opportunities in Risk Management In general...Remote workRiskHourly payMinimum wageFull timeContract workWork experience placementWork at officeLocal areaFlexible hours$67.3k - $84.13k
...experienced Vendor Relations Specialist. In this critical role... ...performance trends, risks, issues, or... ...channels. Reporting & Analytics Maintain vendor performance... ...Office in Montvale, NJ/ Remote flexibility may be... ...options. Actual pay will be adjusted based on experience,...Remote workRiskWork at office- ...Description The Patient Access Specialist reflects the mission, vision... ...in financial or safety risk. Other duties as assigned.... ...quality standards. Adjusts processes as needed to meet standards... ..., time management, analytical, and problem solving skills....Remote workRiskWork at officeLocal areaRelocation packageShift work
$50k
...Multi-District Representatives, Risk Department, various law... ...of theft, fraud, and quality analytics. Responsible for following... ...location or a specific person, and adjusting the training as appropriate.... ...email accounts, conducting remote "interviews," and making artificial...Remote workRiskLocal area- ...Title: Project Management Specialist Location: Philadelphia, PA 19103 (Remote) Duration: 3 Month+... ...critical eye for detail, analytical project management approach... ..., Operations, Legal, Risk, Supply Chain, and other... ...: Ability to adhere/adjust to dynamic project plans...Remote workRiskLong term contractFull timeContract workWork experience placementWork at officeShift work
$68.4k
...its beneficiaries enrolled in risk-adjusted government programs such as... .../or by webinar. Completes analytics on providers and/or provider... ...Coder (CRC) Certified Coding Specialist (CCS) Registered Health Information... ...CONDITIONS Position Type Remote Office-based Teaches /...Remote workRiskFor contractorsWork at officeLocal areaFlexible hours$74k - $100k
...we invite you to apply.The Reporting & Analytics Specialist plays a pivotal role in supporting the... ...in partnership with each business unit. Adjust model based on business needs and provides... ...Testing plans to ensure overall risk management.Define and document data definitions...RiskFull timeInternshipWork at officeLocal area$97k - $137k
...brighter, healthier future for all.The Sr. Specialist for Quality Data Analytics maintains master data integrity... ...information systems to trigger risk-mitigating actions across cross-functional... ...calendar year). Paid sick leave is adjusted based on role and location in...RiskHourly payLocal areaRelocation- ...personnel actions. City: Remote State: Remote... ...The Commissioning Specialist performs advanced... ...as part of a broader analytical process to gather and... ...perception, and ability to adjust focus) Lift and or... ...weather conditions, and risk of electrical shock....Remote workRiskFor contractorsWork at officeFlexible hoursNight shift
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