Lead, Risk Adjustment Data Science & ML Solutions
Mosaic Health
Mosaic Health, LLC. is seeking a Manager, Risk Adjustment Data Science in Florida. This role combines analytics, machine learning, and AI to enhance risk adjustment for Medicare Advantage and ACO populations. You will lead data product design, predictive modeling, and work closely with clinical and operational teams to drive actionable strategies. Candidates should possess a Bachelor's degree in related fields and significant experience in healthcare analytics. #J-18808-Ljbffr
- ## Manager, Risk Adjustment Data ScienceApplylocations: Florida,... ...Risk Adjustment Data Science serves as a strategic... ...learning, and AI-driven solutions to improve risk capture... ...contracts. The Manager will lead the design and... ...grade data pipelines and ML/AI solutions.**How...RiskContract work
- ...Azure, and Google, our solutions focus on business outcomes... ...of companies. As a Lead Healthcare Solutions Architect... ...(e.g., HIPAA, HITECH), data governance, and... ...solution architects, AI/ML specialists, and Security... ...Guide customers through risk assessments, BAA considerations...Risk
$1,100 per month
...and engineering teams, data/AI practitioners, and risk/compliance to design... ...scalable AI agent solutions that materially improve... ...AI engineering, data science, architecture, operations... ...Change Leadership – Lead launch planning,... ...years delivering AI/ML and generative AI solutions...RiskCasual workRemote work$13 - $16 per hour
...Senior Team Lead - Westfork 13 Essential duties and... ...understand the ROM. Monitoring risk management as it... ..., gather relevant data, and note possible causes... ...evidence, and recommend solutions. Action and Performance... ...perception and ability to adjust focus. #J-18808-Ljbffr...RiskFull timeWork at officeLocal area- Lead Reporting Data Analyst Location(s): Jupiter, FL, US, 33478 Company: NextEra Energy Requisition... ...Specific Description Regulatory Risk and Strategy Office To support NextEra... ...serves as a point of contact for the CMS solution, overseeing regulatory change management...RiskFull timeFor contractorsWork experience placementWork at officeLocal areaRelocation
$54.3k - $145.86k
...Medicaid Market Manager for our Risk Adjustment programs. This is a high‑... ...The individual in this role will lead monthly market meetings, translate performance data into actionable insights, and collaborate... ...drivers, challenges, and solutions. Investigate operational...RiskFull timeWork experience placementLocal area- ...Quant Blueprint LLC is looking for a quantitative finance expert to dynamically manage portfolio risk and oversee automated trade execution. The ideal candidate will have a Master’s or Ph.D. in a relevant field and at least 10 years of experience in developing quantitative...Risk
$13 - $16 per hour
Senior Team Lead - Westfork 13 Essential duties and... ...understand the ROM. Monitoring risk management as it... ..., gather relevant data, and note possible causes... ...evidence, and recommend solutions. Action and Performance... ...and ability to adjust focus. #J-18808-Ljbffr...RiskFull timeWork at officeLocal area$59.6k - $85.1k
...HR and payroll software solutions. We enable businesses... ...workplace culture. The Lead Client Services Operations... ...and quantitative data. Communication: Provide... ...Schedule, monitor, and adjust workload to meet priorities... ...escalations and at‑risk client retention. Project...RiskFull timeWork at officeRemote work$100k - $231.54k
...wide and/or cross-functional solutions to address business problems.... ...collecting, analyzing, and compiling data and information for business... ...with top management to lead individuals to develop a high... ...Clean Claim Edits Medicaid Risk Adjustment Strategy Process Flow and Project...RiskFull timeTemporary workWork experience placementLocal area- ...The Team Lead is responsible for engaging with the team member(s), program... ...and efficiencies within Patient Solutions. Utilizes historical program and operational data to identify opportunities,... ...which includes shift swaps, shift adjustments, PTO, and VTO by team members...Hourly payTemporary workWork experience placementWork at officeLocal areaImmediate startWork from homeFlexible hoursShift work
- Centrum Health in Doral, FL is seeking a Sr. Manager of Risk Adjustment and Quality to oversee a diverse team responsible for coding, billing, and successful risk adjustment operations. The ideal candidate will have extensive experience in healthcare Risk Adjustment and...Risk
- ...Mount Sinai Medical Center of Florida, Inc. is seeking a Certified Risk Adjustment Coder to ensure accurate coding and documentation standards. The role involves reviewing medical records, providing feedback to physicians, and maintaining coding credentials. The ideal...Risk
- ...valued healthcare provider is seeking a Sr. Manager of Risk Adjustment and Quality in New York to lead risk adjustment operations, manage a team, and ensure... ...experience in healthcare risk adjustment, and proficiency in data analysis. A Bachelor's degree in a related field and...Risk
- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role requires conducting quality audits specific to ICD-10 code abstraction and ensuring compliance with coding standards. The ideal candidate holds a Bachelor's degree...RiskRemote job
- Lead, Information Risk and GRC Journey with us! Combine your career goals and sense of adventure... ...technology/security, Computer Science is preferred; non‑technical degrees... ...ability to assess risks, identify solutions, and make data‑driven decisions. Previous experience...RiskFull time
- Job Description SummaryLEVEL II - RISK ADJUSTMENT CODING SPECIALIST (Intermediate)(Includes all Level I responsibilities + the following)ResponsibilitiesAbstract... ...opportunities.Analyze Medicare Risk Adjustment (MRA) data to identify coding or documentation patterns and assist in...Risk
$88k - $120k
...Association of Women in Construction is seeking a Construction Defect Adjuster to manage complex third-party claims under commercial general... ...years' experience in similar claims handling, with expertise in risk transfer and litigation management. The ideal candidate will...Risk$115k - $145k
...Senior Data Analyst HYBRID - MUST WORK EST (... ...customer engagement solutions. For over a decade we... ...opportunities, and risks before stakeholders... ...partnership with the Lead MarTech Solutions Architect... ...use cases. Consume ML model outputs from the Data Science team and surface...RiskPart time- ...for all. Centrum Health’s Sr. Manager of Risk Adjustment and Quality will be responsible for... ...collaboration with Physicians, Clinical Operations, Data/Technology, and Finance teams. The... ..., coding, and billing operations. Lead a team to drive risk adjustment performance...RiskTemporary workWork at office
- ...definition, requirements development, system design and risk & opportunity management for total systems solutions to undersea systems. Ensures the logical and... ...Skills Undersea domain experience. Systems Engineer Lead will continue and build upon the relationship with...RiskFull timeRemote workRelocationShift work
- ...Power & Gas is seeking an Energy Risk and Portfolio Analyst to add... ...markets. Participate and lead process developing rate structures... ...research to provide innovative solutions to problems areas or necessary... ...gas portfolio to ensure data quality for costing, power scheduling...RiskPermanent employmentFull timeContract workImmediate start
- ...AI and machine learning solutions that optimize our... ...AI-driven applications, data analytics, and automation... ...develop, and deploy AI/ML models to support underwriting... ..., claims processing, risk assessment, and... ...Master’s degree in Computer Science, Data Science, AI/ML, or...RiskWork at office
- ...Development team, the Lead Business Analyst plays... ...non-functional (e.g., data, security) capabilities... ...implementation plans for technical solutions.* Partners with team... ...applies principles in risk management, issue... ...Computer and Information Science, High School (HS) (...RiskWork experience placementWork at office2 days per week3 days per week
$116.2k - $229.1k
...insights and integrated solutions to achieve business... ...across workforce, risk, assurance, and tax... ...solutions that use data, automation,... ...relationships Ability to lead projects or... ...degree in Computer Science, Data Science, Information... ...has not been adjusted for the applicable...RiskVisa sponsorship- ...analysis. Strategic Support: Assist with capital modeling, PML estimation, and real-time event response. Solution Design: Collaborate on software and data tools for risk assessment. QUALIFICATIONS Master’s or Ph.D. in Hydrology, Engineering, or a related field. Python,...Risk
$90k
...Job Summary: The Lead Dispatcher coordinates... ...stations. Analyze route data to identify... ...reports to the Safety and Risk teams for follow up.... ...the call out line and adjust route and scheduling as... ...operations software and tablet solution. Additional Information...RiskLocal areaWeekend workAfternoon shiftEarly shift$75k - $92k
...needs of the wheels‑based transportation industry. We offer risk financing solutions across all 50 states, including traditional insurance and alternative risk transfer programs. Position Workers Comp Adjuster – fully remote (USA) Essential Job Functions And Responsibilities...RiskFull timePart timeSeasonal workRemote work- ...Summary: We are seeking a CQV Lead (OSD Manufacturing) with strong... ...aligned with FDA, cGMP, and data integrity standards. Roles &... ...systems Develop and execute risk-based IQ/OQ/PQ protocols aligned... ...systems is preferred #J-18808-Ljbffr Creative Solutions Services, LLCRisk
$128.64k - $185.81k
...function of the Area Chief of Staff is to lead, develop and manage associate... ...and retention by consistently assessing risk, ensuring a proactive retention strategy,... ...problems. Translates problems into practical solutions. Intellectual ability – Accurately and consistently...RiskFull timeTemporary workPart timeLocal areaFlexible hoursShift work
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