HEDIS & Risk Adjustment Analyst - Healthcare Ops
Infosys
Infosys Limited is looking for an individual to join their Healthcare unit. This role focuses on transforming the healthcare industry using AI-driven solutions. You will analyze client processes, conduct benchmarking studies, and ensure successful system implementations. The ideal candidate has a degree (or equivalent experience) and deep knowledge of the healthcare sector, including HEDIS compliance. Excellent analytical and communication skills are essential for success in this position. This role may also require relocation or travel in the United States. #J-18808-Ljbffr
- Overview The Infosys Healthcare unit is dedicated to transforming the healthcare industry by leveraging cutting‑edge AI‑driven... ...Experience in Healthcare Effectiveness Data and Information Set (HEDIS) and Risk Adjustment. Healthcare domain knowledge is mandatory. Preferred...HEDISTemporary workRelocation
$20 per hour
A healthcare technology company is seeking a Risk Adjustment Analyst to enhance AI models through evaluating their logic and performance. The ideal candidate will have a deep understanding of healthcare, bolstered by a relevant degree. This role offers flexible hours and...SuggestedRemote jobHourly payFlexible hours- A national staffing firm is seeking a Sr. Business Analyst for a long-term contract in Rocky Hill, CT. The ideal candidate will be a technology analyst with Hedis knowledge and strong experience in data and healthcare. Responsibilities include completing documentation...HEDISLong term contract
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- ...Hartford, Connecticut is looking for professionals to join the Healthcare unit in driving innovation through AI solutions. The position requires... ...in Healthcare Effectiveness Data and Information Set (HEDIS), strong analytical skills, and the ability to facilitate optimization...HEDIS
$97.9k - $133.5k
...Computer Science, Engineering, or related field. Experience working with healthcare data from diverse EHRs, and an understanding of Membership, Medicare Risk Adjustment, and quality metrics (such as HEDIS). Experience working with Snowflake Cloud. Experience with the...HEDISFull timeTemporary workApprenticeshipWork at officeRemote work- A leading healthcare organization in Hartford, Connecticut is seeking a Privacy Specialist to conduct investigations, manage privacy compliance, and develop training materials. The role requires a Bachelor's degree and two years of healthcare privacy experience. Candidates...
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...to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting... ...and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. Presents patient cases...HEDISTemporary workWork at officeRemote workWork from homeFlexible hours- Oscar Health is seeking a Senior Actuarial Analyst to join their Actuarial team, focusing on risk adjustment in ACA markets. This position involves managing and enhancing actuarial models and collaborating with internal stakeholders. Suitable candidates will have a Bachelor...Remote job
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...Medical Director, Care Integration Team & High Risk Patient Management Program Onboarding & Talent... ...degree in Nursing, Business Administration, or Healthcare Management Knowledge of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements Experience...HEDISBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$94.4k - $293.8k
...long‑lasting impact. Strategy & Consulting We collaborate with healthcare executives, leaders, and boards to help organizations innovate,... ...or payer payment models. Exposure to quality programs (Stars, HEDIS, CMS, state regulatory measures). Experience partnering with...HEDISLive inWork at officeLocal areaWorldwide$24 - $34 per hour
.... Bachelor’s degree required in Public Health Administration, Healthcare Management, Social Work or related field. Equivalent work experience... ...warehousing Familiarity with quality improvement frameworks, HEDIS measures or UDS reporting preferred Ability to listen and...HEDISHourly payFull timeWork experience placementWork at office- ...Provider, Contracting, Claims, Quality, Risk Adjustment, HEDIS. Payer/ Provider/ PBM... ...Product Management/Product Engineering /Healthcare Operations Industry leading Claims... ...Working with scrum teams, product analysts Communicating and facilitating architecture...HEDIS
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...competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides...Bi-weekly payFull timeTemporary workApprenticeshipWork experience placementRemote workWork from homeHome officeShift work$88k - $132k
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Vantage Group Holdings Ltd in Hartford, CT, seeks an Actuarial Analyst to support pricing operations and portfolio management. The candidate will work closely with senior pricing professionals, maintain models, and ensure pricing data accuracy. Ideal candidates have a bachelor...Remote jobFlexible hours- A health services organization based in Hartford, CT, is seeking an Actuary, Analytics/Forecasting to analyze and forecast financial data for informed decision-making. The ideal candidate will develop metrics, collaborate with stakeholders, and provide strategic guidance...Remote jobWork at office
- ...Senior Risk Analyst Enterprise Risk Management (ERM) operates as an independent second line of defense, responsible for maintaining and enforcing Talcott's risk management framework across all subsidiaries. One of our key accountabilities is to monitor key exposures...Work at office
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- ...Overview: Enterprise Risk Management (ERM) operates as an independent second line of defense, responsible for maintaining and enforcing... ...on producing and/or enhancing recurring risk reports. The Risk Analyst will cultivate a strong understanding of underlying data,...Work at office
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The Council of State and Territorial Epidemiologists is looking for an experienced Clinical Risk Manager to join our Accident & Health division. This role requires a strong clinical background, particularly in oncology or cardiology, and the ability to analyze expected...$63.75k
Reporting to the Senior Manager of Corporate Insurance at TKO, the Risk Analyst role is responsible for providing operational and analytical support in the strategic development of TKO’s Risk Management program. This role will assist in the planning, implementation and...Local area- The Hartford is looking for a Senior Risk Analyst to support catastrophe modeling for large business risks. In this role, you will work closely with the Enterprise Risk Management department to oversee critical metrics and reporting that aids in risk management across...
- ...Healthcare Financial/Actuarial Senior Analyst As a Healthcare Financial/Actuarial Senior Analyst you will contribute to a wide variety of complex analyses... ...benefit plan analysis, design, cost avoidance, risk and funding strategies. Contributes to vendor financial...Full timeTemporary workWork at officeLocal areaRemote workVisa sponsorshipWork visaFlexible hours
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The EFT Risk Team monitors Risk for ACH and other payment channels. Managing the Risk helps keep customers and UMB from large losses.... ...is processed according to UMB’s Risk appetite. As the EFT Risk Analyst , you will assist with the ongoing administration and support of...Local areaRemote workMonday to FridayFlexible hours
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