Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the HEDIS & Risk Adjustment Analyst - Healthcare Ops in Hartford, CT vacancy
  • 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... 
    HEDIS
    Temporary work
    Relocation

    Infosys

    Hartford, CT
    1 day ago
  • $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... 
    Suggested
    Remote job
    Hourly pay
    Flexible hours

    DataAnnotation

    Hartford, CT
    1 day ago
  • 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... 
    HEDIS
    Long term contract

    AYR Global IT Solutions Inc

    Rocky Hill, CT
    4 days ago
  • Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across...  ...plan and CMS campaigns, including but not limited to: HEDIS, DRG, Risk Adjustment, Payment Integrity, RAC, CMS Audits Receive and review... 
    HEDIS
    Remote job

    Sharecare

    Hartford, CT
    4 days ago
  •  ...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

    Infosys

    Hartford, CT
    1 day ago
  • $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... 
    HEDIS
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work

    CenterWell

    Hartford, CT
    2 days ago
  • 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... 

    Hartford HealthCare

    Hartford, CT
    3 days ago
  • $93.7k - $177.68k

     ...Opportunity, MedInsight is one of the healthcare industry's most trusted solutions...  ...healthcare financing, enterprise risk management and regulatory compliance...  ...industry metrics and frameworks, such as HEDIS, population health, risk adjustment, and value-based payment models.... 
    HEDIS
    Full time
    Temporary work
    Work experience placement
    Remote work
    Flexible hours

    Milliman

    Windsor, CT
    17 hours ago
  •  ...Title Leads clinical quality measurement and improvement activities, ensuring successful execution of Healthcare Effectiveness Data and Information Set (HEDIS) while advancing the transition to digital quality measurement (dQM). Accountable for market performance,... 
    HEDIS
    For contractors
    Remote work

    CarepathRx

    Bloomfield, CT
    2 days ago
  • $112k - $168k

     ...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... 
    HEDIS
    Temporary work
    Work at office
    Remote work
    Work from home
    Flexible hours

    Strive Health

    Hartford, CT
    1 day ago
  • 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

    Oscar Health

    Hartford, CT
    2 days ago
  • $78.4k - $107.8k

     ...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... 
    HEDIS
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office
    Monday to Friday

    CenterWell

    Hartford, CT
    1 day ago
  • $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... 
    HEDIS
    Live in
    Work at office
    Local area
    Worldwide

    Accenture

    Hartford, CT
    5 days ago
  • $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... 
    HEDIS
    Hourly pay
    Full time
    Work experience placement
    Work at office

    First Choice Health Centers Inc

    East Hartford, CT
    2 days ago
  •  ...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

    Katalyst Healthcares and Life Sciences

    Hartford, CT
    17 hours ago
  • Fairygodboss is seeking a Domain Consultant 2 based in Hartford, Connecticut. As a Domain Consultant, you will analyze client business processes, facilitate benchmarking studies, and ensure effective system implementations. The ideal candidate should have strong analytical...
    HEDIS

    Fairygodboss

    Hartford, CT
    3 days ago
  • In the assigned Job Role of Domain Consultant 2, your Area Of Responsibility will be as below: Analyze client business processes to identify optimization opportunities and align them with industry-specific standards and best practices Facilitate benchmarking studies, working...
    HEDIS

    Fairygodboss

    Hartford, CT
    4 days ago
  • $129.3k - $177.8k

     ...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 pay
    Full time
    Temporary work
    Apprenticeship
    Work experience placement
    Remote work
    Work from home
    Home office
    Shift work

    CenterWell

    Hartford, CT
    17 hours ago
  • $88k - $132k

     ...opportunities, and serve constituents across the public sector. To learn more, visit . Duties & Responsibilities Predicts future risks and helps business create policy to minimize cost. Determines future risk, makes price decisions, and formulates investment... 
    For contractors
    H1b
    Work at office
    Local area
    Remote work

    Public Consulting Group

    Hartford, CT
    1 day ago
  • $106.9k - $147k

     ...pricing or actuarial modeling preferred. Exposure to Value-Based, Risk Sharing, or other alternative payment models. Demonstrated...  ...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life... 
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Remote work
    Work from home

    CenterWell

    Hartford, CT
    4 days ago
  • $80k - $110k

    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 job
    Flexible hours

    Vantage Group Holdings Ltd

    Hartford, CT
    4 days ago
  • 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 job
    Work at office

    Humana Inc

    Hartford, CT
    1 day ago
  •  ...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

    Talcott Financial Group

    Hartford, CT
    17 hours ago
  •  ...Sr Risk Analyst - KR07DE Risk Manager - KR07AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish... 
    Temporary work
    Work experience placement
    Visa sponsorship

    The Hartford

    Hartford, CT
    1 day ago
  •  ...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

    Talcott Financial Group

    Hartford, CT
    5 days ago
  • $84k - $140k

    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... 

    Council of State and Territorial Epidemiologists

    Windsor, CT
    2 days ago
  • $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

    TKO

    Hartford, CT
    4 days ago
  • 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... 

    The Hartford

    Hartford, CT
    5 days ago
  •  ...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 time
    Temporary work
    Work at office
    Local area
    Remote work
    Visa sponsorship
    Work visa
    Flexible hours

    Willis Towers Watson

    Hartford, CT
    5 days ago
  • $54.22k - $79.02k

    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 area
    Remote work
    Monday to Friday
    Flexible hours

    UMB Bank

    Hartford, CT
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to HEDIS & Risk Adjustment Analyst - Healthcare Ops. Be the first to apply!