Senior Director, Medicaid Risk Adjustment Analytics
Hispanic Alliance for Career Enhancement
CVS Health is seeking a Lead Director for Revenue Integrity Informatics (Medicaid) to lead Medicaid risk adjustment analytics, reporting, and informatics functions, ensuring accurate revenue capture and regulatory compliance across markets. This senior role will guide strategy, data pipelines, risk score reconciliation, and performance insights; managing a multidisciplinary team while driving cross‑functional collaboration and enterprise alignment. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Senior Director, Medicaid Risk Adjustment Analytics in Kansas City, MO vacancy
$100k - $231.54k
...time. Position Summary Revenue Integrity Informatics is seeking a Lead Director - Revenue Integrity Informatics (Medicaid) to join our highly dynamic Risk Adjustment analytics team. This senior‑level role will provide strategic and operational leadership for all Medicaid...SuggestedHourly payFull timeTemporary workLocal area- ...actively seeking a data-driven professional who will enhance our risk management strategies through advanced statistical modeling.... ...Bachelor's degree and at least 8 years of experience in a highly analytical environment, alongside skills in data analysis and presentation...Senior
- Gainwell Technologies is seeking a Senior Reporting Business Analyst to contribute to technological solutions... ...have 6+ years of experience, particularly within Medicaid and Medicare. You will apply your advanced analytical skills using tools like Excel and SQL. Gainwell...SeniorRemote jobFlexible hours
$175k - $200k
...Community Preservation Corporation is seeking a Director of Portfolio Asset Management responsible... ...and external stakeholders to manage risks effectively. With a requirement of 10+... ...team and ensure robust communication with senior leadership. The salary range is $175,000...SeniorRemote job- ...focusing on managing and resolving workers' compensation claims. You will leverage your extensive claims management experience and analytical skills to navigate claims processes effectively while providing outstanding service to clients and claimants. Candidates should...SeniorRemote workFlexible hours
Arthur J. Gallagher & Co.
Kansas City, MO3 days ago - TreviPay is seeking a Sr Manager of Decision Science to lead analytics and drive data-driven decisions in risk management and profitability. In this role, you will develop and monitor statistical models, collaborate with cross-functional teams, and provide insights that...Senior
- Gainwell Technologies is seeking a Senior Reporting Business Analyst to contribute skills in improving healthcare for vulnerable populations... ...6 years of healthcare industry experience, specifically with Medicaid and Medicare. The position allows for fully remote work from...SeniorRemote job
$150k
A leading insurance provider is seeking a skilled Homeowner Field Adjuster in St. Louis, Missouri. In this role, you will investigate homeowner claims, determine coverage, and negotiate settlements with up to $150K estimating authority. The ideal candidate brings extensive...Senior- Tutera Senior Living and Health Care is seeking a Billing Specialist in Kansas City, MO. The role focuses on managing billing functions, particularly Illinois Medicaid billing, and requires expertise in various payer types. Ideal candidates will have 3-5 years of experience...Senior
- The University of Georgia- FACS is seeking a Senior Analytical Research Scientist to join their Analytical R&D Department in St. Louis. In this role, you will provide high-level analytical support to product development scientists, working closely with both R&D and manufacturing...Senior
$68.7k - $123.9k
T-Mobile is seeking a Senior Accountant in Overland Park, Kansas. This position involves optimizing accounting systems and ensuring compliance with regulations while utilizing advanced analytics and automation. The ideal candidate will have a Bachelor’s degree in Accounting...Senior$100k
Steadily is seeking a Claims Adjuster to own the large-loss claims handling process. In this role, you will manage a caseload of complex property losses exceeding $100k, overseeing everything from investigation to resolution. The ideal candidate has over 3 years of experience...Senior$105k - $125k
A leading insurance company in Overland Park, KS is seeking a Senior Liability Claims Adjuster. This role involves managing complex claims and providing exceptional service. Candidates should have at least three years of experience in liability claims and strong negotiation...Senior- Associated Wholesale Grocers is seeking an IT Manager for their Enterprise Data & Analytics team in Kansas City. The role focuses on leading enterprise-wide analytics solutions and requires strong leadership, and extensive experience in data management. Ideal candidates...Senior
- Sedgwick Claims Management Services Ltd in Missouri is seeking an adjuster to independently investigate and adjust property and casualty claims. You will negotiate claims, maintain client relationships, and ensure timely reporting with minimal supervision. The ideal candidate...Senior
- T-MOBILE USA, Inc. is seeking a Senior Accountant to support intelligent accounting systems that optimize financial accuracy and efficiency... ...in the field. The role emphasizes the use of automation and analytics for enhancing processes and ensuring data integrity. T-Mobile...Senior
- Zelis is seeking a Business Analyst to enable high‑quality analytics solutions within Agile or Kanban teams. You’ll bridge Business Owners, Development, QA, and Product Owners, shaping requirements and validating stories to drive healthcare IT improvements. You’ll collaborate...Senior
- A leading analytics firm seeks a Customer Analytics Manager in Kansas City. The role involves growing client practices within the Communications... ...Customer Analytics and predictive analytics tools. This is a senior-level position that offers opportunities to make substantial...Senior
- ...Demand Planning team. The ideal candidate will provide insights derived from customer interactions and complex data sets, utilizing analytics to enhance decision-making across the organization. The role emphasizes collaboration with various teams to deliver optimized...Senior
- T-Mobile USA, Inc. seeks a Senior Analyst to join the Credit Risk Management team in a role that emphasizes analytic modeling, data processing, and risk-based decision support. You will collaborate with analysts and business partners to develop, deploy, and track credit...Senior
- The Senior Analytical Research Scientist will join the Analytical R&D Department at MilliporeSigma at our Life Sciences R&D facility in St. Louis. In this role, you will be part of an active, multidisciplinary group of scientists dedicated to providing high level analytical...Senior
$97.9k - $133.5k
CenterWell Senior Primary Care is seeking a Senior Informaticist who will coordinate with IT and analytics teams. This role emphasizes the use of data to influence business strategy and improve consumer experiences. Qualified candidates will have extensive data analytics...SeniorRemote job$105k - $125k
A leading insurance firm in Overland Park is seeking a Senior Liability Claims Adjuster to manage complex claims. The ideal candidate will have over 3 years of experience adjusting complex liability claims and must excel in negotiation and problem-solving. This full-time...SeniorFull timeWork at office$46.99k - $112.2k
...collaboration with various departments and requires a minimum of 3 years of experience along with coding certification. With a focus on analytical skills and a commitment to compliance, the role offers a competitive salary range of $46,988 - $112,200 per year, along with...SeniorFull time- ...reports. The position requires a four-year college degree or equivalent work experience, along with three years in property/casualty insurance. Strong analytical and interpersonal skills are essential for success in this role. #J-18808-Ljbffr Ross & Yerger Insurance, Inc.SeniorWork experience placement
- ...Kansas City, Missouri. You will design, build, and maintain scalable ETL pipelines while optimizing large datasets for reporting and analytics. This role requires collaboration with both technical and business teams to deliver data solutions. The ideal candidate will hold...Senior
- ...Strategic Analyst III in Overland Park, Kansas, to drive high-impact analytics initiatives across multiple business lines. The successful... ...requires strong analytical expertise and collaboration with senior leadership. Key benefits include competitive insurance options,...Senior
$77.1k - $123.3k
Cengage Group is seeking a Data Architect to design and implement analytics solutions in Kansas City, Missouri. This role requires a minimum of 10 years in data architecture along with strong expertise in Informatica IICS and Snowflake. The successful candidate will work...Senior- Covenant Technology Partners is seeking a Senior Fabric Data Engineer. This role involves developing analytics-ready data solutions on Microsoft Fabric, requiring strong skills in SQL, Python, and data engineering best practices. The ideal candidate will have over 5 years...Senior
- National General is seeking an experienced field adjuster to investigate and determine coverage, damages and settlements for complex homeowner claims. You will create comprehensive damage estimates for difficult first-party losses and mentor peers in processes and technical...Senior
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Director, Medicaid Risk Adjustment Analytics. Be the first to apply!
Related searches
- risk management associate Kansas City, MO
- head of risk management Kansas City, MO
- risk management specialist Kansas City, MO
- director credit risk Kansas City, MO
- risk management manager Kansas City, MO
- operational risk manager Kansas City, MO
- director of risk management Kansas City, MO
- senior customer service advisor Kansas City, MO
- senior international account manager Kansas City, MO
- senior magento developer Kansas City, MO