Strategic Risk Adjustment Analyst - Medicare Revenue Cycle
ExactCare Pharmacy
ExactCare Pharmacy is looking for a full-time Client Service Liaison responsible for managing the Medicare revenue cycle for PACE programs. This role requires collaboration with financial teams to ensure accurate payment data and support client needs actively. The ideal candidate will possess at least an Associate Degree and three years of experience in risk adjustment. The position includes a comprehensive benefits package including health coverage and 401(k). #J-18808-Ljbffr
$70.48k - $100k
...Revenue Cycle Analyst Finance/Accounting/Billing New York, NY • Full-Time/Regular NYU Langone... ...hospital policy to refund or adjust accordingly. Perform detailed analysis... ...data. Maintain databases and conduct strategic analysis for monthly, quarterly, annual...SuggestedFull timeContract workWork at office$70.48k - $83.34k
NYU Langone Hospitals is seeking a Revenue Cycle Management Analyst for revenue opportunities within the Health System. This role entails extracting data, conducting analyses, and ensuring compliance with departmental policies. The ideal candidate will hold a Bachelor’...Suggested$98.2k - $130.8k
...Performs data and analytical services in support of optimizing risk adjusted revenue, maintaining compliance with CMS standards and modeling... ...Collaborates regularly with internal departments, including Finance, Medicare Operations, Network Management, Provider Contracting, and...SuggestedWork experience placementFlexible hours- ...people deserve. The Risk Adjustment team at Clover is made... ...of collaborative and strategic thinkers who are excited... ...directly influence revenue accuracy, compliance,... .... As a Senior Data Analyst, Risk Adjustment, you... ...workflow for Centers for Medicare & Medicaid Services (...SuggestedWork at officeRemote workFlexible hours
$66.3k - $78k
...reasonable estimate of the range of possible compensation at the time of posting. Position Summary The Revenue Cycle Optimization Analyst will provide operational and analytical support to revenue cycle optimization initiatives, focusing on collecting,...SuggestedContract workTemporary workWork at officeLocal areaRemote workMonday to Friday- ...Incorporated (CTG) seeks a remote Certified Epic HB Charging Analyst to manage Epic HB Charging processes. This role ensures charge... ...accuracy and compliance while working closely with clinical, IT, and revenue cycle teams. Candidates should have Epic HB Certification, 4-6 years...Remote work
- ...Blue Cross and Blue Shield of North Carolina is seeking a Consulting Actuary – ACA Risk Adjustment to deliver crucial actuarial and analytical services. This role involves leading pricing strategies, evaluating care management models, and producing actionable insights...
- NYU Langone Hospitals is seeking a Revenue Cycle Systems Analyst in New York. This mid-level position supports revenue cycle software modules and requires a Bachelor's Degree along with 1-2 years of relevant experience. The role involves automating workflows, mentoring...
$70k - $80k
...providers, managed care organizations, and states. As a Revenue Cycle Solutions Analyst, you will focus on the implementation or ongoing maintenance... ...in troubleshooting and data analysis to identify risks and issues and react timely to implement solutions. Thinks...Full timeLocal areaNight shift$60k - $70k
Revenue Cycle Denials Analyst page is loaded## Revenue Cycle Denials Analystlocations: Richmond University Medical Center (Staten Island, NY)time... ...(e.g., Meditech, Epic).* Understanding of Medicaid, Medicare, and commercial payer denial rules.* Ability to communicate...Shift workDay shift$70.48k - $83.34k
...locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free... ...have an exciting opportunity to join our team as a Revenue Cycle Management Analyst (Revenue Cycle-Initiatives). In this role, the successful...$139.8k - $297.9k
...a global leader in insurance broking and risk management, Marsh helps clients succeed by... .... Marsh is searching for an experienced Strategic Risk Advisor role in our Risk Consulting... ...advising clients in 130 countries. With annual revenue of over $27 billion and more than 95,000...Minimum wageFor contractorsWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$110k - $125k
...We strive to generate attractive risk-adjusted returns for our clients across market cycles. Our strategies include Absolute... ..., Private Equity, Credit, and Strategic Partners), and the team's direct... ...opportunities. The team seeks an Investment Analyst for its fundamental equity team...Local areaFlexible hours$85k - $200k
...ensuring compliance with regulations, and collaborating with project managers. Candidates should possess at least five years of risk adjustment coding experience and excellent communication skills. The position offers diverse projects, a chance to work with prominent...Remote workFlexible hours- ...diagnostic coding accuracy and compliance in primary care clinics and Medicare Advantage health plans. This expert role involves reviewing... ...states. Ideal candidates hold relevant degrees and certifications and have experience in risk adjustment coding. #J-18808-Ljbffr...Remote work
$57.79 per hour
...Business Intelligence Analyst II - Revenue Cycle Memorial Sloan Kettering Cancer Center is hiring for a Business Intelligence Analyst II - Revenue... ...to support reporting infrastructure. Identify project risks and impediments; advise management; proactively work with...- ...United Surgical Partners International seeks an RCM QA Analyst responsible for conducting audits across revenue cycle processes ensuring accuracy and compliance. You will collaborate with both offshore and onshore teams, providing quality feedback and identifying areas...
$35.08 - $61.39 per hour
...is seeking a Construction Risk Management Analyst to be based in New York,... ...interests throughout the project cycle. In total, AECOM Tishman... ...Fortune 500 firm that had revenue of $16.1 billion in fiscal... ...Business Group: CM Strategic Business Unit: CM Career...Hourly payContract workFor contractorsInternshipWork at officeLocal areaWorldwideRelocation packageFlexible hours- NYU Langone Health in New York is seeking a Quality Assurance Analyst to oversee quality assurance procedures and enhance business processes... ...candidate will have 1-3 years of experience in a healthcare revenue cycle environment and strong analytical skills. This position offers...
- A leading mental health provider in the United States is seeking an experienced Revenue Cycle Operations Analyst. This full-time position involves supporting the setup, maintenance, and optimization of revenue cycle software and systems. Candidates should have an Associate...Full time
- ...States | Posted on 04/26/2026 The Senior Net Revenue Analyst plays a pivotal role in ensuring the accuracy, integrity, and strategic value of financial data within the... ...departments. With deep expertise in net revenue cycles, reimbursement structures, and financial systems...Contract work
- ...Senior RCM Analyst Location: Fully Remote Job Type:... ...detail-oriented Senior Revenue Cycle Management (RCM) Analyst... ...flag claims at risk of denial by monitoring... ...accuracy of contractual adjustments, write-offs, and allowances... ...-10, NCCI edits, and Medicare methodologies (DRG,...Permanent employmentFull timeContract workRemote work
$100k - $110k
## Senior Analyst, Revenue OperationsApplylocations: New York - New Yorktime type: Full timeposted... ....* Execute quarterly commission cycles using complex, spreadsheet-based models... ...documenting exceptions, disputes, and one-off adjustments.* Route payouts through executive...Work experience placementWork at officeLocal areaRemote workMonday to Friday- ...ChristianaCare is seeking a Senior Net Revenue Analyst to provide support and calculation for... ...accounts receivable within the Revenue Cycle Analytics (RCA) tool (Kodiak RCA) including... ...revenue impact of RCA calculations and adjustments to finance leadership and other...Local areaRemote work
$75k - $95k
...vision. POSITION SUMMARY The Revenue Analyst will serve as a key member of the... ...produce actionable insights, and deliver strategic recommendations that support optimizing... ...dynamic and evolving market landscape, adjusting strategies to meet changing business conditions...Work experience placementSummer workWork at officeRemote workFlexible hours$85k - $90k
...across 8 states. Position Summary The Revenue Analyst is responsible for driving pricing strategy... ..., stay restrictions, and tactical adjustments based on demand patterns, seasonality,... ...to optimize performance through both strategic planning and daily execution. You will...Temporary workLocal areaRemote workMonday to FridayShift workNight shift- Revenue Cycle Applications Support Analyst, Lead/Clinical Business Analyst Lvl 3 - 124962 Under varying levels of... ...optimizing the scope, benefits and risks of actual and proposed projects as... ...and Epic set up, as it relates to Medicare and state requirements (preferably...Full timeWork experience placement
- ...Title: Senior Actuary - Medicare Strategy Location:... ...product, finance, and risk adjustment teams to ensure... ...financial sustainability and strategic alignment. The role... ...teams to support revenue forecasting, coding accuracy... ...REMOTE - Actuarial Analyst II (ACA) - R9791...Full timeWork at officeRemote work
- ...Consulting Actuary – ACA Risk Adjustment As a Consulting Actuary – ACA Risk Adjustment, you will play a pivotal role in delivering a wide... ...timeliness, compliance, and quality of work. Provide proactive and strategic thought leadership to improve processes, reduce risks, and...
- Job Description - Revenue Integrity Analyst III INTEGRIS Health, Oklahoma’s largest... ...for complex revenue cycle issues. This position leads... ...Responsibilities Advanced Revenue Risk Analysis: Leads... ...long-term corrective action. Strategic Charge Capture Leadership:...Contract workTemporary workWork at office
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