Senior Risk-Adjustment Actuary - Medicare Advantage Revenue
Oliver James Associates Ltd.
Oliver James Associates Ltd. is seeking a Senior Actuarial Analyst or Manager for a U.S. primary care platform focused on value-based care. You will develop models to forecast risk-adjusted revenue and analyze trends in Medicare Advantage contracts. This role demands ASA/FSA designation and experience in health actuarial roles. Join a progressive business that offers a high-impact and rewarding experience. #J-18808-Ljbffr Oliver James Associates Ltd.
- ...features. Position Title: Senior Actuary - Medicare Strategy Location: Remote... ...primary focus on Medicare Advantage. It involves close collaboration... ...product, finance, and risk adjustment teams to ensure financial... ...adjustment teams to support revenue forecasting, coding...SeniorRiskFull timeWork at officeRemote work
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...Overview As a PwC Healthcare Consulting Actuary, you will be part of our exciting,... ...financial reporting, data analysis, and risk adjustment. Helping companies define and evaluate... ...plan’s coding procedures and optimize its revenue stream. Creating a strategic roadmap with...SeniorRiskH1b- Oasis Health Partners seeks a Head of Risk Adjustment/Coding Operations to oversee strategy, design, and performance of their risk adjustment... ...Qualified candidates will have significant experience in Medicare Advantage risk adjustment and proven leadership in coding...SeniorRiskRemote job
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$85k - $200k
...seeks a Sr. Associate to utilize their expertise in coding, revenue cycle, and clinical operations. Responsibilities include coding... ...with regulations. Candidates should be certified in Risk Adjustment Coding (CRC) with strong analytical and communication skills....SeniorRiskRemote work$77.76k - $149.04k
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...people deserve. The Actuarial team at Clover is... ...work that informs revenue, pricing, and long... ...strategy. As a Senior Actuarial Analyst,... ...calculating member level risk scores. Support... ...of actuarial risk adjusted revenue accruals... ...serve as a trusted Medicare Risk Adjustment...SeniorRiskWork experience placementWork at officeRemote workFlexible hours$77k - $202k
PRICE WATERHOUSE COOPERS is seeking a Healthcare Consulting Actuary in New York. The ideal candidate will offer strategic and analytic... ...healthcare clients, focusing on pricing, underwriting, and risk adjustment in various healthcare projects. With a Bachelor’s degree and...SeniorRisk- ...RevUp Rental We are seeking an experienced Revenue Manager in the vacation rental industry... ...sets to identify opportunities and risks. • Adjust pricing and rules dynamically in PriceLabs... ...other characteristic protected by law. Seniority level Seniority level Mid-Senior level...SeniorRiskFull timeLocal areaRemote workNight shift
- ...strategic, high-impact actuarial leader to serve as... ...- Actuary, Medicare. This role provides... ...government program risk, reserve adequacy,... ...multi-billion-dollar revenue streams, pricing,... ...for senior leadership and the... ...pricing, and risk adjustment. Strong leadership...RiskRemote work
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Blue Cross and Blue Shield of North Carolina is seeking a Senior Data Analyst with expertise in Affordable Care Act (ACA) Risk Adjustment. You will collaborate with business stakeholders and technical teams, ensuring accuracy in EDGE data submissions and analysis. The position...SeniorRiskRemote jobWork at office$67.9k - $199.14k
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...an exciting opportunity for a Senior Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you... ...role partners across finance, actuary, and analytics teams to support... ...healthcare programs (Medicaid, Medicare, and/or ACA) Advanced technical...SeniorRiskHourly payFull timeTemporary workWork experience placementLocal areaRemote work- CVS Health in Pennsylvania is looking for a Senior Informatics Manager to lead the Risk Adjustment Analytics team. You will be responsible for executing complex data analyses, integrating insights to improve healthcare quality outcomes and financial performance. The ideal...SeniorRiskRemote job
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$85k - $200k
...comprised of clinicians, certified coders, revenue cycle, and operations professionals.... ...for development in a variety of risk adjustment related areas. Qualifications: Certified... ..., state and federal regulations, and Medicare Part D requirements. Excellent written...SeniorRiskRemote work$210k - $240k
...connects clinical context with revenue intelligence, helping health... ...point for complex or high‑risk integrations, providing hands... ..., with at least 5 years in a senior leadership role (responsible... ...Traditional & Roth Options - Tax‑advantaged retirement savings through...SeniorRiskRemote work- ...of relationships. Develop and refine actuarial models and frameworks to aid in product... ...and modeling, including frameworks like risk-based capital (RBC). Analyze earnings... ...required. Work collaboratively with senior leadership and various departments, such...SeniorRiskWork at office
$23.25 - $24.75 per hour
...Overview A Senior Revenue Cycle Specialist is a member of the Revenue Cycle team within the... ...errors and handles exceptions of limited risk and complexity. Identifies opportunities... ...to identify gaps and make necessary adjustments. Serves as a key point of contact for other...SeniorRiskHourly payWork at officeImmediate start
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