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

Senior Risk-Adjustment Actuary - Medicare Advantage Revenue

Oliver James Associates

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

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Senior Risk-Adjustment Actuary - Medicare Advantage Revenue in New York, NY vacancy
  •  ...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... 
    Senior
    Risk
    Full time
    Work at office
    Remote work

    Selby Jennings

    New York, NY
    2 days ago
  •  ...full-time Client Service Liaison responsible for managing the Medicare revenue cycle for PACE programs. This role requires collaboration...  ...least an Associate Degree and three years of experience in risk adjustment. The position includes a comprehensive benefits package... 
    Risk
    Full time

    ExactCare Pharmacy

    New York, NY
    4 days ago
  •  ...Health is hiring an experienced Health Plan Actuary in Idaho to support financial and analytical functions across Medicare Advantage lines. The ideal candidate has strong...  ...Responsibilities include leading bid development, risk adjustment modeling, and collaborating with finance... 
    Risk

    Curana Health

    New York, NY
    1 day ago
  • Curana Health, Inc. is hiring a Health Plan Actuary to support critical financial and regulatory functions across Medicare Advantage lines. The ideal candidate will lead CMS bid development, perform risk adjustment modeling, and translate complex actuarial findings for... 
    Risk

    Curana Health, Inc.

    New York, NY
    2 days ago
  • $98.2k - $130.8k

     ...services in support of optimizing risk adjusted revenue, maintaining compliance...  ..., including Finance, Medicare Operations, Network Management...  ...identifies trends in data. Informs Actuarial leadership of findings and...  ...experience with Medicare Advantage Risk Adjustment preferred... 
    Senior
    Risk
    Work experience placement
    Flexible hours

    VNS Health

    New York, NY
    3 days ago
  • $162k - $302.4k

     ...product strategy for Medicare and State-...  ...Enterprise Government Actuarial Areas, which...  ...$2.5 billion in revenue. Key influencer...  ...tracking. Support risk adjustment team, including...  ...filing of Medicare Advantage bids. Oversee...  ...present results to senior management and... 
    Risk
    Work experience placement

    EmblemHealth

    New York, NY
    3 days ago
  • $150k - $185k

     ...Actuary / Senior Actuary New York, New York, United States Actuary /...  ...help businesses tackle cyber risk head on. By combining industry...  ...and mid-size businesses with revenue under $2B, providing an integrated...  ...manage risk related KPIs and adjust pricing to drive profitable... 
    Senior
    Risk

    At-Bay

    New York, NY
    2 days ago
  • $77k - $202k

    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... 
    Senior
    Risk
    H1b

    PRICE WATERHOUSE COOPERS

    New York, NY
    5 days ago
  •  ...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... 
    Risk

    Blue Cross and Blue Shield of North Carolina

    New York, NY
    1 day ago
  •  ...Consulting Actuary – ACA Risk Adjustment As a Consulting Actuary – ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of...  ...Adjustment transfer forecasting and explanation of results to senior leadership (highly preferred). Strong understanding of... 
    Risk

    Blue Cross and Blue Shield of North Carolina

    New York, NY
    1 day ago
  •  ...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... 
    Risk
    Remote work

    Confidential Jobs_PP

    New York, NY
    2 days ago
  • $77.76k - $149.04k

     .... Coordinate the actuarial staff as needed to support...  ...Work closely with Senior Product Management and...  ...Work closely with Risk Adjustment and other areas to optimize...  ...Emblem's premium revenue for these segments....  ...reports accountable for Medicare and State Sponsored areas... 
    Risk
    Work experience placement
    Remote work

    EmblemHealth

    New York, NY
    1 day ago
  • $101k - $133k

    DW Simpson Global Actuarial & Analytics Recruitment is seeking a highly technical Actuary based in New York, NY. The successful candidate will focus on risk adjustment within Affordable Care Act (ACA) markets, requiring strong knowledge of core health insurance concepts... 
    Risk

    DW Simpson Global Actuarial & Analytics Recruitment

    New York, NY
    4 days ago
  • $110k - $230k

     ...JOB TITLE Senior Actuary EMPLOYER A-CAP Services LLC DEPARTMENT Finance REPORTS TO Chief Actuary LOCATION Onsite in New York City ABOUT...  ...This commitment is demonstrated through the industry-leading risk-adjusted returns we achieve, and the innovative capital solutions we... 
    Senior
    Risk
    Full time
    Temporary work
    Immediate start
    Work visa
    Monday to Friday

    A-CAP

    New York, NY
    3 days ago
  • $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... 
    Senior
    Risk
    Remote work
    Flexible hours

    Ankura

    New York, NY
    3 days ago
  • $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.... 
    Senior
    Risk
    Remote work

    Ankura

    New York, NY
    1 day ago
  • $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... 
    Senior
    Risk

    PRICE WATERHOUSE COOPERS

    New York, NY
    5 days ago
  • $89.17k - $142.68k

     ...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... 
    Senior
    Risk
    Work at office
    Remote work

    Blue Cross and Blue Shield of North Carolina

    New York, NY
    4 days ago
  •  ...Blue Cross and Blue Shield of North Carolina is looking for a Senior Data Analyst skilled in Affordable Care Act (ACA) Risk Adjustment. This role will be essential in ensuring the accuracy and completeness of EDGE data submissions. The ideal candidate should possess strong... 
    Senior
    Risk
    Work at office
    Remote work

    Blue Cross and Blue Shield of North Carolina

    Brooklyn, NY
    3 days ago
  • $89.17k - $142.68k

    Blue Cross and Blue Shield of North Carolina is seeking a highly skilled Senior Data Analyst who specializes in ACA Risk Adjustment and EDGE submissions. You will act as a liaison between business and technical teams to ensure data accuracy and reporting. This role requires... 
    Senior
    Risk
    Remote job

    Blue Cross and Blue Shield of North Carolina

    Brooklyn, NY
    4 days ago
  • $89.17k - $142.68k

    Blue Cross and Blue Shield of North Carolina is seeking a Senior Data Analyst with expertise in ACA Risk Adjustment and EDGE data submissions. The role requires strong experience in data flows and analytical validation. You'll prepare complex data for various stakeholders... 
    Senior
    Risk
    Remote job

    Blue Cross and Blue Shield of North Carolina

    New York, NY
    4 days ago
  •  ...disputes, navigating crises, managing risk and optimizing performance, our...  ...Practice is looking for Life Actuaries with 10+ years of experience. As a Senior Director, you will be responsible...  ...Company generated $3.7 billion in revenues during fiscal year 2024. In certain... 
    Senior
    Risk
    Full time
    Work at office
    Flexible hours

    FTI Consulting

    New York, NY
    3 days ago
  • $108k - $132k

     ...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...  ...as a trusted Medicare Risk Adjustment partner... 
    Senior
    Risk
    Work experience placement
    Work at office
    Remote work
    Flexible hours

    Clover Health

    New York, NY
    2 days ago
  •  ...A healthcare technology firm is seeking a Senior Product Manager to lead the strategy and execution of a risk adjustment product. The ideal candidate should have 5-7 years of experience in product management within healthcare, a strong understanding of Value-Based Care... 
    Senior
    Risk
    Remote work

    Intus Care

    New York, NY
    1 day ago
  • $115k - $125k

     ...About The Role We are seeking a Senior Revenue Operations Specialist to join our global Revenue...  ...departures, including the setup and adjustment of quotas, commission plans, territory...  ...and CSM teams using Clari to identify risks and ensure numbers are accurate. AI Orchestration... 
    Senior
    Risk
    Temporary work

    Menlo Ventures

    New York, NY
    4 days ago
  • Hispanic Alliance for Career Enhancement, in collaboration with CVS Health, is looking for a Senior Informatics Manager for the Risk Adjustment Analytics team. This role involves complex data analyses to drive risk adjustment performance, leading a small team, and evaluating... 
    Senior
    Risk
    Remote job
    Full time

    Hispanic Alliance for Career Enhancement

    Brooklyn, NY
    2 days ago
  • $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... 
    Senior
    Risk
    Remote work

    SmarterDx

    New York, NY
    1 day ago
  • $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... 
    Senior
    Risk
    Remote work

    Ankura

    New York, NY
    2 days ago
  • $104k - $156k

     ...LE05 Public Consulting Group LLC (Health) is seeking an individual contributor for a remote role focused on risk prediction and financial planning. Candidates must have a Bachelor’s degree and at least five years of relevant experience. This position involves designing... 
    Senior
    Risk
    Remote work

    LE05 Public Consulting Group LLC (Health)

    New York, NY
    1 day ago
  •  ...North American Risk Services is seeking a Senior Level Bodily Injury Claims Adjuster to manage complex claims. This remote opportunity requires expertise in litigation, negotiation, and claims adjusting. Ideal candidates have at least 5 years of relevant experience and... 
    Senior
    Risk
    Remote work

    North American Risk Services

    New York, NY
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Risk-Adjustment Actuary - Medicare Advantage Revenue. Be the first to apply!