Remote Senior Medicaid Risk Adjustment Analytics Lead
CVS Health Corporation
- Remote job
CVS Health is seeking a Senior Informatics Manager to lead the Risk Adjustment Analytics team in a remote capacity. You will oversee complex data analyses using claims, encounter, and membership data to improve health plan performance and regulatory compliance. You will manage a small team (1-2) and partner with finance, actuary, and analytics to translate findings into actionable strategies, dashboards, and governance processes. #J-18808-Ljbffr CVS Health Corporation
$67.9k - $199.14k
## Healthcare Medicaid Risk Adjustment Analytics, Senior Manager RemoteApplyremote type: Remotelocations: Work At Home-Massachusetts: Work At Home-Arkansas... ...Risk Adjustment Analytics team! In this role, you will lead and execute complex data analyses to drive health plan-...Remote jobSeniorRiskHourly payFull timeTemporary workWork experience placementLocal areaWork from home- ...Summary Provides senior-level analytical support for Medical... ...healthcare data to identify risks, opportunities, and... ...interventions. • Leads projects to... ...• Keeps abreast of Medicaid and Medicare reforms... ...principles such as risk adjustment, capitation, FFS (Fee...Remote workSeniorRiskFull timeWork experience placementWork at office
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...conditions by identifying risk earlier, coordinating thoughtful... ...! Benefits & Perks Hybrid-Remote Flexibility -Work from... ...You'll DoWe are seeking a Lead Analyst, Risk Adjustment Analytics to join our high-... ...presentations, and recommendations to senior leadership, illustrating...Remote workRiskWork at officeWork from homeFlexible hours2 days per week- Strive Health in Seattle, WA is seeking a Lead Actuarial Analyst for their high-... ...should have over 4 years’ experience in risk adjustment analytics and proficiency in Excel and SQL. The... ...comprehensive benefits, including hybrid-remote flexibility. #J-18808-Ljbffr Strive...Remote workRisk
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F-Prime Capital is seeking a Senior Manager, Credit Risk Analytics to develop strategies for improving the performance of credit card portfolios. The ideal candidate will leverage data and machine learning to enhance credit management processes. This role requires a Master...Remote jobSeniorRisk- Prosper is seeking a Senior Credit Risk Analyst to join our Credit Risk team. You will develop credit and fraud strategies using data and machine... ..., and Engineering to implement risk improvements. A strong analytical background and collaboration skills are essential in our...Remote jobSeniorRisk
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Integro Professional Services, LLC is seeking a Risk Manager / Senior Risk Analyst to play a central role in enhancing visibility, reporting... ...Controller-level role. The ideal candidate will have 4+ years of analytical experience, advanced skills in Excel and SQL, and...Remote jobSeniorRisk$99.2k - $140.1k
A financial institution in Chicago is seeking a Lead Credit Risk Analyst to develop credit policies and strategies. Candidates should have... ...and at least two years of experience in credit risk or analytics. Responsibilities include analyzing risk factors, collaborating...Remote jobSeniorRiskWork from home- ...Data Analyst to develop complex BI solutions and support data strategy through dashboards, reports, and analytics. The role emphasizes analysis of Medicare risk adjustment data and collaboration with DBAs, data modelers, and EMRs. You will develop and maintain SQL scripts...Remote jobSeniorRisk
$105k - $115k
...Description We’re looking for a full-time Senior Revenue Analytics Lead to join our Sales team reporting to... ..., Revenue Operations. This role is a remote role based in the United States. In... ...reporting. ~Proactively surface risks and opportunities, moving from...Remote workSeniorRiskFull timeFlexible hoursWeekend work$112.8k - $257k
...to bring advanced strategic, analytical, and managerial skills to our... ...identify vulnerabilities, assess risk, and recommend strategies to... ...Experience coordinating with senior government and military leaders... ...the posting date. Work Model Remote: If this position is listed as...Remote workSeniorRiskWork at officeLocal area- ...GOAT Group is seeking a Senior Manager in Fraud Analytics and Risk to drive the fraud lifecycle management. This role involves designing and optimizing detection strategies while collaborating cross-functionally to present key findings to leadership. The ideal candidate...Remote workSeniorRisk
$142k - $175.35k
...our 20,000+ customers. Remote First Culture, Genuine... ...Detailed Performance Analytics: Independently conduct... ...growth goals while managing risk. Creative Development... ...creative briefs and lead cross-functional collaboration... ...and recommendations to senior leaders and collaborate...Remote workSeniorRiskTemporary workWork experience placementLive inLocal areaHome officeFlexible hours2 days per week3 days per week- Scorpion is seeking a Senior Client Experience Analyst to partner with the VP of Client Experience... ...data, feedback, and signals to uncover risks and drive enterprise-wide improvements.... ...into action across onboarding, engagement, and renewals. #J-18808-Ljbffr Remote JobsRemote workSeniorRisk
- ...Senior Actuary, Health Plan Analytics Remote Opportunity About Reveleer Reveleer delivers... ...platform spanning risk adjustment, quality improvement, clinical... ...a senior actuary to lead health plan and risk... ...Affordable Care Act (ACA), Medicaid, and provider value-based...Remote workSeniorRiskFull timeContract workLocal area
- Suncoast Credit Union is looking for a Senior Fraud Analyst to engage in fraud prevention and risk management. This role involves evaluating trends, conducting... ...Power BI. This position offers flexibility as it's remote based in Florida. #J-18808-Ljbffr Suncoast Credit...Remote jobSeniorRisk
$212k - $333.19k
...shine? Join us as a Senior Director, Global Program Lead- Neuroscience in... ...LeadershipStrategic VisionStrong Analytical... ...timelines change and risks to TA Unit or and Takeda... ...marketplace; directs adjustments in functional or... ...Takeda’s Hybrid and Remote Work policy.Empowering...Remote workSeniorRiskMinimum wageTemporary workWork at officeLocal area- ...SQL. You will create AbInitio Graph and Plan designs, mentor a small team, and partner with business users to onboard data for Market Risk platforms. The role requires extensive AbInitio, big data and ETL experience, with the ability to drive performance, quality and end...Remote jobSeniorRisk
$198.22k - $297.33k
Role Description The Sr. Director, Risk Adjustment Data & Analytics (Remote) is a senior technical and operational leader responsible for advancing the integrity... ...reconciliation workflows to operate at scale. ~Lead MRA Data Operations and Ecosystem Quality. ~Own the...Remote workSeniorRiskFull timeWork experience placement- ...Description We are seeking a Senior Network Engagement Lead who will be... ..., and adoption risks to the SAM. ~Work... ...behavioral health, Medicaid, and other government... ...technologies. ~Strong analytical and problem-solving... ...effectively in a remote-first environment, ensuring...Remote workSeniorRiskFull time
- Mathematica is seeking a senior-level expert to lead Medicaid and CHIP programs, guiding policy... ...or 15+ years as a Principal Researcher, with strong analytic and communication skills and a proven track record in business development and client #J-18808-Ljbffr Remote JobsRemote workSenior
$115.4k - $192.3k
What we do at LexisNexis Risk SolutionsLexisNexis... ...power of data and advanced analytics to help our customers... ...roleAs an Analytics Team Lead, you will provide... ...LocationUnited States (Remote)Who is the ideal candidate... ...requires accommodation or adjustment, please let us know by...Remote workRiskFull timeLocal areaImmediate start- 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...Remote jobSeniorFlexible hours
- ...Role Overview Lead the evaluation and improvement... ...codes and recommend risk adjustment actions, ensuring clinical... ...Medicare Advantage, Medicaid managed care, and ACA... ...with risk adjustment analytics platforms and chart retrieval... ...Terms Location: Remote. Engagement type:...Remote workRiskHourly pay
- ...Blue Cross Blue Shield of Nebraska is seeking a Healthcare Analytics professional to analyze healthcare data for Risk Adjustment programs, evaluate performance, and drive actionable insights for intervention planning and decision‑making. The role supports reporting, forecasts...Remote workRisk
$110 per hour
...technical talent with leading AI research labs. Headquartered... .... Position: Risk-adjustment / HCC coding leader... .../hour Location: Remote Role Responsibilities... ...Advantage , Medicaid , and ACA risk adjustment... ...with risk adjustment analytics platforms and chart retrieval...Remote workRiskContract workSummer work- ...A leading consulting firm seeks a Governance, Risk, and Compliance (GRC) leader to advance their programs. This remote role requires 5–7 years of experience in GRC with relevant certifications... ...with various regulations. Strong analytical and communication skills are...Remote workSeniorRisk
- ...administrators and a strong background in risk management. Candidates should have a... ...field and a valid Workers Compensation Adjuster's License. Responsibilities include invoice... ...regulatory compliance. Strong financial, analytical skills, and proficiency in tools like...SeniorRisk
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