Remote Medicare Risk Adjustment Analytics Lead
GuideWell
- Remote job
GuideWell is looking for a Sr. Manager in Health Business Analytics focused on Medicare Risk Adjustment. The role involves leading teams to optimize risk adjustment programs while ensuring regulatory compliance. The ideal candidate will have over 8 years of related experience, strong analytical skills, and the ability to manage complex information effectively. A supportive environment with comprehensive benefits is offered, reinforcing GuideWell’s mission of delivering personalized care. #J-18808-Ljbffr GuideWell
- 4062 Aetna Resources, LLC is seeking a Senior Informatics Manager to lead their Risk Adjustment Analytics team in Massachusetts. This role requires extensive experience in healthcare analytics, focusing on performance improvement through data analysis. The ideal candidate...Remote jobRisk
- 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
- ...Alignment Healthcare USA, LLC is seeking a Sr. Director, Risk Adjustment Data & Analytics (Remote) to lead MRA data operations. This senior role is pivotal in... ...data that supports strategic decision-making in Medicare initiatives. Ideal candidates will have 7-10 years of...Remote jobRisk
- Blue Cross and Blue Shield of Massachusetts Inc. is looking for a Director of Risk Adjustment Data & Analytics to lead the analytics team and oversee all aspects of Medicare risk adjustment reporting. The role involves developing strategies for data analytics, ensuring...Risk
$99k - $124k
Strive Health Services LLC is seeking a Lead Actuarial Analyst, MA Risk Adjustment to join their Seattle team. In this... ...years of experience in risk adjustment analytics and at least 3 actuarial exams completed. Enjoy hybrid-remote work options and a competitive salary...Remote jobRisk$67.9k - $199.14k
...a Senior Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will lead and execute complex data analyses to drive health... ...government-regulated healthcare programs (Medicaid, Medicare, and/or ACA) Advanced technical skills in Google Cloud...Remote workRiskHourly payFull timeTemporary workWork experience placementLocal area- Strive Health, LLC is looking for a Lead Actuarial Analyst in Raleigh, NC to evaluate financial performance and guide data-... ...improvements. The role requires 4+ years of experience in risk adjustment analytics along with strong skills in SQL and Excel. You’ll be responsible...Remote jobRisk
$99k - $124k
Strive Health Services LLC in Chicago is seeking a Lead Actuarial Analyst, MA Risk Adjustment, to evaluate financial performance and translate data into... ...will have 4+ years of experience in risk adjustment analytics, a Bachelor's in a quantitative field, and proficiency...Remote jobRisk$119.4k - $194k
Sr. Manager Health Business Analytics, Medicare Risk Adjustment - Remote United States (Remote) Job Info Job Identification 41578 Posting Date 06/23/202... ...Advantage (MA) risk adjustment programs. This position will lead the design, planning, measurement, predictive analytic...Remote jobRiskFull timeTemporary workPart timeWork experience placementInternshipSeasonal workShift work$99k - $124k
...conditions by identifying risk early, coordinating... ...Benefits & Perks Hybrid-Remote Flexibility - Work from home... ...You’ll Do We are seeking a Lead Actuarial Analyst, MA Risk Adjustment to join our high‑performing... .... Who You Are A highly analytical problem‑solver with a...Remote workRiskWork at officeWork from homeFlexible hours- Ultimate.ai is seeking an experienced Fraud Risk Analyst to drive fraud strategy and analytics. This role involves analyzing data trends, designing fraud prevention rules, and developing predictive models. The ideal candidate has over 8 years in financial crime or fraud...Remote jobRisk
$198.22k - $297.33k
Job Overview Sr. Director, Risk Adjustment Data & Analytics (Remote) is a senior technical and operational leader... ..., and strategic value of Medicare Risk Adjustment (MRA) data and analytics... ...operate at scale. Key Responsibilities Lead MRA Data Operations and Ecosystem...Remote workRisk- Mercor seeks a Risk Adjustment and HCC Coding leader to guide operations for Medicare Advantage and Medicaid risk adjustment programs. The role involves leading coding operations, evaluating AI-generated outputs, and ensuring compliance with CMS guidelines. Ideal candidates...Remote jobRisk
- ...institution is seeking a professional for a risk management role that involves analyzing... ...Candidates should exhibit strong communication and analytical skills and have advanced proficiency in tools like MS Excel and SQL. This is a remote role with a competitive compensation...Remote jobRisk
- Upstart is seeking a Principal Credit Analytics professional in Austin, Texas, to lead analytics that inform portfolio strategy and funding decisions. The role involves building frameworks for credit forecasting and collaboration with machine learning and product teams...Remote jobRisk
- Mercor is seeking Risk Adjustment and HCC Coding leaders to enhance AI tools improving Medicare and Medicaid coding accuracy. The role demands expertise in HCC methodology... ...CMS compliance. The successful candidate will lead risk adjustment operations, oversee coding...Remote jobRisk
- The Commonwealth of Pennsylvania is seeking a Risk Assessment Executive Financial Associate to join their Bureau of Audits. This full... ...concerns. The ideal candidate will demonstrate strong analytical skills and a detailed understanding of financial practices, along...Remote jobRiskFull timeWork at office
- Mercor is seeking a Risk Adjustment and HCC Coding leader in Louisville, KY to enhance AI systems for risk score accuracy in Medicare Advantage and Medicaid. The role requires at least 5 years of relevant experience, with leadership skills in risk adjustment coding. The...Remote jobRisk
$160k - $190k
A leading identity verification company is seeking an analyst to join their Solution Analytics team. This remote role requires 5 years of experience in the credit space, with strong analytical and communication skills. The analyst will conduct client discovery calls, strategize...Remote jobRisk- Upstart is hiring a Senior Manager, Risk Analytics in Columbus, OH to build and own the Risk team's data and analytics program. This role will... ...of data modeling. Upstart offers competitive compensation, remote work options, and generous benefits including equity compensation...Remote jobRisk
$190k - $210k
...growth. Where we work Owner is a remote-first, global company... ...the products that drive it. The CS analytics function has already built churn risk signals, CSM engagement scoring, and... ...using a data-backed approach, and leading the follow-through. As a Lead, Customer...Remote workRiskWork at officeLocal area$164k - $224k
Affirm is seeking a candidate for a critical role in its Risk & Analytics team. This position focuses on credit strategy while leveraging data analytics to drive insights and optimize decision-making. The ideal candidate will work cross-functionally across teams to manage...Remote jobRiskFlexible hours$120k - $150k
Integro Professional Services, LLC is seeking a Risk Manager / Senior Risk Analyst to play a central role in enhancing visibility,... ...Controller-level role. The ideal candidate will have 4+ years of analytical experience, advanced skills in Excel and SQL, and experience...Remote jobRisk$120k - $150k
...Professional Services, LLC is seeking a Risk Manager/Senior Risk Analyst to join the team... ...candidate will have over 4 years of analytical experience in a high-growth environment,... ...automotive F&I data. This hybrid role offers remote flexibility and aims to support national...Remote jobRisk$110k - $145k
Citizens Bank is hiring a Credit Risk Professional in Cincinnati to manage credit strategy and analytics for the Home Equity Credit Risk Team. This role involves generating... ...work schedule of 4 days on-site and 1 day remote and a competitive salary range of $110,000 to $...Remote workRisk- RELX INC is looking for an Analytics Team Lead to provide technical leadership across analytics engagements. The position involves using global... ...SQL skills, and a quantitative background. This position is remote, offering a competitive salary range of $115,400-$192,300...Remote jobRisk
- ...Adjunct Faculty (Section Lead) Pool - Online Business Analytics Courses-4 The Raymond A. Mason School of Business at William & Mary is recruiting a... ...notify the Faculty Lead when a student is unresponsive or at risk of failing. Meet weekly with the Faculty Lead during...Remote workRiskPart timeWork at office
- ...Summary: This role leads a team of... ...Manage regulatory risk assessments and drive... ...validation and operations, analytical and... ...with flexibility for remote work as agreed with... ...at -usrecruitment.adjustments@gsk.com GSK is... ...visit the Centers for Medicare and Medicaid...Remote workRiskContract workLocal area
$115.4k - $192.3k
RELX INC is looking for an Analytics Team Lead in Atlanta, Georgia to provide technical leadership across analytics projects. You will leverage... ...communicate effectively with stakeholders. The position is remote and offers a competitive salary range of $115,400 - $192,300...Remote jobRisk$156.5k - $181k
...FinTech) is seeking an experienced Modeling & Analytics Lead to join our team of talented professionals. This is a full-time remote opportunity. U.S. FinTech built and... ...Client focused Ownership mentality Strong risk management mindset Partners well with peers...Remote workRiskFull timeH1b
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