Hybrid Risk Adjustment Analyst - Health Finance & Data
MetroPlus
MetroPlusHealth in New York City is seeking a Risk Adjustment Specialist to support data capture for high-risk populations and lead projects ensuring accurate submission to federal and state agencies. You will monitor vendor data, resolve issues, and measure performance across Medicaid, Medicare, and ACA/QHP programs. You will analyze data from the enterprise warehouse, collaborate with internal and external partners, and apply strong analytical and financial skills, with experience in SQL, R, #J-18808-Ljbffr MetroPlus
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Hybrid Risk Adjustment Analyst - Health Finance & Data in New York, NY vacancy
- ...Position Overview Risk Adjustment is a growing and critical field within Health Insurance Finance. This is your opportunity... ...MetroPlusHealth is fully capturing data about our high-risk populations... ...Written/Oral Communication #MPH50 #LI-HybridData
MetroPlusHealth
New York, NY3 days ago $120k - $130k
...Strategic Finance Senior Analyst (Hybrid – OnSite / Remote) Full-time Company Description... ...ride, we aim to redefine health and happiness. It's all... ...identify trends, risks, and opportunities Develop... ...Translate complex financial data into clear, actionable insights...DataFull timeRemote workEquinox
New York, NY5 days ago$80k - $100k
...Designation - This role is hybrid . This means you... ...reports; May make adjustments and improvements... ..., principles of finance and business to... ...calculations; Develops raw data into assumption... ...evaluate risk. • Project Management... ...prescription drug coverage, health care flexible...DataWork experience placementWork from homeFlexible hours$87.7k - $157.8k
...is transforming the health of our communities,... ..., pricing and risk assessment to estimate... ...statistics, principles of finance and business to... ...of statistical data and other pertinent... ...work with remote, hybrid, field or office work... ...Actual pay will be adjusted based on an individual...DataFull timePart timeH1bWork at officeRemote workWork from homeFlexible hours- ...Description Position:Manager of Risk Adjustment AnalyticsLocation: Hybrid (Must Reside in NY/NJ/CT)... ...promote healing, better health and well-being to the... ...adjustment and value-based care data into clear insights that... ...with Performance, Finance, and data engineering teams...DataContract workMonday to Friday
Village Care
New York, NY3 days ago - ...impact.NursingAs a professional and skilled home care nurse with VNS Health, you will flourish in an environment which encourages growth and... ...your expertise and act as their advocate. You will help them adjust to changes and challenges in their lives and to access services...Live in3 days per week
$148.2k - $292.3k
...engagements spanning the entire health care landscape and product... ...predictive modeling, underwriting, and risk analysis methodologies to... ...cutting-edge technology, data, and a blend of deep technical... ...years of experience with risk adjustment mechanisms, group insurance products...DataLocal areaVisa sponsorship$217.16k
...Salary: $217,160.00Job Function: Risk ConsultingEmployer: EY Global... ...Services - IAAS - Life & Health - Manager - Multiple Positions... ...our team-led and leader-enabled hybrid model. Our expectation is for... ...the capital markets. Enabled by data and technology, diverse EY teams...DataFull timeWork experience placementSummer holidayImmediate startMonday to Friday$191.94k - $214.4k
Cigna Health And Life Insurance Company seeks an... ...location to analyze data to estimate risk and financial impact... ...experience studies and adjust assumptions based on... ...trends. Collaborate with finance, underwriting, and... ...professional standards. Hybrid work schedule....DataLocal areaWork from home- ...every ride, we aim to redefine health and happiness. It’s all about... ...Job DescriptionAs part of the Finance Team, you will be a strategic,... ...proactively identify trends, risks, and opportunitiesDevelop KPI... ...alignmentTranslate complex financial data into clear, actionable...DataRemote work
$81.07k - $129.71k
...seeking an Actuarial Analyst to support rating... ...coordinated approach to health program analysis... ...and Marketing, Finance, and Healthcare teams... ...Retrieves and validates data for rate filings... ...support Enterprise Risk Management.... ...Where You'll Work Our Hybrid Flex approach is built...DataWork at officeLocal areaRemote workFlexible hours2 days per weekBlue Cross and Blue Shield of North Carolina
New York, NY4 days ago$128k - $252.5k
...engagements spanning the entire health care landscape and product... ...leveraging cutting-edge technology, data, and a blend of deep technical... ...underwriting and health care finance 2+ years of experience in... ...disclosed range estimate has not been adjusted for the applicable geographic...DataWork at officeLocal areaVisa sponsorship$100.4k - $197.9k
...complex challenges across the health care ecosystem. In this role,... ...leveraging cutting-edge technology, data, and a blend of deep technical... ...underwriting, or health care finance 1 year of experience with... ...disclosed range estimate has not been adjusted for the applicable geographic...DataWork at officeLocal areaVisa sponsorship$108k - $132k
...We don't just provide health insurance—we deliver the... ...the intersection of data, finance, and clinical strategy... ...tech-savvy actuarial analyst interested in enhancing... ...calculating member level risk scores. Support the... ...development of actuarial risk adjusted revenue accruals and...DataWork experience placementWork at officeRemote workFlexible hoursClover Health
New York, NY2 days ago$84.74k - $138.67k
...Position Overview Actuarial Analyst II completes projects and performs... ...note that per our policy on hybrid/virtual work, candidates not... ..., analyzes and models data including risk reporting and forecasting. Minimum... ...Actuarial About Elevance Health Elevance Health is a health...DataContract workTemporary workWork at officeLocal areaDay shift2 days per week1 day per weekThe Elevance Health Companies, Inc.
New York, NY4 days ago$77k - $202k
...SummaryThe OpportunityAs a Health Actuary Consultant -... ...strategies- Utilizing data analytics and benchmarking... ...Systems, Economics, Finance, Financial Mathematics/... ...Organizational Management/Behavior, Risk Management/Insurance,... ...Angeles; MA-Boston; US-Hybrid; NY-New York; CA-San...DataFull timeH1b$65k - $80k
...seeking an actuarial professional for a hybrid role in Columbus, GA. The ideal candidate... ...possess intermediate skills in Excel and data analysis. Compensation for this position... ...comprehensive benefits package including health coverage and paid time off. #J-18808-Ljbffr...Data- At Curana Health, we’re on a mission to radically improve... ...care coordinators, analysts, operators, and... ...cross-functionally with finance, clinical, compliance,... ...reporting cycles Perform risk adjustment modeling, HCC analysis... ...and respond to CMS data systems including HPMS...Data
- ...expanding organization. We offer a flexible, hybrid work environment that allows Associates... ...work. Position Overview The Actuarial Analyst is an entry‑level role within Lockton... ...financial results. Perform calculations and data analysis for routine actuarial...DataWork at officeRemote workFlexible hours
$73.5k - $147k
...by advancing their health, wealth, and careers... ...plans, securing finances for retirement or aligning... ...a Health Actuary - Analyst III which can be... ...- experience in data analysis or financial... ...a global leader in risk, reinsurance and... ...Marsh is committed to hybrid work, which...DataMinimum wageWork experience placementWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- ...based in New York City. This role involves developing dashboards, automating processes, and collaborating with various teams in a hybrid work model. The ideal candidate has over 5 years of experience in property & casualty sectors, proficiency in Python and SQL, along...DataFlexible hours
- Digitas is seeking a Senior Analyst, Media Business Operations to join... ...partners to analyze financial health, reconcile billing, and refine processes. The role is hybrid and based in New York or Boston... ...+ years in media operations or finance within an agency, experience #J...3 days per week
$79.72k - $119.58k
Mount Sinai Health System seeks a Revenue Integrity Analyst for a full-time hybrid position in New York. This role involves managing the Charge Description Master to ensure compliance with healthcare regulations and improve the revenue cycle performance. The ideal candidate...Full time- NRG Energy is seeking an Analyst to join its Power... ...combines strong technical and data analytics, independence... ...Operations, Supply, Finance, Accounting, and Customer... ..., value, and monitor risk around complex energy transactions... ...improvements in a hybrid work environment. #J-1...Data
- ...in New York is seeking a Senior Risk Analyst for 2LoD controls testing and oversight. Hybrid work arrangement with on-site support... ...and internal reporting, data risk and liquidity/capital management... ...collaboration with risk, finance, technology and data teams. Strong...Data
$101.36k - $153.2k
...Portfolio Steering and Cat Risk Analyst for our Marine team... ...management, data quality oversight, and... ...they belong. We offer a hybrid working model, which recognizes... ...for flexible working, health and wellbeing (... ...succeed. If you need any adjustments to be made during the...DataPermanent employmentFull timeWork at officeLocal areaRemote workWorldwideVisa sponsorshipWork visaFlexible hours- SMBC is hiring a Credit Portfolio Analyst in New York to support risk identification and appetite processes for... ...Division. This role involves data analysis, portfolio reporting, and executive... ...PowerPoint are essential. SMBC operates a hybrid workforce model requiring candidates...DataWork at office
- CFA Institute is looking for a Credit Portfolio Analyst to enhance the Risk Identification and Risk Appetite processes for the Americas Division... ...analytics, and advanced Excel skills. The position supports a hybrid work model, allowing for flexibility between remote and in...DataWork at officeRemote work
- ...Associate in New York to contribute to analyses and projects spanning health and group benefit programs. You will interface with vendors and... ...modeling, pricing strategies, and communication skills on cross-functional teams in a hybrid work environment. #J-18808-Ljbffr WTW
$93.5k - $187k
Health Actuary Manager Mercer is looking for a Health... ...Hartford or NYC. This role is hybrid and in the office 3x... ...provide direction to analysts and associates, while... ...reviewing vendor/client data for completeness,... ...science, math, statistics, finance, economics or related field...DataMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Hybrid Risk Adjustment Analyst - Health Finance & Data. Be the first to apply!
Related searches
- risk compliance officer New York, NY
- it risk analyst New York, NY
- governance risk & compliance analyst New York, NY
- transaction risk analyst New York, NY
- senior quantitative risk analyst New York, NY
- operational risk specialist New York, NY
- market risk analyst New York, NY
- operational risk consultant New York, NY
- quantitative risk analyst New York, NY
- third party risk analyst New York, NY