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
$68.9k - $99.62k
...reimbursement changes. Gather data and conduct ad hoc analyses... ...institution with a concentration in Finance, Accounting, Business,... ...reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-... ...previous work experience with a Health insurance company. Knowledge...DataContract workTemporary workWork experience placementWork at office- ...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
$33.88 - $42.35 per hour
...Participates in and supports the Medicare Risk Adjustment team-based environment to educate... ...a model of care focused on quality and health outcomes. Works internally to leverage clinical... .... Completes monthly internal data validation of sampled Risk Adjustment diagnoses...DataContract workWork experience placementFlexible hours$120k - $130k
...Strategic Finance Senior Analyst (Hybrid – OnSite / Remote) Full-time Company... ...every ride, we aim to redefine health and happiness. It's all... ...proactively identify trends, risks, and opportunities Develop... ...complex financial data into clear, actionable insights...DataFull timeRemote work- Mercer is seeking a Health Actuary - Analyst III to join our New York office. You will manage health benefits client projects, develop financial projections, and collaborate with senior team members to deliver actionable insights. The role emphasizes analytical rigor and...DataWork at office
- ...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
$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$180.2k - $355.1k
...engage with executives across the health care landscape, ranging from... ...modeling, underwriting, and risk analysis methodologies to support... ...cutting-edge technology, data, and a blend of deep technical... ...years of experience with risk adjustment mechanisms, group insurance products...DataLocal areaVisa sponsorship$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 week- ...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
$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$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- ...a P&C Reinsurance Pricing Actuary based in Pennington, NJ with hybrid or remote work options. You will support Casualty pricing, profitability... ...US and contribute to Hamilton Re and Hamilton Select with data-driven analyses and project work, including reserving and...DataRemote job
- ...professional development within a Fortune 500 company. You will engage in data analysis, scenario testing, and model development, communicating... ...ASA designation and strong actuarial knowledge while working a hybrid schedule near Columbus, GA or #J-18808-Ljbffr DTLA BenefitsData
- ...models, and collaborating across functions. The ideal candidate has a strong data science background along with at least 4 years of actuarial experience and proficiency in SQL and VBA. This full-time position offers a hybrid work environment. #J-18808-Ljbffr Acumen GroupDataFull time
$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- 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
- Blue Cross NC is seeking a Senior Actuarial Analyst to join our Medical Economics Enablement... ...skills to transform healthcare data into actionable insights that support affordable... ...strong BI and data analysis skills, with a hybrid-flex/remote work model and competitive...DataRemote workFlexible 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
$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$92.88k - $178.2k
...with Senior Product Management and Finance to analyze financial performance of... ...(e.g., CMS, New York Department of Health). Work closely with Risk Adjustment and other areas. Advise and develop... ..., Access, PowerPoint, Outlook); data extraction, simulations, automation...DataWork experience placement$73.4k - $81.1k
...Financial Analyst This is a hybrid position requiring one day a month... ...the GRAMMY Museum's Finance team, you will also... ...department heads to develop, adjust and track performance... .... Familiarity of data analytics software(s)... ...to safeguard the health and well-being of all...DataWork at officeLocal area- 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
- ...Group is seeking a Credit Portfolio Analyst in New York. This role involves supporting the Risk Identification processes for the... ...credit risk analytics, with a focus on data manipulation and presentation skills. This position offers a hybrid work model and a competitive...Data
- MetroPlusHealth in New York City is seeking a Risk Adjustment Specialist to support processes and lead projects to ensure data for high-risk populations is accurately captured and submitted to federal and state agencies. You will work independently with internal partners...Data
- Windcave is seeking an energetic Risk Monitoring Analyst for its Acquiring team in New York City, NY. The role offers a hybrid work arrangement with two remote days... .../merchant services, a business/finance-related degree, and strong data-entry accuracy. You’ll join a fast...DataRemote work
- PopUp Bagels is seeking a Financial Analyst to join the FP&A team in a hybrid NYC role. You will support budgeting, forecasting, and reporting across multi-unit operations, translating store data into actionable insights for leadership. Reporting to the FP&A Manager, you...Data
£60k per year
...Consultancy Limited is seeking an experienced FP&A Analyst for a full-time permanent role based near... ...handle financial modelling, reporting, data extraction and consolidation, rolling... ...around £60,000, with a pension scheme, hybrid working, 25 days’ annual leave plus bank...DataPermanent employmentFull time- Sr. Business Analyst (IT, Finance)- Insurance - Hybrid Direct message the job poster from PMO Partners, LLC Please make sure you are local to one of these... ...business requirements, informational needs and data sources. Translate these into clearly defined business...DataFull timeContract workWork at officeLocal area3 days per week
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