Data-Driven Risk Adjustment Analyst
MetroPlusHealth
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 and external vendors to monitor data submission, identify and fix errors, and track acceptance rates to drive timely, compliant reporting across Medicaid, Medicare and ACA/QHP lines. #J-18808-Ljbffr MetroPlusHealth
$33.88 - $42.35 per hour
...Participates in and supports the Medicare Risk Adjustment team-based environment to educate... ...situations. Completes monthly internal data validation of sampled Risk Adjustment diagnoses... ...and/or be independently self-driven to complete day to day tasks required Ability...DataContract workWork experience placementFlexible hours- 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...Data
$68.9k - $99.62k
...evaluate the impact of provider reimbursement changes. Gather data and conduct ad hoc analyses as directed by other department team... ...care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (...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... ...and lead projects to ensure MetroPlusHealth is fully capturing data about our high-risk populations and submitting accurate information...Data
$127k - $140k
...Job Duties:Associate, Enterprise Risk with Goldman Sachs & Co. LLC in New York, New... ...development and implementation of strategic adjustments that ensured full adherence to new... ...related risks and formulated actionable data-driven recommendations, enhancing operational effectiveness...DataWork at office$101.36k - $153.2k
...a Portfolio Steering and Cat Risk Analyst for our Marine team based in... ...modelling, accumulation management, data quality oversight, and... ...teams can make confident, data‑driven decisions within clear... ...to succeed. If you need any adjustments to be made during the application...DataPermanent employmentFull timeWork at officeLocal areaRemote workWorldwideVisa sponsorshipWork visaFlexible hours- JPMorgan Chase seeks a Capital Risk Analyst for its Risk Management and Compliance group in New York. You will monitor capital metrics, support... ...with insights, and drive improvements leveraging AI and data analytics. The role emphasizes independent analysis, risk assessment...Data
$85 per hour
...consulting opportunity for United States-based healthcare coding and risk adjustment professionals experienced in HCC coding, Medicare Advantage... ...preparation, audit response workflows, and risk adjustment data validation requirements Review risk adjustment KPIs such as...DataRemote jobHourly payWeekly payContract workPart timeFor contractorsFlexible hours$67.7k - $86.3k
...The Opportunity: The Senior Risk Prevention Analyst - Overnight Shift provides operational... ...using transaction data, machine learning, and analytics... ...analysis, and develop data-driven fraud defenses. Collaborate... ...,300.00 Actual Pay will be adjusted based on experience and...DataWork at officeLocal areaRemote workMonday to FridayFlexible hoursNight shift$163.6k - $245.4k
...Senior Valuation Risk Manager Citi is looking for a Senior Valuation... ...by applying advanced data analytics and technology solutions... ...Monitor and challenge valuation adjustments, independent price verification... ...-impact work in a performance-driven environment that values...DataFull timeWork at officeRemote work- ...Engineering, Business Intelligence, Data Management, SOA, BPM, Data... ...(2011). We are a project-driven firm that reliably meets the IT... ...keenness.Job DescriptionRisk Analyst Quant Background8 monthsNYC, NYmust... ...is a must.Description:Ops risk, wholesale credit risk, market...DataLocal areaWorldwide
- K-Dimensional Holdings Inc. dba Coast, based in New York, is seeking a data-driven professional to analyze data and refine credit risk policies for underwriting and credit decisions. You will help build robust risk infrastructure and reporting frameworks, partnering with...DataRemote job
- ...strategies and product design on a modern actuarial platform. You will collaborate with underwriters, software and data engineers, and reinsurers to build analytics-driven pricing actions and compelling data stories. With a focus on real business impact, you’ll drive model...Data
- ...degree1+ years’ experience in risk management in any industry sector... ...decision making based on data, facts, and logical reasoning... ...language(s), with the ability to adjust your style to suit different perspectives... .... Through data and analytics-driven scenario planning and stress-...DataApprenticeshipWork at officeLocal areaImmediate startEasy work
$80.64k - $120.96k
We are driven to do more. More for our customers and the financial professionals who... ...environment at our various locations.Purpose:The Risk Sr. Business Analyst will play an important role in strengthening Athene’s derivatives and risk data capabilities by improving how data is...DataFull timeWork experience placementLocal area- ...Expertise to JPMorgan Chase. As part of Risk Management and Compliance, you are at the... ...to be best-in-class.As a Capital Risk Analyst in Capital Risk Management, you help us... ...income statement fundamentalsExperienced in data-driven storytelling via PowerPoint and...Data
$116.88k - $148.13k
...DescriptionPosition: Anti-Fraud Risk Management Senior... ...transactionsStrong understanding of Fraud Data and ability to interpret data... ...advising clients on necessary adjustments to their fraud risk programs.Lead... ...-tested methodologies, people-driven innovation and disruptive...DataFull timeTemporary workWork at officeLocal area- ...Overview We are hiring our first Fraud/Risk Analyst to join our Risk & Compliance team. This... ...required Monitor and analyze transaction data to detect potential fraud, suspicious activities... ...and problem-solving skills with a data-driven approach to decision-making. Strong...DataWorldwide
$126.96k
...around the world. We're one global team driven by our common purpose to deliver a... ...AECOM Technical Services, Inc. is seeking a Risk Analyst in New York, NY: Job Details:... ...Review project documents and analyze project data to develop risk profiles and risk registers...DataWork at officeLocal areaWorldwideFlexible hours$124k - $177k
...days per week Business UnitTechnology, Data, AI and Ventures (TDAV)Within the Tech,... ...company built to last.Role OverviewThe Data Risk Analyst plays a key role in advancing New York... ...collaborative problem-solving, and purpose-driven innovation. Here, you’ll find the rare...DataLocal area3 days per week$95k - $110k
...Ares' success has been driven by our people and our culture... ...is seeking a full‑time Analyst to join our dynamic and... ..., and transaction data reconciliations across... ...integrate this knowledge into risk and analytical... ...duration, convexity, option‑adjusted spread, z‑spread,...DataFull timeTemporary workWork experience placementFlexible hours$109.12k - $163.68k
...120.00 - $163,680.00Category: Risk ManagementCompany: CitiThe Institutional... ...is seeking a Collateral Risk Analyst (AVP) to support collateral... ....This is a hands‑on, judgment‑driven AVP role with visibility... ...appetiteMonitoring, Reporting & Data AnalysisMonitor collateral...DataFull time$185k - $237.5k
...Future Forward, Multistakeholder, Mindful, and Driven by Excellence. We have built a flexible... ...and operation of Circle’s Product Risk Management function. The goal of this function... ...business strategy by collecting and analyzing data to track product performance such as user...DataFlexible hours$119k - $140k
...unlocks the magic of frictionless experiences.As a Cybersecurity Risk Analyst II, you'll help strengthen CLEAR's security posture by... ...risk quantification initiatives by applying probabilistic and data-driven approaches to better measure, prioritize, and communicate riskHow...DataCasual workWork at officeFlexible hours- Goldman Sachs Services LLC in New York seeks an Associate, Risk Governance to identify, analyze, and monitor risk across business processes and controls. You will drive governance structures, participate in risk meetings, and help improve risk detection and remediation...Data
- ...Job Description Job Description Risk & Structuring Analyst Career Launch AI Talent Network Location... ..., and presentations highlighting risk-adjusted returns and structuring recommendations Assist with due diligence, data analysis, and review of legal and...DataFull timeInternship
$75k - $95k
...cornerstone of Morgan Stanley's risk management philosophy is the execution of risk-adjusted returns through prudent risk-taking... ...Morgan Stanley is seeking an Analyst for the Risk Capital group, based... ..., collateral management, risk data and metrics - Quantitative/analytical...DataFull timeTemporary work- Fintech Risk Analyst Department: Risk Management Employment Type: Full Time Location: Remote... ...leading-edge technology, solutions-driven products and superior service through a... ...Z, Reg DD, Reg CC, ECOA, FCRA), and/or data privacy regulations (GLBA, FCRA, state laws...DataFull timeWork experience placementRemote work
- ...startup focused on transforming risk into a strategic asset. We are... .... As a Risk Solutions Analyst, you will gain a deep understanding... ...for intellectually curious and driven individuals who can learn quickly... ...modeling financials, claims data, and investment scenarios....DataHourly pay
$90k - $110k
...solutions that address your business's unique risks. MSIG USA continues to grow! Company... ...Position Summary The Risk Governance and ERM Data Analyst supports the enterprise risk management (ERM) function by providing data-driven insights, maintaining risk governance...DataWork experience placementLocal area
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