Remote Senior Actuarial Analyst, Risk Adjustment
Centene Corporation
- Remote job
Centene Corporation is seeking a Senior Actuarial Analyst to support risk adjustment programs through accurate capture, validation, and reporting of member health conditions. You will collaborate with clinical, operational, and coding teams to improve documentation and comply with regulatory requirements. The role involves applying mathematics, statistics, and finance to estimate outcomes, analyze data, evaluate premium rates, and develop data reports. #J-18808-Ljbffr Centene Corporation
- Centene Corporation is seeking a Senior Actuarial Analyst to support risk adjustment programs through accurate capture, validation, and reporting of member... ...rates, and assess reserves for future benefits, with remote work flexibility across the continental U.S. #J-188...Remote jobSeniorRisk
- Centene Corporation in the United States is seeking a Senior Actuarial Analyst to support Risk Adjustment Actuarial Services. You will assist in financial... ...documentation accuracy and establish equitable premium rates. Remote work is allowed nationwide; schedule may align with...Remote jobSeniorRisk
$99k - $124k
...conditions by identifying risk earlier, coordinating thoughtful... ...! Benefits & Perks Hybrid-Remote Flexibility -Work from... ...DoWe are seeking a Lead Actuarial Analyst, MA Risk Adjustment to join our high-performing... ..., and recommendations to senior leadership, illustrating the...Remote workRiskWork at officeWork from homeFlexible hours$107.25k - $128.7k
...Actuarial Analyst III At Altais, we're on a mission to improve the healthcare experience for... ...is an expert on delivering Medicare risk adjustment related estimates, establishing premium... ...and develop reports and analysis for senior management; effectively communicate results...Remote workSeniorRiskLocal areaFlexible hours- Strive Health is looking for a Lead Actuarial Analyst in Chicago, IL, to evaluate financial performance... .... The role demands 4+ years in risk adjustment analytics along with proficiency in... ...translating findings into impactful reports for senior leadership. This position offers a...SeniorRiskFlexible hours
- ...alternative application process. Senior Actuarial Analyst Full Time US 1 Attachments... ...: Exempt Places of Work: Remote About the Organization:... ...facilitating the transition to risk-based accountability.... ...Medicaid rate setting, risk adjustment models (e.g., CDPS), and regulatory...Remote workSeniorRiskFull timeContract workLocal area
- Strive Health, LLC is looking for a Lead Actuarial Analyst in Raleigh, NC to evaluate financial performance and guide data-driven operational... ...improvements. The role requires 4+ years of experience in risk adjustment analytics along with strong skills in SQL and Excel. You’ll...Remote jobRisk
- ...Health in Seattle, WA is seeking a Lead Actuarial Analyst for their high-performing team. This... ...should have over 4 years’ experience in risk adjustment analytics and proficiency in Excel and... ...benefits, including hybrid-remote flexibility. #J-18808-Ljbffr Strive HealthRemote workRisk
- A healthcare technology firm is seeking a Senior Product Manager to lead the strategy and execution of a risk adjustment product. The ideal candidate should have 5-7 years... ...enhance product offerings. The position is fully remote and offers a competitive salary and...Remote jobSeniorRisk
- Astrana Health Management is seeking a Senior Analyst, Risk Adjustment Strategy to lead coding policy and documentation standards. The role reports to the Chief Quality Officer and guides coders, CDI reviewers, and provider education across multiple IPAs. Responsibilities...Remote jobSeniorRisk
$88.5k - $128.5k
...no matter their circumstances. The Senior Actuarial Analyst is a key member of the Finance / Actuarial... .... Investment in You Full-time remote work Competitive salaries Excellent... ...other new program Leads or assists in risk adjustment analyses and risk score simulations...Remote workSeniorRiskFull timeContract workFlexible hours- A.G. Risk Management, Inc. is seeking a Senior Claims Adjuster to handle complex latent liability claims (asbestos, environmental, molestation) with remote or on-site options across the United States. The role emphasizes accuracy, timely resolutions, and adherence to client...Remote jobSeniorRisk
- Remote Jobs seeks a Risk Adjustment Strategy Senior Analyst to lead policy development and coding standards for risk adjustment. You will define how conditions are captured, ensure documentation supports them, and defend coding positions during audits. This role requires...Remote jobSeniorRisk
- Astrana Health seeks a Risk Adjustment Coding Specialist II to join our Strategy and Operations team in Monterey Park, CA. The role requires... ..., and the ability to work in a hybrid setting, including on-site visits and remote #J-18808-Ljbffr Astrana Health ManagementRemote workSeniorRisk
$68k - $90k
...claims management firm is looking for a Senior-Level Bodily Injury Claims Adjuster to join their Commercial Auto/Commercial Trucking Team. This remote position requires 5+ years of... ...alongside comprehensive benefits. #J-18808-Ljbffr North American Risk Services (NARS)Remote jobSeniorRisk- ...Strive Health, located in Seattle, seeks a Senior Analyst to ensure data accuracy and compliance. You will review contracts, audit risk partnership data, and present insights to... ...required. This full-time position offers hybrid-remote flexibility and comprehensive benefits...Remote workSeniorRiskFull time
- ...Group is seeking a Litigation Claims Adjuster - Complex to manage high-severity claims remotely across eligible states in the... ...upholding company standards. The Senior Professional will analyze policy... ...legal counsel, and contribute to risk mitigation and regulatory compliance...Remote jobSeniorRisk
$115k - $130k
...alternative application process. Full Time Remote, US Salary Range: $115,000.00 To $130,000.00 Annually JOB DESCRIPTION A.G. Risk Management, Inc. is a growing and... ...working team. We are currently seeking a Senior Claims Adjuster to handle complex latent liability...Remote workSeniorRiskFull timeCasual workWork at officeFlexible hours- ...Leading health plan and risk adjustment analytics, the full-time Senior Actuary, Health Plan Analytics will build member-level actuarial models, develop analytics... ...complex data into customer-facing dashboards in a remote environment. Key responsibilities Build and...Remote workSeniorRiskFull time
- Blue Cross NC is seeking a Consulting Actuary - ACA Risk Adjustment to lead pricing strategies, assess models, benchmark competitors, and design sophisticated... ...and innovation within the actuarial function. This is a senior, strategic role within Blue Cross NC. #J-18808-Ljbffr...SeniorRisk
- Blue Cross NC is seeking a Consulting Actuary - ACA Risk Adjustment to lead pricing strategies and actuarial initiatives across business segments,... ...maintaining high standards of actuarial practice. This is a senior role with opportunities to influence strategy and partner...SeniorRisk
$80k - $115k
Senior Liability Adjuster - Medical Professional Join to apply for the Senior Liability Adjuster - Medical... ...Administration & Adjusting Location: Remote (United States) Compensation: $80,000... ...services, helping businesses navigate risk and transform within the insurance and...Remote workSeniorRiskFull time- ...exclusive features. Position Title: Senior Actuary - Medicare Strategy Location: Remote Position Overview This role... ...collaboration with product, finance, and risk adjustment teams to ensure financial... ...0 1 week ago REMOTE - Actuarial Analyst II (ACA) - R9791 United States $...Remote workSeniorRiskFull timeWork at office
- Blue Cross NC is seeking a Consulting Actuary specializing in ACA Risk Adjustment to lead pricing strategies and actuarial initiatives across business segments... ...profitable growth. You will communicate results to senior leadership, manage vendor relationships, and maintain...SeniorRisk
- Blue Cross NC is seeking a Consulting Actuary - ACA Risk Adjustment to lead pricing strategies and actuarial initiatives across business segments.... ...departments, and the ability to communicate complex results to senior leadership. #J-18808-Ljbffr Blue Cross and Blue Shield of...SeniorRisk
$105.4k
...helping our customers manage risk with laser-focused expertise,... ...Line of Business and Team: The Actuarial department of the Crum &... ...directly with all points from senior executives to customers, with... ...ranges are regularly reviewed and adjusted in accordance with prevailing...Remote workSeniorRiskWork at office- Blue Cross NC is seeking a Consulting Actuary - ACA Risk Adjustment to lead pricing strategies, actuarial initiatives, and advanced risk adjustment... ...risk models. You will translate complex results for senior leadership, manage external partnerships, and contribute to...SeniorRisk
- Blue Cross NC is seeking a Consulting Actuary - ACA Risk Adjustment to lead pricing strategies, evaluate risk models, and design sophisticated insurance... ...bring strong ACA Risk Adjustment expertise, guidance to senior leadership, and an ability to translate complex risk data...SeniorRisk
- ...Senior Actuarial Analyst Remote If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup... ..., validate, and monitor predictive models to enhance risk segmentation and pricing accuracy; assess model performance...Remote workSeniorRiskLive in
$160k - $195k
...trillion industry - which risks to take, and how to price... ...Copilot with a PhD in actuarial science) to shaping agentic... ...industry. This is a small, senior team working on the... ...equipment (laptop, screens, adjustable desks, etc.). Regular remote and in‑person hackathons,...Remote workSeniorRiskInternshipWork at officeNight shift
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