Risk Adjustment Systems Analyst Advisor
Elevance Health
Position Overview A key member in our Medicaid renal/ESRD strategy area for both our Health plans and vendors. Under the direction of the Medicaid RA Director, they will play a key role in both Specialty Revenue [ESRD] as well as Risk Adjustment. How You Will Make an Impact Defines functional, usability, reliability, performance and support requirements of a system Creates and performs feature testing and determines environmental needs Provides the link between the technical and business views of the system by ensuring that the technical solutions being developed will satisfy the needs of the business Partners with business, architecture and infrastructure and oversees all service levels to ensure business area satisfaction In depth knowledge of tools utilized Works with the IT learning organization to mentor and assist in training initiatives and performs estimates for application functionality enhancements Proactively works with stakeholders to identify future system opportunities and enhancements Develops use cases Required Qualifications Requires a BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 6 years experience in a variety of technologies, documenting requirements and/or building test cases; or any combination of education and experience, which would provide an equivalent background. Preferred Qualifications Medicaid experience is a must Business Analyst or Business Systems Analyst certifications strongly preferred Experience with mainframe computer, hardware and operating systems and the impacts of changes in the systems stream, testing/product quality processes, tools and methods strongly preferred Experience with Rational tools, Six Sigma or other process improvement training strongly preferred Benefits We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Location Indianapolis IN, Mason OH, Atlanta GA, Tampa FL, Grand Prairie TX, Louisville KY, St. Louis MO Hours Standard Working hours Travel This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Equal Employment Opportunity Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact View email address on click.appcast.io for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration ( #J-18808-Ljbffr Elevance Health
- ...both Specialty Revenue [ESRD] as well as Risk Adjustment. How You Will Make an Impact Defines... ...performance and support requirements of a system Creates and performs feature testing... ...Medicaid experience is a must Business Analyst or Business Systems Analyst certifications...RiskTemporary workWork at officeLocal area2 days per week1 day per week
- ...both Specialty Revenue [ESRD] as well as Risk Adjustment. How You Will Make an Impact:... ...performance and support requirements of a system Creates and performs feature testing... ...Medicaid experience is a must Business Analyst or Business Systems Analyst...RiskTemporary workWork at officeLocal area2 days per week1 day per week
$102.96k - $185.33k
...Risk Adjustment Strategic Manager Location: Virginia, Indiana, Georgia, Tennessee, Connecticut, New York, New Jersey, Maine, Kentucky This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility...RiskTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week- ...law. Position Overview: Responsible for leading the development of new business plans/strategies for Government Business Risk Adjustment initiatives. Responsibilities will include Medicaid specific risk adjustment and specialty revenue assignments; Medicare Advantage...RiskTemporary workWork at officeLocal area2 days per week1 day per week
$55k - $90k
...The Operations Systems Analyst II (WMS Analyst II) role has a national salary range of $55,000 - $90,000. For roles within California the range... ...and reports Identify and address potential issues and risks Create and maintain dashboards using SQL Required Education And...Risk- ...performance against the banking center goals by adjusting individual goals and initiating sales... ...fraudulent operations and unnecessary risks or exposures. Maintains a position of trust... ...with the Nationwide Mortgage Licensing System and Registry (NMLS), to comply with the S...RiskFlexible hours
- ...performance against the banking center goals by adjusting individual goals and initiating sales... ...fraudulent operations and unnecessary risks or exposures. Maintains a position of trust... ...to have a Nationwide Mortgage Licensing System (NMLS) registration. Life and Health...RiskWork at officeFlexible hours
- Elevance Health is seeking a key member for their Medicaid renal/ESRD strategy in Louisville, KY. The role involves defining requirements, performing testing, and ensuring that technical solutions align with business needs. Applicants should hold a BA/BS in Information...RiskRemote work
- ...for a temporary to permanent role in Louisville, KY. The position involves comprehensive assessments and care coordination for high-risk members, requiring at least an Associate's degree in Nursing and case management certification. The schedule is Monday to Friday, 8...RiskPermanent employmentTemporary workMonday to FridayWeekend work
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- ...Elevance Health is seeking a Risk Adjustment Strategic Manager to develop metrics and oversee operations related to risk adjustment programs. Candidates must have a BA or BS and at least 5 years of experience in a managed care environment, focusing on CMS compliance and...RiskWork at office
$72k - $133.5k
...reliability, efficiency, availability, and compliance posture of the systems environment. Responsibilities Serves as a subject... ...to support solution reviews, approvals (e.g., SAR/SRA), and risk assessments Maintains accountability for compliance tracking,...RiskPermanent employmentTemporary workWork experience placementWork at officeFlexible hours$119k - $215.6k
...professional journey. To support the continued growth of our Risk Advisory Services ( practice, an opportunity has been created... ...focused outcomes across multiple industries Serve as a trusted advisor to clients by understanding business risks, operational challenges...RiskWork experience placementWork at officeLocal areaRemote work- ...across all areas of the credit union, while also leading Enterprise Risk Management efforts to identify, assess, and manage risk... ...credit union. Works directly with third‑party providers to optimize system capabilities, ensure effective integration, and support ongoing...RiskWork at officeImmediate start
- ...always look for a better way , and we create possibilities . Interested in joining us on our journey? The Director of Insurance and Risk Management ("The Director") is responsible for leading the Company's insurance portfolio and risk mitigation strategies. This...RiskWork at officeFlexible hours
- Position Overview The Trust Real Estate Advisor II is responsible for managing all trust‑owned real estate assets—including residential,... ...owned real estate assets, identifying, mitigating, and escalating risks while acquiring, preserving, and managing these properties....RiskWork experience placement
- Elevance Health is seeking an experienced professional to lead the development of new business strategies for Government Business Risk Adjustment initiatives. Located in Louisville, you will analyze product lines and oversee strategic recommendations. The ideal candidate...RiskWork at office
- ...Technology Analysis Manager to join their team. This position focuses on managing and delivering processes and solutions, specifically in risk management and project delivery related to SAP Central Finance. The ideal candidate will have a strong background in SAP, with a...Risk
$1,000 per month
...in weekly coaching, training, and development meetings Receive Risk Product State Licensing: Life, Accident, and Health Build life skills... ...to interview for a full‑time Financial Representative or Advisor role upon graduation. Qualifications Are you a fit for this internship...RiskFull timeInternshipLocal areaFlexible hours$75k - $125k
...considerations in all business decisions and able to leverage that information in creating customized customer solutions. Managing Risk - Assessing and effectively managing all of the risks associated with their business objectives and activities to ensure they...RiskFull timeTemporary workPart timeWork experience placementWork at office$1,000 per month
...in weekly coaching, training, and development meetings Receive Risk Product State Licensing: Life, Accident, and Health Build life skills... ...to interview for a full‑time Financial Representative or Advisor role upon graduation. Qualifications Full‑time student; juniors...RiskFull timeContract workFor contractorsInternshipLocal areaFlexible hours- Western & Southern Life is seeking a Financial Representative in Louisville, Kentucky. This role involves educating middle-income clients on financial solutions, analyzing their needs, and providing appropriate recommendations. The ideal candidate will have a strong work...Risk
$50k - $85k
...detail-oriented and organized full-time Paraplanner to support our advisors by preparing comprehensive financial plans. This is a great... ...planning reports (net worth, cash flow, retirement projections, risk analysis, etc.) Identify gaps, opportunities, and recommendations...RiskFull timeWork at officeMonday to Friday- ...operational marketing, and administrative support to Private Client Advisors. Responsibilities Support Advisors’ book of business including... ...timely and accurate performance reports. Actively engage in Risk Management, including Know Your Customer procedures, account reviews...Risk
- Fairygodboss is seeking a Trust Real Estate Advisor II in Louisville, KY. This role involves managing all trust-owned real estate assets... ...A strong focus on customer needs, effective communication, and risk management is essential. PNC offers competitive benefits, including...Risk
$76.86k - $102.62k
...continued success. Overview The IS Technical Services Building Systems Analyst II (BSA II) is a highly skilled member of the IS Technical... ...Quiet environment. Physical Demands Light work that includes adjusting and/or moving objects up to 20 pounds. Pay Range USD $76,860....InternshipWork at officeRemote work- ...Louisville, KY, to drive client relationship strategies and enhance market share. You will work with middle market clients, manage credit risks, and mentor team members to achieve business objectives. The ideal candidate will have extensive experience with complex clients and...Risk
- ...Job Description Financial Advisor Jobs at First Command: Shaping Positive Financial Behaviors since 1958 First Command Financial... ...Savings/banking Investments/wealth management Insurance/risk management Training and licensing support: ~ First Command...RiskHourly payTemporary workFor contractorsTraineeshipWork at officeLocal areaHome office
$77.9k - $199k
1834 Wealth Advisor III Job Locations US-IL-Chicago | US-IN-Indianapolis | US-IN-Evansville | US-KY-Louisville | US-TN-Nashville | US... ..., financial information, and investments. ~ Assess client's risk tolerance and return goals and construct an investment portfolio...RiskFull time- ...so bring your energy to ours. Role Overview As an IT Business Systems Analyst III, you will act as a liaison between IT and the business to... ...routine site walks and system assessments; proactively identifies risk and implements preventative and corrective actions to maintain...RiskWork at officeRemote workWork from homeFlexible hours1 day per week
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