Medicaid Risk Adjustment Systems Analyst Advisor
The Elevance Health Companies, Inc.
The Elevance Health Companies, Inc. is seeking a Risk Adjustment Systems Analyst Advisor to be a key member in our Medicaid renal/ESRD strategy. This role involves defining system requirements, usability, and overseeing service levels to ensure business satisfaction. Candidates should possess a strong background in Information Technology, with Medicaid experience being essential. The position requires collaboration with stakeholders and team mentoring, and candidates will need to be in office 1-2 days a week for optimal productivity. #J-18808-Ljbffr The Elevance Health Companies, Inc.
- ...Overview A key member in our Medicaid renal/ESRD strategy area for... ...Revenue [ESRD] as well as Risk Adjustment. How You Will Make an Impact... ...and support requirements of a system Create and perform feature... ...Medicaid experience Business Analyst or Business Systems Analyst...RiskWork at officeLocal area2 days per week1 day per week
- ...Overview Responsible for leading the development of new business plans and strategies for Government Business Risk Adjustment initiatives, including Medicaid specific risk adjustment and specialty revenue assignments, Medicare Advantage [Duals] vendor interaction, risk...RiskTemporary workWork at officeLocal area2 days per week1 day per week
- ...motivated individual to lead the development of new business plans for Government Business Risk Adjustment initiatives in Atlanta, GA. Responsibilities include analyzing Medicaid and Medicare strategies, and developing market-specific recommendations. Qualified candidates...Risk
- ...System Analyst Credit systems at THE BANK are undergoing a change to remove bottlenecks due... ...state. Will be working in the limits adjustment system team. About the Role: Design... ...Credit Portfolio Analytics, Credit Risk, Reporting teams Proven experience working...Risk
- A healthcare technology company is hiring a Senior Actuarial Analyst to join their team in Atlanta, GA. This remote position will focus on risk adjustment across ACA markets, requiring a Bachelor's degree in a STEM field and 3+ years of experience. The role includes managing...RiskRemote work
- ...About the Role The Director of Portfolio Risk holds a critical, high-impact leadership... ...Design and implement sophisticated monitoring systems to track, forecast, and manage risk... ..., MedSpa, Retail, Travel) to dynamically adjust credit limit assignment, approval criteria...Risk
- Elevance Health is seeking a key member for their Medicaid renal/ESRD strategy area located in Atlanta, GA. The ideal candidate will define the requirements for systems and partner with business and technical teams to ensure satisfaction and success. To be successful,...Risk
- Crescent Heights is seeking a seasoned Risk Manager to oversee and enhance the company’... ...insurance compliance Monitor emerging risks and adjust strategies accordingly Financial... ...in Microsoft Office and risk management systems Work Environment Role could require both...RiskFor contractorsFor subcontractorWork at officeLocal area
- ...Job Description Job Description The Risk Manager is responsible for providing claim advocacy, handling, and oversight for all... ...resolutions, reviewing and monitoring files to ensure carrier adjusters are achieving desired outcomes. Providing clients and carrier adjusters...Risk
$265k - $325k
...Banking – MedTech Ernst & Young Capital Advisors, LLC (EYCA) offers comprehensive investment... ...areas of valuation and transaction risk. Perform in‑depth sector market and company... ...ranging from $265,000 to $325,000, with adjustment based on education, experience, skills,...RiskWork experience placementSummer holidayWorldwideFlexible hours- Systems Analyst Senior Advisor Location: Pulse Point, 740 W. Peachtree St NW, Atlanta, GA 30308. In‑office 3‑4 days per week; hybrid policy applies. Work Hours: Monday to Friday, 8:00 a.m. to 5:00 p.m. Responsibilities Define and manage scope of business systems projects...Work at officeLocal areaMonday to Friday3 days per week
- ...manager selection, ongoing due diligence, portfolio construction, and risk oversight across a multi-strategy hedge fund portfolio spanning... ...to achieve the portfolio’s objectives of uncorrelated, risk-adjusted absolute returns. Monitor cross-manager correlations, factor...Risk
$117k - $175.4k
...who’ve got your back. In return, we’ll give you the trust to take risks, the tools to grow, the skills to develop and the support of a... ...Demonstrated ability to handle day-to-day work challenges confidently; adjust to shifting priorities, Identify and solve technical and...RiskWork at officeRemote workHome officeFlexible hoursShift work$138k - $172.5k
Job Description As a Healthcare Process Risk Manager, you will have the opportunity to... ...Information Technology, Management Information Systems (MIS), or a related field required. A... ...(OIG) and the Centers for Medicare and Medicaid Services (CMS). Experience with Sarbanes...RiskWork at officeLocal area- Intercontinental Exchange, Inc. is seeking a full-time Analyst II for Systems Operations to join the SRE Team in Atlanta, Georgia. The role focuses... ...Technology platform and encourages a culture of trust and risk-sharing among team members. Key responsibilities include...RiskFull time
$74k - $99k
...Senior Data & Systems Analyst, EHS This role is responsible for building and maintaining the data infrastructure that supports Environmental... ..., and visualize EHS related data that drives compliance, risk reduction, and continuous improvement. This role serves as the...RiskFull timeWork experience placementImmediate start- ...management clients and Investment Advisors. Formulates recommendations... ....Responsible for supporting risk and compliance requirements... ...the EDS, PIMS, IMS, and PAS systems. 2. Sets-up files with account... ...research discrepancies and oversee adjustments on client accounts regarding...RiskH1bWorldwideFlexible hours
- ...Exceptional Performance! Chenega Enterprise Systems & Solutions, LLC, a Chenega Professional... ...Ensure projects are following timelines. Adjust timelines in response to events affecting... ...(e.g., graphics, broadcast production); risk communication activities; marketing...RiskWork experience placement
- ...A leading home improvement retailer in Atlanta is seeking a Risk Management Manager to oversee insurance programs, manage claims data, and support risk oversight functions. The ideal candidate has over 8 years of experience and a solid understanding of risk management...Risk
$121.44k - $154.84k
...due diligence on key areas of the Income Statement and Balance Sheet. Formulate questions and propose basic adjustments based on the identification of key risks and business drivers. Lead analysis on key operational data, net working capital, debt, and debt‑like items...RiskWork experience placementLocal area- ...direct communication with clients, wealth advisors, client service associates, and... ...clients to understand their financial goals, risk tolerance, and investment preferences.... ...their progress over time, making necessary adjustments as needed. Stay up-to-date with market...RiskWork at officeLocal area
- ...identifying opportunities for improvement and implementing necessary adjustments. Assist in the preparation and execution of controlled tests... ...initiatives on scope, schedule, and budget while managing delivery and operational risks. #J-18808-Ljbffr JPMorgan Chase & Co.Risk
$80.4k - $141k
...effectively manage financial risks, then our team would be a great... ...support for ERP financial system implementation and system testing... ...promise. Our team of data analysts and data scientists help... ...range estimate has not been adjusted for the applicable geographic...RiskLocal area$80.9k - $103.95k
...The Advisor for Global Medical Affairs is a key strategic partner responsible for bringing clinical insights and strategic direction to... ...matter expert to support product design , change management, and risk mitigation throughout product lifecycle management. Serve as...RiskTemporary workWork experience placementWork at officeLocal areaImmediate startRemote workFlexible hours- ...campaign while quietly running the disciplined, repeatable system that delivers results. As Campaign Director , you will... ...and present campaign strategy, pipeline, investments, risks, and financial outcomes; adjust fast as facts change. To be successful in this role you...RiskRemote jobContract workLive inLocal areaFlexible hours
- Finastra is seeking a forward-thinking Enterprise Risk Manager to enhance risk assessment capabilities using advanced analytics. Based in Sandy Springs, GA, or Austin, TX, this role involves integrating AI-driven insights into risk management frameworks. Key responsibilities...Risk
- ...seeking a Business Analysis Manager to develop strategies driving growth and profitability. This role involves managing a team of analysts, leading product strategies, and working cross-functionally to improve business outcomes. Candidates should possess strong analytical...RiskRemote work
- ...critical analysis of the potential risk to the Bank, proper risk... ..., per policy. Recommends adjustments to risk grades as circumstances... ...Administration, serves as a trusted advisor to clients and prospects... ...subject to change, as new systems and technology is delivered....RiskFull timeLocal areaRemote workHome office
- ...remotely 3 days a week). Reports To Senior Director, Enterprise Risk Management Overview We are seeking a forward‑thinking Enterprise... ...enabled risk practices across the organization. Serve as a trusted advisor to business leaders on risk trends and mitigation strategies....RiskWork at officeLocal areaImmediate startRemote workWorldwide2 days per week3 days per week
$70k - $80k
...the project financials to identify project risks and opportunities that can impact the... ...entries related to the Client’s financial system(s). Present financial data while participating... ..., depth perception, and the ability to adjust focus. Reasonable accommodations may be...RiskFull timeContract workFor contractorsWork experience placementWork at officeRemote workWork from homeFlexible hoursAfternoon shift
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