Senior Data Analyst, Risk Adjustment - CMS Data
Clover Health
A healthcare technology company in the United States seeks a Senior Data Analyst to oversee data submissions, ensuring accuracy and compliance. The ideal candidate will have two years of experience with Medicare Risk Adjustment, proficiency in SQL, Python, and R, and skills in building dashboards. This role is critical in enhancing data quality and operational efficiency, driving impactful business decisions within a collaborative team environment. #J-18808-Ljbffr Clover Health
$98.2k - $130.8k
...Overview Performs data and analytical services in support of optimizing risk adjusted revenue, maintaining compliance with CMS standards and modeling financial impacts of changes in risk adjustment data and methodologies. Collaborates regularly with internal departments...CmsSeniorWork experience placementFlexible hours- ...features. Position Title: Senior Actuary - Medicare... ...product, finance, and risk adjustment teams to ensure financial... ...functional collaboration and data-driven insights.... ...regulatory bodies such as CMS and state health... ...ago REMOTE - Actuarial Analyst II (ACA) - R9791 United...CmsSeniorFull timeWork at officeRemote work
$108k - $132k
...the intersection of data, finance, and... ...tech-savvy actuarial analyst interested in enhancing... ...strategy. As a Senior Actuarial Analyst,... ...Maintain internal CMS HCC and RxHCC models... ...calculating member level risk scores. Support the... ...of actuarial risk adjusted revenue accruals...CmsSeniorWork experience placementWork at officeRemote workFlexible hours- Glint Tech Solutions is seeking a Senior Data Analyst specializing in healthcare analytics, primarily working remotely with occasional visits... ...Advantage Stars and requires strong data analysis expertise with CMS. Responsibilities include supporting analytics initiatives,...CmsSeniorRemote job
- Brookfield is seeking a Senior Analyst for its Data Governance Program in New York. This role is pivotal for ensuring data accuracy across business domains. The analyst will support investment committee processes, focusing on data quality. The ideal candidate will have...Senior
$81k - $90k
American International Group is seeking a Senior Analyst specializing in Data Privacy to ensure compliance with global data protection regulations. This role emphasizes collaboration across business units and maintaining privacy governance. The ideal candidate will possess...Senior$85k - $200k
...experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance,... ...opportunities for development in a variety of risk adjustment related areas. Qualifications: Certified...CmsSeniorRemote work$125k - $140k
...Description Senior Pharmacy Data Analyst AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management... ...databases, including NCPDP, Medi-Span, First Databank, CMS ASP and other public-use files, NPPES and other provider...CmsSeniorContract workTemporary workWork at officeFlexible hours- Mitsui Sumitomo Insurance Group in New Jersey is seeking a commercially-oriented Actuarial Analyst to support various actuarial functions through data analysis and modeling. This role involves pricing, reserving, and strategic decision-making. Requirements include a Bachelor...Senior
$87.65k - $98.6k
Join VillageCare as a Senior Financial Data Analyst in the dynamic healthcare sector. This exciting opportunity allows you to contribute to impactful... ...reports for the New York State Department of Health and CMS, leading the medical claims reinsurance reporting and reconciliation...CmsSeniorWork experience placementLive inRemote work$87.65k - $98.6k
Village Center for Care, Inc. is hiring a Senior Actuarial Data Analyst in New York to shape financial strategies within healthcare. This full-time position offers the flexibility of remote work, coupled with a competitive salary range of $87,647.11 to $98,603.00, and is...SeniorRemote jobFull time$67.9k - $199.14k
## Senior Informatics Manager, Risk Adjustment Analytics RemoteApplyremote type: Remotelocations: Work At Home-Massachusetts... ..., you will lead and execute complex data analyses to drive health plan-level... ...alignment with state Medicaid and CMS regulatory requirements.· Evaluate...CmsSeniorRemote jobHourly payFull timeTemporary workWork experience placementLocal areaWork from home- A leading financial services company is seeking a Senior Business Analyst to tackle significant challenges through strategic analysis. You will collaborate with top professionals, support product development, and enhance marketing strategies. Ideal candidates will have...Senior
$71.7k - $103.73k
...organization in the United States is seeking a Senior Quality Analyst to drive quality improvement initiatives... ...This role focuses on analyzing performance data, supporting strategic interventions, and ensuring compliance with CMS STAR ratings. Candidates should have...CmsSeniorRemote job- Consulting Actuary - ACA Risk Adjustment As a Consulting Actuary - ACA Risk Adjustment, you will play a pivotal role in delivering a wide... ...Adjustment transfer forecasting and explanation of results to senior leadership (highly preferred). Strong understanding of diagnosis...Cms
- Business Senior Analyst Apply (opens in new window) Job Req Id: 26955974 Location(s): Belfast,... ...This role is critical to strengthening the risk and control environment across Wholesale... ...and functions to analyze multiple data elements impacting the lending portfolio...SeniorFull timeCasual workWork from home
- ...seeking a Coding Associate responsible for delivering high-quality risk adjustment coding services for clients. This role requires reviewing... ...records, assigning diagnosis codes, and ensuring compliance with CMS standards. Required qualifications include relevant...CmsRemote job
- Work180 is seeking an Actuarial Analyst to join NFP's Property & Casualty Actuarial team in New York. This role involves analyzing large datasets and building models to support insurance underwriters. You will work with experienced professionals in a collaborative environment...Senior
$64.97k - $149.88k
...currently have a career opportunity for a Senior Data / Governance Analyst to join our team located in... ...partner with business, technology, and risk teams to uplift end-to-end data integrity... ..., and the range has not been adjusted for any specific state differentials....SeniorWork at officeLocal area$167k - $200k
...Senior Data Analyst New York City, New York Garner's mission is to transform the healthcare... ...experience in performing data, financial and/or risk analytics in a healthcare environment... ..., population health, or clinical risk adjustment, with a nuanced understanding of...SeniorWork at officeWork visaFlexible hours3 days per week$85k - $200k
...ensuring compliance with regulations, and collaborating with project managers. Candidates should possess at least five years of risk adjustment coding experience and excellent communication skills. The position offers diverse projects, a chance to work with prominent...SeniorRemote jobFlexible hours$85k - $115k
...the globe address their most significant risk, workforce, wealth management and retirement... ...experience working with real insurance data and analytics projects as part of NFP’s... ...Actuarial team. You’ll work with experienced analysts and actuaries to analyze large datasets,...SeniorRemote job$77.76k - $149.04k
...Responsibilities: Work closely with Senior Product Management and Finance... ...regulatory authority (e.g., CMS, New York Dep't of Health). Work closely with Risk Adjustment and other areas to optimize... ..., etc.) required ~ Strong data querying skills using tools...CmsWork experience placementRemote work$155k - $285k
...Senior Quantitative Analyst – Interest Rate Modeling & Risk Analytics Location New York Business Area Engineering... ...team is responsible for all data, cash flows and analytics for the... ...know if you require any reasonable adjustments to be made for the recruitment...SeniorTemporary workFor contractorsWork experience placement$75k - $105k
...Engagement Solutions Requisition Number: 6707 Senior Data and AI Analyst, Investor Relations Position Summary... ...raw data to explain implications, risks, and opportunities Deliver recurring... ...disclosed range estimate has not been adjusted for the applicable geographic differential...SeniorFull time- MetroPlusHealth is seeking a Risk Adjustment Program Manager in New York to develop strategies for data accuracy in healthcare programs. This role involves supervising analysts, ensuring compliance with CMS regulations, and improving clinical outcomes through effective...Cms
$100k - $120k
...you passionate about using data to solve real business problems... ...? Phase2 is looking for a Senior Data Analyst who can help our clients move... ...tradeoffs, limitations, and risks within their data and... ...periods of time. Occasional adjusting or moving of light objects up...SeniorFor contractorsRemote work$150k - $185k
...Actuary / Senior Actuary New York, New York, United... ...tackle cyber risk head on. By combining industry... ...risk related KPIs and adjust pricing to drive profitable... ...and actuarial analysts of diverse backgrounds... ...business decisions with data backed insights and a deep...Senior$101.84k - $133.67k
...Description Hi, we're Oscar. We're hiring a Senior Actuarial Analyst to join our Actuarial team. Oscar... ...function, focusing specifically on risk adjustment across all Affordable Care Act (ACA)... ...accrual setting process and provide data-driven insights for the financial...SeniorFull timeWork at officeFlexible hours$70k - $110k
...Actuarial Analyst Or Senior Actuarial Analyst Good things are happening at Berkshire Hathaway... ...decisions Prepare, validate, and analyze data—using SQL and other data tools—to ensure... ...Results-oriented with the ability to adjust priorities when necessary In-depth knowledge...SeniorWork at officeRemote workWeekend work3 days per week
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