Remote Risk Adjustment Analytics Specialist
Humana Inc
- Remote job
Humana Inc. is seeking a Risk Adjustment Coding Analyst to provide operational, analytical, and administrative support. You will develop dashboards, analyze operational trends, and prepare executive-ready summaries that explain the story behind the data. Remote position with occasional travel to Humana offices for training or meetings. Strong proficiency in Excel and Power BI, along with the ability to translate partner requests into actionable reporting, are essential. #J-18808-Ljbffr Humana Inc
- Humana is seeking a Remote Risk Adjustment Coding Analyst to provide analytical and operational support across programs. You will analyze data, prepare executive-ready summaries, and develop dashboards to monitor performance and compliance. This role emphasizes turning...Remote jobRisk
- ...is seeking a Senior Actuary for a fully remote role across Eastern and Central time... ...You will conduct analysis, pricing, and risk assessment to estimate financial outcomes, supporting the Risk Adjustment team through data analytics, risk modeling, and complex data validation...Remote jobRisk
- Centene Corporation is seeking a Senior Actuary for a fully remote role focused on pricing, risk adjustment, and financial outcome analysis within the Risk Adjustment team. You will leverage data analytics, coding, and data validation to support informed decision making...Remote jobRisk
$49.43k - $107.1k
JOB DESCRIPTION Job Summary Provides analyst support for Molina enterprise risk adjustment predictive analytics activities. Designs and develops suspect, targeting, and tracking system to support Molina’s prospective and retrospective interventions. Essential Job Duties...Remote jobRiskWork experience placementWork at office- ...Ltd in Arizona is seeking a Medical Coding Specialist to join our team. The role focuses on ICD-10-CM coding for risk adjustment and requires accuracy in a fast-paced environment... ...0 days, after which it transitions to fully remote. Candidates must reside in Arizona and have...Remote jobRisk
$94k - $151.8k
...searching for the best talent for Senior Specialist Analytical Capabilities, located at either:... ...analysis of key data points and compliance risks. The role develops and enhances visualization... ...model, with 3 days onsite and 2 days remote. Equal Opportunity Employer Johnson &...Remote workRiskLocal areaImmediate startFlexible hours$22.4 - $30.87 per hour
...Department of Agriculture’s Risk Management Agency. Together with... ...for a RCIS Crop Claims Field Adjuster I or RCIS Crop Claims Field... ...Adjuster II or RCIS Crop Claims Specialist to work out of the state of... ...on CAT team and/or provide remote assistance for the CROP Claims...Remote workRiskHourly payFull timeTemporary workWork at officeLocal areaWork from homeVisa sponsorship- ...operational efficiency, the full-time remote Workforce Management Specialist will monitor and adjust staffing and scheduling in real... ...teams to address performance risks. Key responsibilities Execute... ...work experience Strong analytical skills with the ability to identify...Remote workRiskFull timeWork experience placement
- ...Card Dispute Resolution Specialist Duration: 6 Months... ..., FL / 2 Days Remote "Work sponsorship... ...operations and loss prevention risk and fraud insurance.... ...Research moderately complex adjustments and complete... ...skills • Basic research, analytical and problem solving skills...Remote workRiskContract workLocal area3 days per week
- ...perception. Scaling through technology, analytics & science and inverting the curve on headcount... ...and Elimination of online ecommerce risk. They will have experience in the... ...disability and need a workplace accommodation or adjustment during the application and hiring...Remote workRiskWork at officeFlexible hoursShift workNight shift
$70k - $95k
...brokerage, claims, and risk management consulting... ...seeking a Subrogation Specialist to identify, protect,... ...recovery experience, strong analytical and negotiation skills... ...Partner with claims adjusters and supervisors to... ...independently in a fast-paced remote environment. ~...Remote workRiskContract workTemporary work$110k - $130k
...direct support in the form of risk assessment, EHS process... ...user groups in our main and remote project locations. The SH&E Professional... ...neutral postures by making adjustments possible with current... ...management. ● Demonstrated analytical and decision-making skills with...Remote workRiskFor contractorsWork at officeLocal areaFlexible hours$110k - $175k
...& Systems Integration Specialist with extensive years of... ...management and risk-based decision-making.... ...Excellent communication, analytical, and organizational skills... ...offices/projects and remote locations enabling them... ...support or reasonable adjustments with regards to the...Remote workRiskFull timeLocal area- ...Remote Clinical Documentation Integrity SpecialistThe Remote Clinical... ...Integrity (CDI) Specialist is accountable for reviewing... ...CDI that has experience with Risk Adjustment Tools like Vizient, Elixhauser... ...physiology).Demonstrated skills in analytical thinking and problem solving...Remote workRiskHourly payWeekly payFor contractorsFlexible hoursAfternoon shift
- ...Capture Specialist The Capture Specialist plays a critical role in supporting... ...needs. The position requires strong analytical, communication, and organizational... ...market positioning. Recommend strategy adjustments accordingly. Risk Identification: Assist in...Remote workRiskWork at officeLocal area
$108k - $135k
...and Places, General Counsel, Risk, Internal Audit, Strategy and... ...professional judgement, and analytical expertise to support the integrity... ..., consolidation adjustments, and elimination entries.Perform... ...designation (in-office, hybrid, remote) and operational needs. Salary...Remote workRiskFull timeContract workWork at officeWorldwide- ...Portfolio Operations, Finance, Risk and Regulatory teams to... ...imperfect datasets, document analytical assumptions and distinguish confirmed... ...is a hybrid of office/remote workingSkills:Agreements and... ...accessibility need may request an adjustment/accommodation related to bp’s...Remote workRiskFull timeContract workWork at officeLocal areaFlexible hours
- Reveleer is seeking a Clinical Documentation Specialist - Outpatient for a remote opportunity. The role focuses on reviewing patient records to identify and validate HCC diagnoses and to improve RAF score accuracy through provider queries and documentation improvements...Remote jobRisk
$64.8k - $97.2k
...Docketing Specialist Are you looking for a culture... ...attention to detail plus work remotely? Ogletree Deakins is... ...Client Information Risk Services department.... ...Excellent research, analytical and reasoning skills,... ...0. Actual pay will be adjusted based on experience, geographic...Remote workRiskLocal areaFlexible hoursShift work$100k - $186k
...Description: The Transformation Specialist plays a key role in... ...position delivers analytical insights, structured... ...and helping identify risks and value drivers.Experience... ...is a hybrid of office/remote workingSkills:Agility... ...need may request an adjustment/accommodation related...Remote workRiskFull timeTemporary workPart timeWork experience placementWork at officeLocal areaFlexible hours- ...CCS. As a Revenue Cycle Specialist you will be... ...Posting payments and / or adjustments to individual accounts... ...to detail, with strong analytical skills. Ability to work... ...identifies non-adherence risk and delivers personalized... ...Work-Life Balance: Remote or hybrid work options...Remote workRiskFlexible hours
$30 - $50 per hour
...The Project Controls Specialist will support a key public... ...player with strong analytical skills, excellent... ...and the agency’s needs. Remote, hybrid, and on‑site options... ...(EAC) Monitor and adjust project contingency,... ...present options to mitigate risks The Ideal...Remote workRiskHourly payFull timeContract workPart timeWork at officeLocal areaFlexible hours$76.72k - $85.05k
...Description The EHS Specialist supports the overall delivery... ...standards while minimizing risk. This full-time position... ...certification. Excellent analytical and problem-solving skills.... ...depth perception and able to adjust focus Hearing and speaking...Remote workRiskFull timeWork at officeFlexible hours$19.21 - $28.73 per hour
...The Revenue Cycle Specialist is responsible for analysis... ...issues. This is a remote position. ESSENTIAL... ...: Analyze and adjust/reprice claims to ensure... ...thinking Strong analytical and problem-solving skills... ...| Opportunities in Risk Management In general...Remote workRiskHourly payMinimum wageFull timeContract workWork experience placementWork at officeLocal areaFlexible hours$70k - $80k
...Purchasing Specialist Location: New York, NY (Flatiron... ...3 days onsite, 2 days remote TileBar is an... ...ideal candidate combines analytical acumen, strong communication... ...inventory levels, adjust for seasonality and... ...through, and addresses risks or issues that may impact...Remote workRiskTemporary work- ...personnel actions. City: Remote State: Remote... ...The Commissioning Specialist performs advanced technical... ...as part of a broader analytical process to gather and... ...perception, and ability to adjust focus) Lift and or... ...conditions, and risk of electrical shock. The...Remote workRiskFor contractorsWork at officeFlexible hoursNight shift
- ...To lead analytics and medical economics initiatives within the value-based care framework, the full-time remote Vice President of Analytics will develop and implement analytical... ...-based care initiatives, focusing on risk adjustment, cost management, and quality improvement...Remote workRiskFull time
$58 - $63 per hour
...Inpatient Clinical Documentation Integrity Specialist for a 12-month remote contract. The role focuses on... ...coding and compliance, requiring risk adjustment coding experience and relevant certifications... ...Ideal candidates will have strong analytical and communication skills, along...Remote jobRiskHourly payContract work$22.12 - $24.45 per hour
...Description Work Location: Remote - Must live in Arizona... ...'ll Do: The Crisis Specialist I is responsible for... ...; effectively use the risk assessment tool to... ...active listening, speech analytics, contact center... ...Plans effectively and adjusts effectively to new processes...Remote workRiskFull timeTemporary workWork experience placementLive inWork at officeLocal areaHome officeShift workNight shiftDay shiftAfternoon shift$97k - $137k
...brighter, healthier future for all.The Sr. Specialist for Quality Data Analytics maintains master data integrity... ...information systems to trigger risk-mitigating actions across cross-functional... ...calendar year). Paid sick leave is adjusted based on role and location in...RiskHourly payLocal areaRelocation
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Risk Adjustment Analytics Specialist. Be the first to apply!
- remote nurse practitioner Concord, NH
- remote coding manager Concord, NH
- customer service rep remote Concord, NH
- part-time virtual/remote assistant Concord, NH
- senior network engineer remote Concord, NH
- frontend internship remote Concord, NH
- remote accounts receivable Concord, NH
- remote b2b sales Concord, NH
- remote engineering internship Concord, NH
- remote medical data entry Concord, NH





