Remote Risk Adjustment Analytics Specialist
Blue Cross Blue Shield of Nebraska
- Remote job
Blue Cross Blue Shield of Nebraska is seeking a Healthcare Analytics professional to analyze healthcare data for Risk Adjustment programs, evaluate performance, and drive actionable insights for intervention planning and decision‑making. The role supports reporting, forecasts, and analytics across teams, with emphasis on transforming data findings into business outcomes and ensuring accuracy of analytics in a cross‑functional environment. #J-18808-Ljbffr Blue Cross Blue Shield of Nebraska
$120k - $160k
...portfolio management and risk oversight activities.... ...your advanced analytical skills, you'll help drive... ...proportion of on-site and remote work) will be... ...Prepare collateral value adjustment analyses, leverage advanced... ...Loan Services, Client Specialists, and Compliance to ensure...Remote workRiskFull time- ...Blue Cross Blue Shield of Nebraska is seeking a Healthcare Analytics professional to analyze healthcare data for Risk Adjustment programs, evaluate performance, and drive actionable insights for intervention planning and decision‑making. The role supports reporting, forecasts...Remote workRisk
- ...seeking an experienced HCC Coding Specialist to deliver quality coding for various risk adjustment programs. The ideal candidate will... ...coding educational initiatives. This remote position requires excellent communication and analytical skills. #J-18808-Ljbffr Highmark HealthRemote jobRisk
- ...Denver, Colorado, United StatesCompany: Strive HealthPosted: 2026-08-02Strivehealth seeks a Coder for Risk Adjustment Coding in Denver, Colorado. This hybrid remote role supports operations by reviewing coding for accuracy, ensuring compliance with regulations, and providing...Remote workRisk
$99k - $124k
...transform chronic conditions by identifying risk earlier, coordinating thoughtful care,... ...at Strive! Benefits & Perks Hybrid-Remote Flexibility -Work from home while fulfilling... ...DoWe are seeking a Lead Analyst, Risk Adjustment Analytics to join our high-performing, insights-...Remote workRiskWork at officeWork from homeFlexible hours2 days per week- ...market success. Applicants should have over 4 years’ experience in risk adjustment analytics and proficiency in Excel and SQL. The position offers a competitive salary, bonuses, and comprehensive benefits, including hybrid-remote flexibility. #J-18808-Ljbffr Strive HealthRemote workRisk
- ...Highmark Inc. seeks a qualified HCC Coding Specialist to perform HCC coding on MA, ACA, and... ...various EMR systems to ensure accurate risk adjustment coding. The role supports RPM coding,... ...CMS guidelines and Highmark policies. Remote, full-time position with collaborative...Remote workRiskFull timeFlexible hours
- ...seeking a candidate for HCC Coding who will deliver value in risk-adjusted government programs like Medicare Advantage and Affordable Care... ...preferably an associate degree in a health-related field. This position is remote with occasional travel requirements. #J-18808-Ljbffr...Remote workRisk
$21.28 - $29.32 per hour
...Department of Agriculture’s Risk Management Agency. Together with... ...an RCIS Crop Claims Field Adjuster II to work out of the states... ...range for the RCIS Crop Claims Specialist is $47,000.00 - $77,000.00, with... ...- Montana Virtual Office Remote Working: Yes Schedule:...Remote workRiskHourly payFull timeTemporary workWork at officeLocal areaWork from homeVisa sponsorship$81.5k - $138.55k
Title: Senior Climate Analytics SpecialistPreferred Locations: Salt... ...seeking a Senior Climate Analytics Specialist with strong scientific... ...portfolio of work on climate risk and resilience. Our projects... ...9.00 - $138,549.00Nationwide Remote Office (US99)SummaryLocation:...Remote workRiskFull timeContract workTemporary workWork experience placementWork at officeFlexible hours$77.6k - $176k
People Analytics & Insights Specialist, SeniorThe Opportunity:Advance Booz Allen’s workforce and talent priorities... ...environments to identify trends, risks, opportunities, and potential drivers... ...their cameras on during meetings.Remote: If this position is listed as remote...Remote workRiskFull timeContract workPart timeWork at officeLocal area$198.22k - $297.33k
Role Description The Sr. Director, Risk Adjustment Data & Analytics (Remote) is a senior technical and operational leader responsible for advancing the integrity, completeness, and strategic value of Medicare Risk Adjustment (MRA) data and analytics programs within the...Remote workRiskFull timeWork experience placement- MedPOINT Management in Sherman Oaks, CA is seeking a detail‑oriented HCC Coding Specialist to join our expanding team. You will play a pivotal role in risk adjustment accuracy and high‑quality healthcare documentation, collaborating with physicians and clinical staff to...Remote jobRisk
- ...Analytics & Insights Specialist We are looking for an Analytics & Insights Specialist with strong technical expertise and strategic vision to lead... ...funnels to identify patterns, opportunities, and risks. Generate actionable insights that answer strategic business...Remote workRiskLocal area
- MedPOINT Management in Sherman Oaks, CA seeks a detail-oriented HCC Coding Specialist to ensure accurate risk adjustment coding and compliant documentation. You’ll review medical records, collaborate with clinicians, and stay current with CMS guidelines to support payer...Remote jobRiskWork from homeFlexible hours
- ...Sharp HealthCare is seeking a Risk Adjustment Reporting Specialist to support the SCMG Finance team in preserving accurate reporting across EHR, claims, and external vendor files. The role centers on validation, distribution, and analysis to enable timely performance...Remote workRisk
$91k - $169k
...s success. As a Portfolio Analytics & Strategy Specialist (Fraud Model Analyst) within... ...identified model risks, defects, and issues, and reaches... ...multiple model developers in remote locations, including offshore... ...datasets, improve risk adjusted returns, deliver profitable...Remote workRiskFull timeTemporary workPart timeWork experience placementWork at office$120k - $150k
About the Role This Lead Specialist, Business Analytics role aligns with the industry title of CPQ Application... ...debt based on business value, risk, urgency, reduction of manual effort,... ...to have the necessary means to work remotely, adhering to our work-at-home policies...Remote workRiskFull timeWork at officeWork from homeHome officeFlexible hours- ...begins with outstanding talent. It all begins with you.Corporate Risk helps all Wells Fargo businesses identify and manage risk.... ...of the company.Wells Fargo Bank N.A. seeks a Quantitative Analytics Specialist in Charlotte, NC.Job Role and Responsibility: Develop, implement...Remote workRiskFull timeWork experience placement2 days per week
$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- ...reflects patient conditions, which is essential for risk adjustment and reimbursement in managed care. The ideal... ...ICD-10 coding guidelines. This position requires excellent analytical and communication skills, and allows for remote work. #J-18808-Ljbffr CareConnectMDRemote jobRisk
$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- ...Work Work Solution: Remote Responsibilities... ...Do The Sourcing Specialist will support the development... ..., and vendor risk to prioritize sourcing... ...environment Strong analytical, organizational, communication... ..., and ability to adjust focus. This job...Remote workRiskContract workH1b
- ...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
$62.7k - $94.62k
...turn to when you need a specialist who not only knows... ...underwriting guidelines and risk appetite. Develops... ...strategic adjustments to improve overall effectiveness... ...to work one day remotely. Core in-office days are... ...Demonstrates advanced analytical, risk assessment, and...Remote workRiskFull timePart timeSeasonal workWork at office- Baptist Health Medical Group seeks an Ambulatory CDI Specialist to join our team. This remote position requires residency in KY or IN and involves evaluating documentation for coding accuracy and HCC coding. You will guide providers and staff on clinical documentation...Remote jobRiskWork at office
$69k - $103k
...Total Rewards Specialist Matrix Medical Network is... ...includes diagnostic testing, risk identification,... ...00 Location: Fully Remote, must be in the United... ...compensation, benefits, and HR analytics. Key... ...changes, promotions, market adjustments, and annual merit processes...Remote workRiskFull timeTemporary workLocal areaFlexible hours- ...CODING SPECIALIST Location: REMOTE Employment Type: Full-Time Reports to... ...audits to identify potential risk areas and recommend... ...platforms, and excel . Analytical Abilities: Strong problem... ...reimbursement models and risk adjustment coding. Familiarity...Remote workRiskFull time
- ...Sourcing Specialist Job Description Marketlab is a market-leading... ...terms while mitigating risk; monitor supplier adherence to... ...Cost Savings: Use data and analytics to identify cost reduction opportunities... ...to use in strategy adjustments. Maintain contract pricing...Remote workRiskContract workWork at office
- ...Specialist, Retail Supply - Renewables Our purpose... ...position requires a sharp analytical mind, strong... ...efficiency and reduce risk. Cultivate and maintain... ...is a hybrid of office/remote working Agreements... ...accessibility need may request an adjustment/accommodation related...Remote workRiskWork at officeLocal areaRelocation
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