Remote Senior Director Medicare Risk Adjustment Data
E2E Alignment Healthcare USA, LLC
- Remote job
Alignment Health is seeking a Sr. Director of Risk Adjustment Data & Analytics (Remote) to lead end-to-end MRA data operations, ensuring timely, complete, and defensible data that drives RAF scores and plan revenue. You will manage a multidisciplinary team of analysts, data scientists, and engineers, partnering with Finance, Actuarial, Clinical Operations, and Compliance to deliver executive‑level insights, governance, and audit readiness. #J-18808-Ljbffr E2E Alignment Healthcare USA, LLC
$198.22k - $297.33k
...health care, committed to serving seniors and those who need it most: the... ...but saving them. Together. The Sr. Director, Risk Adjustment Data & Analytics (Remote) is a senior technical and... ...completeness, and strategic value of Medicare Risk Adjustment (MRA) data and analytics...Remote jobDataSeniorWork experience placement- Highmark Health is seeking a healthcare data coder to support risk adjustment coding for Medicare Advantage and ACA programs. This remote role emphasizes HCC coding, ICD-10, CMS guidelines, and RADV audits, while collaborating with quality and compliance teams to ensure...Remote jobDataSenior
- ...Massadvantage in Worcester, MA is seeking a Manager of Risk Management to oversee Medicare risk adjustment activities. This role involves driving strategies,... ...strong analytical skills, and proficiency in SQL and data tools like Power BI. The position emphasizes leadership...DataSenior
- EMPLOYERS is seeking a Senior Work Comp Claims Adjuster II for a 100% remote opportunity across the United States. The role handles high or catastrophic workers... ...reserves and settlements. Responsibilities include data integrity, independent case analysis, medical...Remote jobDataSenior
- ...Management Services, Inc is seeking a Senior Environmental Claims Adjuster who will join our team to handle... ...negotiating solutions, and analyzing claims data to ensure effective resolution.... ...required. The position allows for remote work with a competitive salary range...Remote workDataSenior
- Modern Health is seeking a Senior Director of Information Risk & Governance to lead cross-functional governance... ...across information security, data, and AI initiatives. The role partners... ...certification readiness, with the flexibility of remote work in the US. #J-18808-Ljbffr...Remote jobDataSenior
- ...address your business’s unique risks. Summary / Job Purpose This position is responsible to adjust assigned claims within delegated... ...Completes timely and accurate data reports to state reporting agencies... .... #LI-HYBRID #LI-HYBRID #LI-Remote It's an exciting time for our...Remote workDataSeniorLocal area
- ...strategic, committed Senior Manager, Live Seller Risk Policy to own and... ...exposure.Reporting to the Director of Live Risk, you... ..., Engineering, Data Science, Compliance,... ...making proactive policy adjustments to keep losses within... ...and market factors.Remote roles are not eligible...Remote workDataSeniorImmediate startVisa sponsorship
$101.18k - $119.78k
.... Job Description Business Title(s) Senior Environmental Claims Adjuster Employment Type Full-Time FLSA Status... ..., we can fill this role fully remote except in the states of AK, DE, HI,... ...claims frequency and severity through data analysis and improved claim management...Remote workDataSeniorFull timeLocal area$70k - $105k
Senior Claims Adjuster I - California | 100% Remote (WFH) General Summary With minimal oversight, the Senior Claims Adjuster... .... Completes and maintains claim data integrity. Independently analyzes... ...practices and Social Security and Medicare application procedure as...Remote workDataSeniorWork from home- ...Senior Claims Adjuster - P & C Homeowners Insurance Tampa At Slide, you will not only be part... ...HQ? No problem—this role can be done remotely from any U.S. state where we currently... ...interpersonal and critical thinking skills. Data-driven, analytical approach necessary....Remote workDataSeniorCurrently hiring
- A healthcare technology firm is seeking a Senior Product Manager to lead the strategy and execution of a risk adjustment product. The ideal candidate should have 5-7 years... ...enhance product offerings. The position is fully remote and offers a competitive salary and...Remote jobSenior
$157.55k - $190.91k
...candidate is an experienced data security and Data Loss Protection... ...Data Protection & Insider Risk Senior Specialist will be a key member... ...centers. Employees in remote-by-design or lab-based roles... ...reasonable workplace accommodations/adjustments and ongoing support in their...Remote workDataSeniorHourly payFull timeTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaFlexible hoursShift work$55k - $60k
...Claims Position Summary The Senior RRT Analyst will be responsible... ...the department to determine adjustments needed and assign accordingly... ...programs and can easily learn other data systems. Position... ...computer work Work Environment Remote Company Culture Here at Allied...Remote jobDataSeniorFull timeWork experience placementWork from home- ...real portfolios, real data, and real impact—and we... ...looking to strengthen our risk leadership as we expand... ...We’re hiring a Senior Risk Analytics Manager... ...changes to improve risk-adjusted returns Provide clear... ...real decision authority Remote-friendly culture and flexible...Remote workDataSeniorFlexible hours
- ...is seeking a Product Manager to lead strategy, design, and delivery for Medicare, Medicaid, and ACA RA programs. You will partner with cross-functional teams to improve risk score accuracy, data completeness, and workflow efficiency while ensuring CMS and state compliance...DataSenior
$165k - $180k
...Senior Director - Alternative Risk Transfer (ART) ~202604453 ~New York, United States ~Charlotte, North... ...weather, climate, and environmental data sources, including NOAA, USGS, satellite... ...in a ”hybrid” style, with a mix of remote, in-person and in-office interactions...Remote workDataSeniorFull timeTemporary workWork at officeLocal areaVisa sponsorshipWork visaFlexible hours- ...Claims department is seeking a Senior Workers Compensation Adjuster for the California team.... ...Roseville office or fully remote. POSITION OVERVIEW: The Senior... ...opportunities to transfer risk and pursue subrogation.... ...efficiency. Ensure proper data ingestion, labeling, and protection...Remote workDataSeniorFull timeTemporary workWork at officeWork from homeFlexible hours
$56.24k - $94.91k
.... USAA roles may offer remote or hybrid flexibility for... ...dedicated Complex Auto Adjuster, you will adjust highly... ...as needed. Ensures risks associated with... ...process for assessing market data and establishing ranges... ...discretion of the USAA Board of Directors. The above description...Remote workDataSeniorContract workH1bWork at officeRelocation packageFlexible hoursAfternoon shift3 days per week$56.24k - $94.91k
.... USAA roles may offer remote or hybrid flexibility for... ...dedicated Complex Auto Adjuster, you will adjust highly... ...as needed. Ensures risks associated with... ...process for assessing market data and establishing ranges... ...discretion of the USAA Board of Directors. The above...Remote workDataSeniorFull timeContract workH1bWork at officeRelocation packageFlexible hoursAfternoon shift3 days per week- A healthcare analytics organization is looking for a Senior Manager to lead risk adjustment analytics. This role involves financial leadership, creating... .... Candidates should have experience in healthcare data and financial management. The position offers comprehensive...DataSenior
$56.24k - $94.91k
...USAA roles may offer remote or hybrid flexibility... ...Opportunity As a dedicated Senior Auto Adjuster, you will work within... ...as needed. Ensures risks associated with... ...for assessing market data and establishing ranges... ...of the USAA Board of Directors. The above description...Remote workDataSeniorFull timeContract workH1bWork at officeRelocation packageAfternoon shift3 days per week$118.1k - $140k
...your career! Fully Remote (U.S. Only): This is... .... This may include adjustments to on-site requirements... ...Overview The Senior Manager Fraud Risk Mitigation leads Paylocity... ...Reporting to the Director, this role oversees a... ...Legal, Compliance, and Data Science teams to embed...Remote workDataSeniorContract workWork at officeLocal areaWork from homeWorldwide$231.3k - $272.1k
Senior Director of Information Risk & Governance Remote - US Modern Health Modern Health is a mental health benefits platform for employers. We are the first... ...determinations and regulator/individual notification decisions. Data governance (security side). Drive management of the...Remote jobDataSeniorFull timeWork from homeFlexible hours- ...education and work experience Medicare/Medicaid experience as... ...people Experience in risk adjustment coding Current... ...Covid Can be fully remote in one of the following... ...work Work closely with Director of Risk Adjustment for... ...correct CMS and HHS data Direct internal and external...Remote workDataWork experience placement
- ...JOB TITLE: Sr. Manager, Risk Adjustment FLSA STATUS: Exempt DEPARTMENT... ...REPORTS TO: Sr. Director, Quality Improvement, Risk Adjustment... ...business and entities, including Medicare Advantage, Marketplace, and... ...adjustment performance and data integrity across programs....DataSeniorWork at officeShift work
- ...you to excel. Kroll’s Cyber Risk team works on over 3,000... ...we help protect our clients’ data, people, operations, and reputation... .... We are seeking a Senior Director to help lead and grow our US... ...veteran status, age or disability. #LI-CN1 #LI-Remote...Remote workDataSeniorTemporary workFlexible hours
$63.59k - $121.53k
...USAA roles may offer remote or hybrid flexibility... ...Opportunity As a Senior Property Adjuster, you will work within... ...as needed. Ensure risks associated with business... ...for assessing market data and establishing... ...of the USAA Board of Directors. The above description...Remote workDataSeniorHourly payFull timeH1bWork at officeLocal areaRelocation packageMonday to FridayShift workAfternoon shift3 days per week$102k - $115k
...$115,000 / year Department: Quality - Risk Adjustment Description Astrana Health is seeking Manager... ...chart retrieval, HCC risk adjustment data & documentation integrity, and... ...Requirements and Working Conditions This is a remote position. Travel to corporate offices in...Remote workDataWork at office$63.59k - $121.53k
...USAA roles may offer remote or hybrid flexibility... ...Opportunity As a Senior Property Adjuster, you will work within... ...as needed. Ensure risks associated with business... ...for assessing market data and establishing... ...of the USAA Board of Directors. The above description...Remote workDataSeniorHourly payFull timeH1bWork at officeLocal areaRelocation packageMonday to FridayShift workAfternoon shift3 days per week
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