Senior Director, Medicaid Risk Adjustment Analytics
Hispanic Alliance for Career Enhancement
CVS Health invites a Lead Director - Revenue Integrity Informatics (Medicaid) to shape and oversee Medicaid risk adjustment analytics, reporting, and informatics. This senior role partners with actuarial, finance and operations to ensure accurate revenue capture across markets. You will drive strategic initiatives, build scalable data pipelines, and lead a multidisciplinary team to deliver measurable improvements in risk score accuracy and compliance while aligning with state requirements. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
- CVS Health is seeking a Lead Director - Revenue Integrity Informatics (Medicaid) to lead Medicaid risk adjustment analytics, reporting, and informatics to ensure complete, accurate, and compliant revenue capture. The role oversees strategic leadership, performance analytics...Senior
- CVS Health is seeking a Lead Director for Revenue Integrity Informatics (Medicaid) to guide analytics, reporting, and risk adjustment programs. You will lead strategic initiatives across... ...data visualization tools. This is a senior, full-time position with a comprehensive...SeniorFull time
$67.9k - $199.14k
...Summary CVS Health has an exciting opportunity for a Senior Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will lead and execute... ...while ensuring alignment with state Medicaid and CMS regulatory requirements. Evaluate health...SeniorRemote jobHourly payFull timeTemporary workWork experience placementLocal area$100k - $231.54k
...time. Position Summary Revenue Integrity Informatics is seeking a Lead Director - Revenue Integrity Informatics (Medicaid) to join our highly dynamic Risk Adjustment analytics team. This senior‑level role will provide strategic and operational leadership for all Medicaid...SuggestedHourly payFull timeTemporary workLocal area- CVS Health is seeking a Lead Director - Revenue Integrity Informatics (Medicaid) to provide strategic leadership for Medicaid risk adjustment analytics, reporting, and informatics. The role leads... ...while preparing for audits. This senior position offers opportunities to drive...Senior
- ...Pricing in a remote position to lead strategic initiatives in Medicaid drug pricing and reimbursement analysis. This role involves managerial... ...'s degree and extensive experience in Medicaid pricing and analytics. This position offers top-tier health benefits, paid time off,...SeniorRemote job
- Navitus Health Solutions, LLC is seeking a Senior Analyst for Government Pricing to provide advanced analytical support for Medicaid pharmacy programs. Candidates should have at least 5 years of experience in PBM or healthcare analytics, a Bachelor's degree in a related...SeniorRemote job
$67.9k - $199.14k
CVS Health is seeking a Senior Informatics Manager to lead complex data analyses and manage a small team in the Risk Adjustment Analytics department. This role involves designing and delivering analytics, interpreting large healthcare datasets, and translating findings...SeniorFull time$67.9k - $199.14k
CVS Health is seeking a Senior Informatics Manager for its Risk Adjustment Analytics team. The role involves leading complex data analyses and managing a small analytics team. Candidates should have extensive experience in healthcare analytics and strong leadership capabilities...Senior- CVS Health in the United States is seeking a Senior Informatics Manager to lead the Risk Adjustment Analytics team. In this role, you will execute complex data analyses to drive risk adjustment performance and improve quality outcomes through actionable insights. Ideal...Senior
- CVS Health in Pennsylvania is seeking a Senior Informatics Manager for the Risk Adjustment Analytics team. This role involves leading data analyses to enhance health plan performance and manage a small team dedicated to delivering actionable data insights. The position...Senior
- ...and we’re now looking to strengthen our risk leadership as we expand our credit offerings. Role Overview We’re hiring a Senior Risk Analytics Manager to own and evolve credit risk... ...experiments and policy changes to improve risk-adjusted returns Provide clear insights and...SeniorRemote workFlexible hours
- BerryDunn is looking for a Senior Consulting Actuary to join their Health Analytics Practice Group. The role requires 15+ years of experience in the health actuarial field, leading teams and developing Medicaid capitation rates. You will engage with state Medicaid agencies...SeniorRemote work
- Hispanic Alliance for Career Enhancement is seeking a Senior Informatics Manager to lead their Risk Adjustment Analytics team in New York. This key position involves executing complex data analyses to enhance health plan performance and translating findings into actionable...Senior
- ...Holdings, Inc. seeks an experienced portfolio risk manager to develop a comprehensive view of the... ...8+ years in risk management, you will leverage analytics to optimize portfolio performance and present findings to senior management. The role demands strong experience...Senior
- 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 of experience in product management within healthcare, a strong understanding of Value-Based Care...SeniorRemote job
$85k - $200k
...records and managing small projects while ensuring compliance with regulations. Candidates should be certified in Risk Adjustment Coding (CRC) with strong analytical and communication skills. There is a competitive salary range of $85,000 to $200,000 and opportunities for...SeniorRemote work- ...Clearbrook Group Services Inc. is seeking a Senior Workers' Compensation Claims Adjuster for a temporary assignment ending on October 9, 2026. This role... ..., and outstanding claim negotiation and analytical skills. A competitive compensation package with comprehensive...SeniorTemporary workRemote work
- Selby Jennings is seeking a Medicaid Actuarial Senior Principal in the USA to provide strategic leadership across multi‑state rate‑setting programs. You will guide senior actuarial work, advise on capitation methodologies, and mentor teams of actuaries and policy professionals...Senior
- ...Argo Group is seeking a Workers' Compensation Claims Adjuster for a temporary assignment that allows remote work anywhere in the U.S... ...experience in AL, SC, and TN, applicants should also possess strong analytical and negotiation skills. A Bachelor’s degree is required, and...SeniorTemporary workRemote work
$150k - $165k
Invesco is seeking a dedicated professional with 7+ years in risk management for a full-time role. The candidate will be responsible for analyzing portfolios and ensuring adherence to risk policies, utilizing programming skills for scalable risk measurement solutions....SeniorFull timeFlexible hours$80k - $100k
...Inc. is looking for an experienced Workers Compensation Claims Adjuster to manage complex claims from filing to resolution. The role... ...least 2 years of relevant experience, strong communication and analytical skills, and a knowledge of state statutes. This position offers...Senior- Raphael and Associates is looking for an Executive General Adjuster based in New York. This position involves investigating, evaluating... ...a minimum of five years of relevant experience and strong analytical and communication skills. The role emphasizes client service and...Senior
$127k - $211.5k
...with exceptional professionals for this role. Director, Technical Program Manager, Risk & Compliance Analytics and Reporting At BNY, our culture empowers you... ...information, building compelling narratives, and influence senior stakeholders. ~ Familiarity with compliance and...Temporary workWork experience placementWork at officeLocal areaFlexible hours$50k - $117.7k
...is looking for an experienced Extended Handler Bodily Injury Adjuster to manage complex automobile accident claims. This position involves... ...while mentoring junior staff. The ideal candidate has strong analytical skills and experience in attorney represented bodily injury...Senior$60k - $95k
...leading workers' compensation insurance provider is seeking a Senior Claims Adjuster I to manage California workers' compensation claims... ...should have at least 7 years of claims experience, superior analytical skills, and the ability to work independently. You will handle...SeniorRemote job- Horace Mann is seeking an experienced Bodily Injury Adjuster III to manage complex bodily injury claims. Responsibilities include investigating... ...7 years of experience in bodily injury claims, possess strong analytical and negotiation skills, and deliver exceptional customer...Senior
- ...Insurance is seeking an experienced Extended Handler Bodily Injury Adjuster in New York City to manage complex automobile accident claims... ...evaluating and negotiating injury claims while using strong analytical skills to handle coverage issues. The ideal candidate will...SeniorRemote work
- ...Insurance Company of America is seeking a Head of Risk & Resiliency to execute frameworks for Financial... ...risk within financial services, with strong analytical and leadership skills. The role involves liaising with senior leaders and risk committees to promote a risk-aware...Senior
$250k
Allstate Northern Ireland Limited is seeking a Field Property Adjuster II or Sr. to manage complex homeowner claims in New York. This... ...company policies. The ideal candidate has strong communication and analytical skills, with the ability to handle claims valued up to $250,00...SeniorRemote job
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