Health Plan Risk & Quality Analytics Analyst
Molina Healthcare
Molina Healthcare is looking for an experienced Analyst to provide support for health plan risk and quality reporting activities. You will design custom reports and educate users on data utilization related to HEDIS across various healthcare programs. The ideal candidate will have over 2 years in data analysis, experience with Microsoft T-SQL and Power BI, and be detail-oriented. This role requires strong business acumen and the ability to manage multiple priorities effectively. #J-18808-Ljbffr Molina Healthcare
$215k - $265k
...hidden fees or compounding interest. The Risk & Analytics team makes crucial decisions that direct... ...as develop the roadmap and strategy plan Risk Knowledge – working knowledge of the... ...include equity rewards, monthly stipends for health, wellness and tech spending, and...RiskHealth InsuranceWork experience placementWork at officeRemote workFlexible hours$60k - $90k
...Job Title and Information Risk, Quality, and Performance Analyst (Internal Job Profile Code: TCS015, P3, Band... ...performance reporting, and corrective action plans. Provide support for onboarding,... ...$60,000 – $90,000. Benefits include health insurance coverage, life and...RiskHealth InsuranceContract work- Affirm is seeking a Data Analyst to optimize credit strategies using advanced analytics. You will leverage your expertise in SQL and Python to collaborate with cross... ...-first work environment with benefits including health coverage and competitive pay. #J-18808-Ljbffr AffirmRiskHealth InsuranceRemote job
- The University of Miami seeks a Data Analyst 1 (Healthcare Risk Management Specialist) in Miami, Florida... ...and generating reports for internal planning. Applicants should possess a Bachelor... .... Knowledge of Power BI and strong analytical skills are strongly preferred. Competitive...RiskFull time
- Augment Risk is looking for a motivated junior analyst to join their Miami-based team. This role involves working closely with actuaries and data scientists to deliver analytical outputs that enhance reinsurance pricing decisions and outcomes for clients. The ideal candidate...RiskRemote jobFlexible hours
- ...Risk Management Analyst Lennar is one of the nation's leading homebuilders... ...Associates by building quality homes and providing... ...education is required. Strong analytical and problem-solving... ...Associates have access to robust health insurance plans, including Medical,...RiskHealth InsuranceLive inWork at officeLocal area
- ...that is seeking a Reporting & Analytics Contractor in Coral Gables,... ...monitor performance, operational health, and regulated reporting—... ...reporting solutions, improving data quality and consistency, and... ...approaches to identify trends, risks, and opportunities earlier. This...RiskHealth InsuranceHourly payContract workFor contractors
- ...Financial Data and Analytics for the Shipboard... ...will lead a team of analysts responsible for... ...Data Governance & Quality: Ensure accuracy,... ...understanding of financial planning and analysis... ...problem solving; risk mitigation; strong... ...with minimal safety/health hazard potential....RiskHealth InsuranceWork at officeWork from homeRelocationMonday to Thursday
- ...Energy is seeking an experienced Energy Analytics Manager / Nodal Production Cost Modeler to... ...apply advanced modeling to assess basis risk, congestion, curtailment, and long‑term market... ...competitive benefits package, including health insurance, PTO, 401(k) with employer...RiskHealth InsuranceFull timeWork at office
$180k - $250k
...Manager, you will own the analytical and operational... ...generation, improving output quality, and freeing up time... ...underpin quarterly planning, forecasting, and target... ...limits and taking risks is everyday business.... ...Disability & Life insurance. Health Reimbursement Account...RiskHealth InsuranceRemote jobWork from home- ...be responsible for the planning, development, and overall... ...Establishes project quality standards, monitors project... ...and/or members on health initiatives Possess general... ...knowledge of data analytics and reporting requirements... ...ability in risk management skills associated...RiskHealth InsuranceLocal areaMonday to Friday
$120k
...Summary The Compliance and Risk Manager is responsible for overseeing the organization... ...adherence to federal, state, and health plan requirements, as well as internal policies... ....g., HIPAA, CMS, OIG, OSHA) Exceptional analytical, investigative, and problem‑solving abilities...RiskHealth InsuranceFor contractorsFor subcontractor- ...do not carry the same enterprise-level risk or visibility as flagship accounts. In... ...consulting, or related roles within: A health plan or payer organization A healthcare or enterprise... ...and Technology teams Requires strong analytical, communication, and problem-solving...RiskHealth Insurance
- ...crucial role in ensuring the quality and reliability of our AI... ..., including test plans, test cases, and technical... ...Postman or similar. Strong analytical and problem‑solving skills... ...exposure to AI, FinTech, Credit/Risk domains is desirable. Benefits Health Care Plan (Medical,...RiskHealth InsuranceFlexible hours
$120k - $135k
...comprehensive account strategy plans aligned to client business... ...Proactively manage client escalations, risks, and sensitive business issues... .... Support implementation of health plan strategies in... ...to manage multiple priorities. Analytical mindset with ability to interpret...RiskHealth InsuranceContract workWork at officeShift work- ...along with its affiliated health plans known as Florida... ...to promoting a higher quality of life and maximizing... ...standards, mitigating risk and supporting organizational... .... Excellent analytical, organizational, and communication... ...regulatory reporting analysts, fostering...RiskHealth InsuranceLocal area
- ...Group, LLC is hiring a Manager of Credit Risk Analysis in Miami, FL. This full-time role... ...analyses, and overseeing a Credit Risk Analyst. The ideal candidate will have strong financial... ...leveraging advanced reporting tools and analytics. A competitive salary package, generous...RiskFull time
$150k - $165k
...existing contracts Support evaluation of risk and pricing strategies for new and... ...operations, medical economics / business analytics, product, sales, account management and... ...experience in underwriting or pricing within a health plan Experience in healthcare, value-based...RiskHealth InsuranceContract workShift work- ...of the property cycle, from planning and development through recapitalization... ...rewards programs, including health benefits, retirement plans,... ...experience. Supports risk management and employee well‑... ...Prepares and distributes workforce analytics and reports, including...RiskHealth InsuranceHourly payWorldwideNight shiftAfternoon shift
- ...Flexible PTO + paid holidays Top-quality benefits package (Health, Dental, Vision, STD, LTD,... ...activities (gym, meal plans, mental health costs) Free... ...sync issues Partner with analytics teams to ensure schema... ...logic Escalate identified risks related to performance, availability...RiskHealth InsuranceWork at officeFlexible hours
- ...This role involves utilizing tools like Power BI and Retail Net to track KPIs, identify risks, and assist in business planning. The ideal candidate will possess strong analytical skills and will contribute to strategic initiatives that enhance the overall success of the...Risk
$165.5k - $206.9k
...and Associates by building quality homes and providing exceptional... ...counsel, balancing legal risk with practical, business‑... .... Exceptional negotiation, analytical, and communication skills.... ...Associates have access to robust health insurance plans, including Medical, Dental,...RiskHealth InsuranceContract workLive inWork at officeLocal area- ...Manager RN in the Population Health Department. Summary... ...interdisciplinary plan of care for patients, from... ...pathways to improve quality of care. Core Job Functions... ...the patients' risk factors or obstacles to... ...the system, and use data analytics to prioritize efforts and...RiskHealth InsuranceFull timeTemporary workWork at officeRemote workWorldwide
- ...power our products and analytics. You’ll own end-to-end... ..., and expose high-quality data to internal customers... ..., UBOs, and hidden risk relationships across international... ...with data scientists, analysts, and application... ...in Orlando, Florida Health Care Plan (Medical, Dental &...RiskHealth InsuranceRemote workWork from homeFlexible hours
- ...Days) Overview: Sentara Health Plan AvMed is looking to hire an Integrated... ...Identifies members for high-risk complications and coordinates... ...gap in care management for quality programs. Assists with the... ..., facilitation skills, and analytical skills Education:...RiskHealth InsuranceTemporary workRemote workShift work
- ...financial strategy, long-range planning, profitability, and... ...payment controls, and financial risk mitigation activities. Essential... ...flow management. Advanced analytical skills and the ability to... ...and supplementary voluntary health plans. ~ Biometric Wellness...RiskHealth InsuranceLocal areaRelocationRelocation packageFlexible hours
- ...initiatives for shipboard health staff across North... ...ensure consistent, high-quality performance reviews, competency... ..., and succession planning, supporting staff... ...optimize staffing, reduce risk, and ensure compliance... ...organizational abilities; analytical capability to interpret...RiskHealth InsuranceFull timePart timeWork at officeRemote workWork from homeRelocationTrial periodMonday to Thursday
- ...Field Risk Specialist In The News: Solifi Acquired DataScan... ...with physically verifying floor planned inventory, transforming... .... Every day you'll flex your analytical muscles, reviewing and authenticating... ...reimbursement, excellent health care and retirement benefits....RiskHealth InsuranceWork at officeLocal areaImmediate startFlexible hoursNight shift
$340k - $380k
...of Affirm cash, funding, and risk management, including ensuring... ...strategic goals by developing funding plans, optimizing capital allocation... ...Engineering, Product, Credit Analytics, and Internal Audit on... ...equity rewards, stipends for health, wellness and tech spending, and...RiskHealth InsuranceWork at officeLocal areaRemote work- ...Heights is seeking a seasoned Risk Manager to oversee and enhance... ...development agreements, and project plans to assess exposure and ensure... ...requirements Excellent analytical, negotiation, and... ...program ~ Employee discount ~ Health insurance ~ Life insurance...RiskHealth InsuranceFor contractorsFor subcontractorWork at officeLocal area
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