Health Data Analytics Lead — Risk Adjustment
Blue Shield of California
The Health Data Analyst role at Blue Shield of California, based in Monterey Park, provides essential support to the risk adjustment program, collaborating with cross-functional teams and external vendors. Strong customer service, project management, and attention to detail are essential for success in this role. The ideal candidate will develop specialized healthcare payment expertise and contribute to Care1st revenue management while producing timely reports for internal and external use. #J-18808-Ljbffr Blue Shield of California
- ...the hardest working, nonprofit health plan in California and help... ...everyone. Description The Health Data Analyst provides essential... ...to all functions within the risk adjustment program, which includes... ...programs between BSC and Care1st. Lead vendor management efforts...Risk
- Astrana Health is seeking a Risk Adjustment Coding Specialist II to support remote chart reviews, identify coding gaps, and deliver provider education. This role emphasizes interpreting HCC data, monitoring KPIs, and providing insights to improve accuracy across payer...RiskRemote jobWork from homeHome office
- Heluna Health is seeking a Senior Staff Analyst to manage data and analytics projects for the Los Angeles County Department of Health Services. The role involves collaborating with stakeholders, ensuring project alignment with departmental goals, and analyzing healthcare...Suggested
- Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to support our physician practices remotely. You will perform high-volume chart reviews to identify coding gaps and improve accuracy, translating findings into education for providers and practice leaders...RiskRemote job
- A leading entertainment service provider in Los Angeles is seeking a Risk Analyst to enhance risk management methodologies. The successful candidate will manage auto... ...and workers' compensation claims, utilize data analytics to inform decision-making, and collaborate with...Risk
$88.85k
...Established in 1997, L.A. Care Health Plan is an independent... ...The Authorization and Claims Analytics Data Analyst III serves as a Subject... ...contributor responsible for leading complex analytic projects... ..., such as network strategy, risk adjustment, or medical cost driver analysis...Risk$155k - $170k
...Role The Practice Group Data Manager - M&A is an... ...visibility of timelines. Lead cross‑functional projects... ...tracking milestones, risks, and issues. Protect and... ...owning a data/analytics product or program for... ...being programs (mental health services, mindfulness and...RiskWork at officeFlexible hours- UCLA Health is seeking a Clinical Documentation Integrity Specialist to manage Medicare Advantage risk adjustment coding. This role requires expertise in coding, conducting audits, and... ...coding experience, and demonstrate analytical skills. The position involves travel...Risk
- ...JOB TITLE: Sr. Manager, Risk Adjustment FLSA STATUS: Exempt DEPARTMENT... ..., Risk Adjustment, and Health Analytics AUTHORITY: JOB SUMMARY... ...Manager is responsible for leading and optimizing risk adjustment... ...adjustment performance and data integrity across programs....RiskWork at officeShift work
$95.4k - $208.3k
The University of California - Los Angeles Health is seeking a Clinical Documentation Integrity Specialist for Medicare Advantage Risk Adjustment. This role involves conducting medical record audits and providing education to physicians and coders, ensuring accurate coding...RiskFull time- ...Rosemead, California, is looking for a Senior Data Analyst to develop and maintain HR metrics, reports, and analytics. This essential role demands collaboration with... ...position offers a hybrid work schedule, comprehensive health benefits, and opportunities for continuous...
$70k - $85k
...Risk Adjustment Coding Specialist II - Remote We are currently seeking... ...documentation of diagnostic data from medical records to verify... ...by manager. May assist or lead projects and/or higher work volume... ...softwares and Electronic Health Records (EHR) systems. Strong...RiskRemote jobFull timeWork at officeHome office$95.4k - $208.3k
...Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and... ...physicians, IPA coders, and risk adjustment teams associated with the health plan. You will: Conduct medical record audits for physicians...Risk3 days per week- ...Responsibilities Design, develop, and maintain robust data pipelines and analytical models to support health equity research initiatives. Utilize Python and SQL... ...techniques to predict disparities, identify high‑risk populations, and recommend targeted interventions....Risk
- ...performance Company parties Competitive salary Dental insurance Health insurance Opportunity for advancement Paid time off Training &... ...expiration dates and visit limits Coordinate scheduling adjustments based on UR determinations Adjuster and Case Manager Communication...Risk
- ...Revolution Become a Programs, Compliance & Data Analytics Senior Manager at Southern California... ...implementation of process automation. Leads and facilitates process improvement for... ...audits. Designs, develops and implements risk‑based assessment plans to evaluate...RiskRemote workRelocation
$120k - $200k
...East West Bank is seeking an experienced Data Governance to help develop,... ...stakeholders, data owners, technology teams, analytics teams, and risk and compliance functions to implement... ...stakeholder management skills. Experience leading cross-functional governance...Risk- ...open-ended time frame. Leads the work of program teams... ...and identifies program risks, issues, and trigger... ...organization, and makes adjustments as needed in an uncertain... ...Facilitation Skills Health Care Industry Influencing... ...: Functional Applied Data Analysis Change...RiskContract workTemporary work
$95.4k - $120k
UCLA Outpatient Clinics in Los Angeles is looking for a Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment. You will work closely with providers to ensure documentation accuracy and participate in audits. This role requires expertise in risk...Risk- Heluna-Health is seeking a Senior Information Systems Analyst with a specialization in Business Intelligence to join their Data & Analytics Unit. The ideal candidate will have over 4 years of experience in analytics and data management, utilizing data to support decision...
$182.8k - $274.1k
Job Title Data Science Senior Advisor at Southern California Edison (SCE)... ...Advisor, you will advance SCE’s wildfire risk modeling practice by developing and... ...solving unconventional problems. Lead and provide direction to other analytic teams across the organization,...RiskRemote work- " Home Health PTA - Execute Care Plans and Make a Difference Since 2008, Lifespan Therapy has empowered qualified clinicians... ...Focus on functional strengthening, gait training, balance, and fall risk reduction to help patients reach their mobility goals....RiskPart time
$125k - $200k
...Commercial Risk Producer Do you have a passion... ...business issues using the data and analytics available at your... ...different: Aon is the leading global professional... ...Risk, Retirement and Health at a time when those topics... ...salary may also be adjusted based on applicant's geographic...RiskFull timeTemporary workPart timeLocal area- ...Nursing, 5 years of experience in quality improvement, and strong analytical skills. Preferred qualifications include a Master's degree and... ...enhancing quality metrics and ensuring effective communication of data results. #J-18808-Ljbffr University of Southern California
$150k - $260k
...is seeking a professional for the Portfolio Management Data Analytics team. The role involves leading space programming and occupancy planning, building... ...$260,000, along with comprehensive benefits including health plans and flexible time off. #J-18808-Ljbffr Netflix,...Flexible hours- Heluna Health is seeking a Senior Information Systems Analyst with a focus on Business Intelligence to join the Data & Analytics Unit. This role involves managing, analyzing, and interpreting healthcare data to support decision-making within the Los Angeles County Department...
$100k - $120k
A data analytics company in California is seeking a Power BI Developer / Senior Data Analytics professional to transform complex datasets into actionable insights. Candidates should have at least 3 years of experience with Power BI and a relevant bachelor's degree. Responsibilities...$95.4k - $208.3k
...$95400 - 208300 Annually Employment Type 2 - Staff: Career Duration Indefinite Primary Duties and Responsibilities Press space or enter keys to toggle section visibility Job Qualifications Press space or enter keys to toggle section visibility UCLA HealthRiskRemote workMonday to FridayFlexible hoursAfternoon shift- UCLA Health in Los Angeles is seeking a data analytics engineer to transform complex data into actionable insights for quality improvement and strategic decision-making. You will design, develop, and maintain SQL-based applications, databases, and reporting solutions, partnering...
- ...to oversee the implementation of audit methodologies and manage professional practices. The role involves developing strategies for risk-based auditing and training programs. Applicants should possess a Master’s degree and relevant certifications, along with extensive...Risk
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