Remote Risk Adjustment Director - Lead Medicare Analytics
Central California Alliance for Health
- Remote job
The Central California Alliance for Health is seeking a Risk Adjustment Director to lead their Risk Adjustment Department. This position can be based in one of several counties or remotely in California, requiring quarterly travel. The ideal candidate will possess extensive experience in the managed care industry, particularly in risk adjustment, and strong analytical and leadership skills. Key responsibilities include managing the department, providing guidance on risk adjustment methodologies, and fostering team development. Competitive pay and benefits are offered. #J-18808-Ljbffr Central California Alliance for Health
- ...California Alliance for Health is seeking a Risk Adjustment Director responsible for leading the Risk Adjustment Department. This... ...in managed care, specifically in Medicare risk adjustments. The position is available remotely in California or in one of the service...Remote job
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- A healthcare transformation company in Denver, Colorado is seeking a Lead Analyst, Risk Adjustment Analytics. You will evaluate financial performance and translate complex data into actionable insights. Candidates should have over 4 years of experience in risk adjustment...Remote job
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## Senior Informatics Manager, Risk Adjustment Analytics RemoteApplyremote type: Remotelocations: Work... ...Analytics team! In this role, you will lead and execute complex data analyses to... ...regulated healthcare programs (Medicaid, Medicare, and/or ACA)· Advanced technical...Remote workHourly payFull timeTemporary workWork experience placementLocal areaWork from home$99k - $124k
...predictive data to identify and support at‑risk patients along their entire care... .... Benefits & Perks Hybrid‑Remote Flexibility - Work from home while fulfilling... .... What You’ll Do We are seeking a Lead Analyst, Risk Adjustment Analytics to join our high‑performing,...Remote workWork at officeLocal areaWork from homeFlexible hours$100k - $231.54k
...community at a 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...Hourly payFull timeTemporary workLocal area- Strive Health in Seattle, WA is seeking a Lead Actuarial Analyst for their high-... ...should have over 4 years’ experience in risk adjustment analytics and proficiency in Excel and SQL. The... ...comprehensive benefits, including hybrid-remote flexibility. #J-18808-Ljbffr Strive...Remote work
$99k - $124k
...Health in Washington D.C. is seeking a Lead Actuarial Analyst, MA Risk Adjustment to join their team. This role... ...deep understanding of risk adjustment analytics. A bachelor's degree in a... ...essential. The position offers hybrid-remote flexibility and a competitive salary...Remote work$198.22k - $297.33k
...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... ...and defensible MRA data. The role leads a multidisciplinary team of...Remote jobWork experience placement- Blue Cross and Blue Shield of Massachusetts Inc. is looking for a Director of Risk Adjustment Data & Analytics to lead the analytics team and oversee all aspects of Medicare risk adjustment reporting. The role involves developing strategies for data analytics, ensuring...
- ...Cross Blue Shield of Massachusetts is seeking a Director of Risk Adjustment Data and Analytics in Boston. This role involves leading analytic teams, ensuring compliance with CMS... ...candidate will have extensive experience in Medicare risk adjustment, proficiency in data...
- Blue Cross Blue Shield of Massachusetts is searching for a Director of Risk Adjustment Data and Analytics in Hingham. You will develop and execute the analytic plan for Medicare risk adjustment and oversee reporting and analytics to meet business objectives. This role...
$120k - $150k
...Launch Potato is looking for a Lead BI Developer to own the... ...path into becoming a proactive analytical partner who helps the team see... ...performance, not annual cost of living adjustments. Company Description... ...in South Florida with a remote-first team spanning over 15 countries...Remote workFull time- Mercor is seeking a Risk-Adjustment/HCC coding leader to oversee coding operations for Medicare Advantage and Medicaid programs. The ideal candidate will have over 5 years... ...generated coding for accuracy and compliance, leading teams, and managing audits. Strong...Remote job
- A leading healthcare consulting firm in the United States is seeking an Actuarial Analytics Manager to oversee Medicaid and Medicare programs. In this role, you will lead the analysis of capitation... ...experience. This position offers full remote flexibility and a comprehensive...Remote job
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...functional collaboration. You will leverage data analytics to interpret macroeconomic trends and adjust credit policies, ensuring compliance and risk mitigation. The ideal candidate will... ...unsecured lending. Affirm embraces a remote-first model, offering competitive...Remote job$151.2k - $184.8k
Director of Risk Adjustment Data and Analytics Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Director of Risk Adjustment Data and Analytics is responsible for developing and executing the analytic plan for the Medicare and Merged...Full time$54.3k - $145.86k
...Manager of the RI Retro Ops Team, the Risk Adjustment Outreach Manager is responsible for leading initiatives that support the... ...goals. ~This is a remote position within the continental... ...analysis, reporting). ~Strong analytical, problem-solving, and project management...Remote workFull time- American Family Insurance is seeking a home-based claims adjuster to investigate and manage complex property and casualty claims, determining... ...be near one of our office locations. The role requires strong analytical skills and offers a range of benefits including healthcare, 40...Remote jobWork at officeWork from home
- ...strengthen our Global Advanced Analytics team, we are looking for an... ...our Global Advanced Analytics Lead opening. This hybrid role is... ...Atlanta, Raleigh or Boston) or Remote (up to 20% onsite presence)... ...regulations. Should you require any adjustments to our process to assist you...Remote workWork at officeLocal area
- ...opportunities to improve provider documentation and tailor education plans for assigned providers. Reports to the Manager, Medicare Risk Adjustment and requires on‑site education as needed with travel up to 5%. Responsibilities include arranging educational sessions,...Remote job
- ...to join the Alliance as the Risk Adjustment Director leading the Risk Adjustment... ...Santa Cruz, or San Benito) or remotely in California with expected... ...Experience in overseeing the Medicare Risk Adjustment life cycle Strong data and analytical skills, including SQL, dashboarding...Remote workFull timeContract workLive in
$145k - $178k
...to change that. The Global Lead, CRRD Data & Analytics leads the execution of CRRD... ...Transformation. Reporting to the Senior Director of METAL and the Senior... ...on gaps and lessons, and adjust course as needed. Engage... ...‑level data quality and remote change management are...Remote workContract workLocal areaShift work- Role Description Director, Product Manager - Risk Adjustment (Remote) About the Role: ~Type: Full... ...What You'll Build: ~Lead product strategy for the... ...capabilities supporting Medicare Advantage (CMS-HCC), ACA... ...patient records, audit analytics, and risk prediction platforms...Remote workFull timeTemporary workFlexible hours
- ...Massachusetts, Inc. is seeking a Director of Risk Adjustment Data and Analytics in Hingham, MA. This leadership role... ...executing an analytic plan for Medicare and Merged Market segments, overseeing... ..., and a proven track record in leading analytics teams. A comprehensive benefits...
- CVS Health is seeking a senior leader to guide Medicaid risk adjustment analytics within our Revenue Integrity Informatics team. This role will... ...capture across markets and state Medicaid models. You will lead a team of data scientists, analysts, and informatics professionals...
$190.9k - $265.55k
Horizon Blue Cross Blue Shield of New Jersey seeks a senior-level position to lead data and analytics for the Enterprise Risk Adjustment department. This role involves creating predictive models, managing data submissions, and advising leadership on performance strategies...- CVS Health in Hartford, CT is seeking a Lead Director - Revenue Integrity Informatics (Medicaid) to provide strategic and operational leadership for Medicaid risk adjustment analytics, reporting and informatics, ensuring complete, accurate revenue capture. This leader will...
$190.9k - $265.55k
This position will lead the data, analytics and modeling work for the Enterprise Risk Adjustment department responsible for overall strategy and implementation of data,... ...data and analytics strategy for Commercial, Medicare, and Medicaid risk adjustment programs identifying...Work experience placementLive inLocal area- About the job Sr Manager, Risk Adjustment Analytics Job summary We are seeking a Senior Manager to join our Integrated Kidney Care (IKC) Revenue... ...all CMS risk adjustment-related analytics. This role will lead the financial and strategic aspects of risk adjustment, providing...
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