Talent.com
Risk Adjustment Analytics Manager

Risk Adjustment Analytics Manager

VirtualVocationsSacramento, California, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Sr Manager, Risk Adjustment Analytics.

Key Responsibilities

Lead financial and strategic aspects of CMS risk adjustment to provide actionable insights for executive decision-making

Create and maintain leadership reports on revenue financials and the impact of initiatives on Medical Loss Ratio (MLR)

Develop SQL queries against clinical operations and medical claims data to support analytics and stakeholder insights

Required Qualifications, Training, and Education

Bachelor's or Master's Degree preferred

Expert knowledge of CMS-HCC models V24 and V28

Understanding of claims data lifecycle and submission systems

Knowledge of regulations, compliance, and audits related to risk adjustment

serp_jobs.job_alerts.create_a_job

Manager Adjustment • Sacramento, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
South Carolina Compliance Officer

South Carolina Compliance Officer

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Compliance Officer in South Carolina.Key Responsibilities Oversee compliance functions for the South Carolina health plan and ensure timely submission of CMS Medicare S...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Risk Prevention Analyst

Risk Prevention Analyst

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Risk Prevention Analyst responsible for operational risk assessments and fraud mitigation strategies. Key Responsibilities Develop and implement fraud strategies using t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Compliance & Governance Associate

Compliance & Governance Associate

eTeamSacramento, CA, US
serp_jobs.job_card.full_time
Compliance & Governance Associate.Job Summary : We are seeking a detail-oriented and proactive Compliance & Governance Associate to support our organization's regulatory, risk management, and corpor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Risk Manager

Risk Manager

TradeJobsWorkForce95866 Sacramento, CA, US
serp_jobs.job_card.full_time
Risk Manager Job Duties : Leads the identification, communication, measurement, and manag...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Risk Cost Analyst

Risk Cost Analyst

Luster NationalSacramento, CA, US
serp_jobs.job_card.full_time
Are you ready to help shape one of the most transformative infrastructure projects in the nation? Luster National is seeking a detail-oriented and analytical Risk Cost Analyst to support the financ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Third-Party Risk Management (TPRM) Specialists

Third-Party Risk Management (TPRM) Specialists

eTeamSacramento, CA, US
serp_jobs.job_card.full_time
Job Summary : Providing superior service delivery & support to the LOB clients and Corporate sector clients in the region. Primary TPRM Lead in any Regulatory matters, including exams, meetings, in t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Regional Compliance Auditor

Regional Compliance Auditor

Spread Your Wings, LLC.Sacramento, CA, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Come Join our new Regional Team!.Northern Coast - North / Central & Southern California - This position can be based out of our Garden Grove, Sacramento or Greater South Bay area offices.Do you h...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Auditor

Auditor

TradeJobsWorkForce94205 Sacramento, CA, US
serp_jobs.job_card.full_time
Auditor Job Duties : Ensures compliance with established internal control pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Risk Adjustment Coordinator

Risk Adjustment Coordinator

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Member Risk Adjustment Coordinator I.Key Responsibilities Schedule appointments and assist members in booking visits with primary care providers Gather medical histori...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Risk Manager

Risk Manager

TradeJobsWorkforce94278 Sacramento, CA, US
serp_jobs.job_card.full_time
Risk Manager job responsibilities : Leads the identification, communication, measurement, and management o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
PayPal Fraud Analyst

PayPal Fraud Analyst

TradeJobsWorkforce94283 Sacramento, CA, US
serp_jobs.job_card.full_time
Make an impact in the role of PayPal Fraud Analyst to perform daily responsibilities with dedication.Stay adaptable in a dynamic, fast-paced environment. Work with your team to maintain efficiency a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Actuary

Actuary

TradeJobsWorkForce95834 Sacramento, CA, US
serp_jobs.job_card.full_time
Compile statistical data and other information for further analysis Estimate the probability and likely economic cost of an event such as death, sickness, an accident, or a natural disaster Design,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Business Continuity Analyst

Senior Business Continuity Analyst

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Business Continuity Analyst - Vendors.Key Responsibilities Design and lead a vendor management program with integrated business continuity strategies Conduct ve...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Assurance Associate II / Audit Associate II

Assurance Associate II / Audit Associate II

BPM LLPSacramento, CA, US
serp_jobs.job_card.full_time
Assurance Associate II / Audit Associate II.San Jose, CA / San Francisco, CA / Sacramento, CA / Las Vegas, NV.As an Assurance Associate II, you will assist in audits, consult and communicate with le...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Financial Auditor

Financial Auditor

TradeJobsWorkForce95836 Sacramento, CA, US
serp_jobs.job_card.full_time
Financial Auditor Job Duties : Plans financial audits by understanding organization objectives,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Quality Assurance Specialist (Receiving Inspector)

Quality Assurance Specialist (Receiving Inspector)

Snowline EngineeringCameron Park, CA, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Why consider a career with Snowline Engineering?.Snowline Engineering is a state-of-the-art precision machining facility located in the beautiful foothills of the Sierra Nevada just 20 minutes outs...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Compliance Director

Compliance Director

TradeJobsWorkForce95899 Sacramento, CA, US
serp_jobs.job_card.full_time
Compliance Director Job Duties : Accomplishes compliance human resource strategies by determining acco...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Audit Director - Assurance & Advisory (State & Local Government)

Audit Director - Assurance & Advisory (State & Local Government)

KnowhirematchWoodland, CA, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Audit Director – State & Local Government.You will manage multiple auditing and accounting engagements, oversee engagement workflow, and ensure compliance with firm policies and accounting stan...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30