Talent.com
Risk Adjustment Analytics Manager

Risk Adjustment Analytics Manager

VirtualVocationsNewark, Delaware, 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 • Newark, Delaware, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Senior Compliance Consultant

Senior Compliance Consultant

Marsh McLennanConshohocken, PA, US
serp_jobs.job_card.full_time
The Senior Compliance Consultant serves as a compliance resource for clients and colleagues in Marsh McLennan Agency East Region's Retirement Services Division, effectively communicating complex co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Internal Audit Analyst Summer Internship Program 2026 Wilmington

Internal Audit Analyst Summer Internship Program 2026 Wilmington

BarclaysWilmington, DE, US
serp_jobs.job_card.full_time +2
Internal Audit Internship Program.To support the day-to-day operations of the internal audit division providing insights and expertise that help more senior colleagues make informed decisions, deve...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Compliance Analyst

Compliance Analyst

WSFS BankWilmington, DE, US
serp_jobs.job_card.full_time
At WSFS Bank, we empower our Associates to grow their careers, we guide our customers to secure their financial futures, and we actively support our Communities so they can fully thrive.Careers wit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Enterprise Fraud Risk Manager

Enterprise Fraud Risk Manager

City National BankNewark, Delaware, United States
serp_jobs.job_card.full_time
The Enterprise Fraud & Payments Risk Manager is responsible for the oversight and advisory activities at an enterprise level for fraud & payments risk management at CNB. This involves the developmen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Third Party Risk Management Analyst

Third Party Risk Management Analyst

AmerisourceBergen Corporation (Cencora)Chesterbrook, PA, United States
serp_jobs.job_card.full_time
Our team members are at the heart of everything we do.At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Divisional Risk Advisor, Senior Specialist

Divisional Risk Advisor, Senior Specialist

VanguardMalvern, PA, US
serp_jobs.job_card.full_time
Global Risk and Security (GR&S) at Vanguard enables business strategy, protects client and Vanguard interests (e.Our teams leverage enterprise-wide frameworks, apply deep expertise, and provide tru...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Associate, Internal Audit

Senior Associate, Internal Audit

SLMNewark, DE, US
serp_jobs.job_card.full_time
Senior Associate, Internal Audit.When you join Sallie Mae, you become a champion for all students.We're on a mission to power confidence as students begin their unique journey.To help them plan the...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Risk Management - Report and Citizen Developer Tool Governance for Risk Reporting & Middle Office Associate

Risk Management - Report and Citizen Developer Tool Governance for Risk Reporting & Middle Office Associate

JPMorgan ChaseNewark, DE, US
serp_jobs.job_card.full_time
Risk Management And Compliance Associate.Join JPMorgan Chase's Risk Management and Compliance team, where your expertise will be crucial in maintaining our strength and resilience.You'll anticipate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Risk Management - Risk Reporting - Associate

Risk Management - Risk Reporting - Associate

JPMorgan ChaseNewark, DE, US
serp_jobs.job_card.full_time
serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Governance and Enablement Risk Advisor, Specialist

Governance and Enablement Risk Advisor, Specialist

VanguardMalvern, PA, US
serp_jobs.job_card.full_time
Personal Investor Governance And Risk Expertise.Provides personal investor governance and risk expertise to support divisional and enterprise initiatives. Delivers effective guidance, oversight, and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Risk Analyst

Risk Analyst

SLMNewark, DE, US
serp_jobs.job_card.full_time
When you join Sallie Mae, you become a champion for all students.We're on a mission to power confidence as students begin their unique journey. To help them plan their higher education, successfully...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Risk Analyst - Risk Management

Senior Risk Analyst - Risk Management

Lincoln FinancialBroomall, PA, US
serp_jobs.job_card.full_time
Senior Risk Analyst - Risk Management.This position will be responsible for implementing AI Governance frameworks, developing standards, and leading complex, cross-functional AI Risk Assessments to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Internal Auditor

Internal Auditor

AAA Club AllianceWilmington, Delaware, United States
serp_jobs.job_card.full_time
AAA Club Alliance is hiring for an.The Internal Auditor ensures an adequate system of internal controls exists that promotes operational efficiency and safeguarding of company assets.Assists in per...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Risk Analyst

Risk Analyst

Heffernan Insurance BrokersMedia, PA, US
serp_jobs.job_card.full_time
Join the Porter & Curtis Division of Heffernan Insurance Brokers! We have a consultative commercial insurance model that provides superior client service day in and day out.Our culture is one of in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Risk Management Specialist

Risk Management Specialist

Clearance JobsAberdeen, MD, US
serp_jobs.job_card.full_time
Small Business Administration (SBA) Certified HUBZone Professional Services company headquartered in Baltimore, Maryland. RSC2 provides breakthrough expertise, support services, and technologies to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Internal Audit Engagement Manager

Internal Audit Engagement Manager

VanguardWayne, PA, US
serp_jobs.job_card.full_time
Internal Audit Engagement Manager.Vanguard's Internal Audit & SOX department is hiring an Internal Audit Engagement Manager to join our Global Investment & Finance Audit Services (GIFAS) team.As pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Associate, Business Continuity

Associate, Business Continuity

West Pharmaceutical ServicesExton, PA, US
serp_jobs.job_card.full_time
Associate, Business Continuity.This is a hybrid position requiring the team member to be onsite a minimum of 3 days per week. At West, we're a dedicated team that is connected by a purpose to improv...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Risk Analyst Summer Internship Program 2026 Wilmington

Risk Analyst Summer Internship Program 2026 Wilmington

BarclaysWilmington, DE, US
serp_jobs.job_card.full_time +2
To support the day-to-day operations of the risk division by monitoring the bank's risk profile, identifying and managing risks and providing insights and expertise to support senior colleagues to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Risk Manager- Florida

Risk Manager- Florida

DevereuxVillanova, PA, US
serp_jobs.job_card.full_time
Quality Improvement Risk Manager.Are you an experienced Quality Improvement professional who is a compassionate team collaborator, putting people first, showing care and concern for all? Are you a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Compliance & Audit Manager (Malvern, PA)

Compliance & Audit Manager (Malvern, PA)

PhilipsMalvern, PA, US
serp_jobs.job_card.full_time
As the Compliance & Audit Manager, you will be responsible for supporting and enhancing compliance, auditing, and monitoring capabilities in North America, with a primary focus on fulfilling our au...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30