Talent.com
Risk Adjustment Analytics Manager

Risk Adjustment Analytics Manager

VirtualVocationsIrving, Texas, 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 • Irving, Texas, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Analyst, Audit and Recovery

Analyst, Audit and Recovery

Vizient, Inc.Irving, TX, United States
serp_jobs.job_card.full_time
When you're the best, we're the best.We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents. We provide extensive opportunities for ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Risk Analyst I : 250555

Risk Analyst I : 250555

Akraya IncPlano, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Skills : KYC(Expert), KYB(Expert), Due Diligence (Advanced)-05, Data Entry (Intermediate), Compliance(Expert).Location : Atlanta (Hybrid)(#LI-HYBRID) / Plano TX. We are seeking a seasoned Risk Specialis...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Summer 2026 - Risk Advisory Services Associate I (Dallas)

Summer 2026 - Risk Advisory Services Associate I (Dallas)

ArmaninoDallas, TX, US
serp_jobs.job_card.full_time
At Armanino, you determine your career path.This means it's possible to pursue challenges you are passionate about, in industries you care about. Armanino is proud to be among the top 20 Largest Fir...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Analyst, Risk Management

Analyst, Risk Management

BellwetherDallas, TX, US
serp_jobs.job_card.full_time
Bellwether is a global advisory firm that helps businesses solve their most complex challenges and enhance enterprise value. We specialize in formulating and executing dynamic growth strategies thro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Analyst, Reinsurance

Analyst, Reinsurance

NLV FinancialAddison, TX, US
serp_jobs.job_card.full_time
Come join one of America's fastest growing insurance companies with a stable history of 175 years.At National Life Group ("NLG"), we offer a flexible work environment with opportunity for growth.As...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Business Continuity / Resilience Risk Manager

Business Continuity / Resilience Risk Manager

PNCDallas, TX, US
serp_jobs.job_card.full_time +1
Business Continuity / Resilience Risk Manager.At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Risk Manager

Risk Manager

TradeJobsWorkForce75024 Plano, TX, 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
Corporate Intern - Internal Audit

Corporate Intern - Internal Audit

PRIMORIS USALewisville, TX, US
serp_jobs.job_card.full_time
Corporate Intern - Internal Audit.Primoris Services Corporation is looking for enthusiastic Interns to contribute to the business and gain experience. As an Intern, you will work under the supervisi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Compliance Analyst (RCM / Remediation)

Senior Compliance Analyst (RCM / Remediation)

Apex Fintech SolutionsDallas, TX, US
serp_jobs.job_card.full_time
Senior Compliance Analyst (RCM / Remediation).Apex Fintech Solutions (AFS) powers innovation and the future of digital wealth management by processing millions of transactions daily, to simplify, aut...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Risk Management Consultant

Risk Management Consultant

Syntricate TechnologiesIrving, TX, US
serp_jobs.job_card.full_time
The contractor will report to the Head of Macro Scenario Design.S / He will help scenario design team in the firm-wide economic scenario generation and other stress testing processes, including CECL,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Risk Manager

Risk Manager

TradeJobsWorkforce75205 University Park, TX, 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
Hiring Immediately- Remote Risk Management Specialist

Hiring Immediately- Remote Risk Management Specialist

The Semler AgencyDallas, TX, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Have the ability to make uncapped income?.Have positive and motivating mentors?.Make an impact in people's lives? As a Remote Risk Management Specialist, you will be responsible for assistin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Third Party Risk Consultant

Third Party Risk Consultant

DexianPlano, TX, US
serp_jobs.job_card.full_time
Dexian is seeking a Third Party Risk Consultant for an opportunity with a client located in Plano, TX.Drive review of current data transmissions with all FLUs, CIO, Data Executive, Business Informa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Analyst, Audit and Recovery

Analyst, Audit and Recovery

VizientIrving, TX, US
serp_jobs.job_card.full_time
When you're the best, we're the best.We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents while living and working as their authe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Senior Risk Analyst

Senior Risk Analyst

CareGard Warranty Services, Inc.Grapevine, TX, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Join our team and be part of something truly transformational!.Under the name of CareGard Warranty Services, Automotive Financial Group (AFG) was founded in 1994. Within the past 30 years AFG has be...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Risk Management Administrator

Risk Management Administrator

Dave & Buster'sCoppell, TX, US
serp_jobs.job_card.full_time
The Risk Management Administrator plays a key role in supporting Dave & Buster's Legal Team by managing claims processes, coordinating with internal and external stakeholders, and ensuring timely, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Risk Management / Safety Intern III - Seasonal

Risk Management / Safety Intern III - Seasonal

Trinity River Authority of TexasDallas, TX, US
serp_jobs.job_card.full_time +3
Risk Management / Safety Intern III - Seasonal.Requisition Number : RISKM002422.Advancement opportunities : Potential for full-time employment. Position summary : This position is an entry-level, tempora...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Risk Manager

Senior Risk Manager

Jacobs SolutionsDallas, TX, US
serp_jobs.job_card.full_time
Senior Risk Management Professional.At Jacobs, we're challenging today to reinvent tomorrow by solving the worlds most critical problems for thriving cities, resilient environments, mission-critica...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Compliance Analyst I

Compliance Analyst I

Sunflower Bank, N.A.Dallas, TX, US
serp_jobs.job_card.full_time
Working knowledge of applicable banking laws and regulations.Driven, self-starter who is seeking professional development. The Compliance Analyst I supports the bank with the development, implementa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Line of Business Risk Lead

Line of Business Risk Lead

PNCDallas, TX, US
serp_jobs.job_card.full_time +1
At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve.We are all united in delivering the best experience for our customers.We work together each day ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30