Talent.com
Senior Risk Adjustment Analyst

Senior Risk Adjustment Analyst

VirtualVocationsOceanside, 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 Senior Analyst, Risk Adjustment.

Key Responsibilities

Recommend and guide process improvements for accurate risk adjustment factor increases

Analyze and communicate risk adjustment trends through reports and presentations

Develop and maintain data sets and reports to support company goals and compliance

Required Qualifications

Bachelor's Degree (BA / BS) required

5+ years of Risk Adjustment experience in healthcare or with a risk adjustment vendor

Familiarity with value-based care concepts and payment models preferred

AAPC or AHIMA coding certification is a plus

Strong technical acumen and analytical skills, including proficiency in Excel and SQL

serp_jobs.job_alerts.create_a_job

Senior Analyst Risk • Oceanside, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Indiana Compliance Officer

Indiana Compliance Officer

VirtualVocationsMission Viejo, California, United States
serp_jobs.job_card.full_time
A company is looking for a Compliance Officer in Indiana.Key Responsibilities Oversee compliance functions for the Indiana health plan and manage submission of CMS Medicare SNP requirements Serv...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Actuarial Senior Consultant

Actuarial Senior Consultant

VirtualVocationsMission Viejo, California, United States
serp_jobs.job_card.full_time
A company is looking for an Actuarial Senior Consultant specializing in Annuity Modeling.Key Responsibilities : Lead the implementation of new products and regulations in Moody's AXIS, collaborati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Risk Management Analyst

Risk Management Analyst

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Risk Management Analyst to support customer inquiries and manage risk-related tasks in a fully remote environment. Key Responsibilities Resolve customer inquiries regard...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Compliance Officer I

Compliance Officer I

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Compliance Officer I - Vendor Management Oversight.Key Responsibilities Analyze laws and regulations, and assist in developing and revising compliance policies and proc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Audit Support Specialist

Audit Support Specialist

VirtualVocationsIrvine, California, United States
serp_jobs.job_card.full_time
A company is looking for an Audit Support COB and DM.Key Responsibilities Assist in daily administrative activities within the Coordination of Benefits and Data Mining departments Collaborate wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Compliance Analyst

Compliance Analyst

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Compliance Analyst.Key Responsibilities Manage and maintain business and administrative licenses across all U. Assist in complex compliance procedures with oversight, in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Actuarial Consultant

Actuarial Consultant

VirtualVocationsMission Viejo, California, United States
serp_jobs.job_card.full_time
A company is looking for a Group Retiree Pharmacy Actuarial Consultant, remote position.Key Responsibilities : Prepare, manage, review, and complete pricing requests for Employer Group Waiver Plan...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Risk Manager

Risk Manager

TradeJobsWorkforce92618 Irvine, 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
  • serp_jobs.job_card.new
Compliance Underwriter II

Compliance Underwriter II

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a TE Compliance Underwriter II to perform compliance reviews and ensure regulatory requirements are met. Key Responsibilities Review and capture loan data from various mor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Compliance Administrator

Compliance Administrator

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Compliance Administrator to ensure the integrity and compliance of its national Field Service Partner network. Key Responsibilities Request and collect updated insurance...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Risk Adjustment Program Advisor

Risk Adjustment Program Advisor

VirtualVocationsMission Viejo, California, United States
serp_jobs.job_card.full_time
A company is looking for an Individual & Family Plans (IFP) Risk Adjustment Program Management Advisor.Key Responsibilities Manage multiple interrelated projects for the IFP Risk Adjustment team,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Revenue Assurance Specialist

Revenue Assurance Specialist

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Revenue Assurance SME - Remote.Key Responsibilities Audit Corporate Standard CDM / client CDMs for regulatory compliance Utilize and analyze large datasets to drive data...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
South Carolina Compliance Officer

South Carolina Compliance Officer

VirtualVocationsOceanside, 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_variable_days
  • serp_jobs.job_card.promoted
Risk Manager, The Rinks

Risk Manager, The Rinks

The RinksIrvine, CA, US
serp_jobs.job_card.full_time
The Rinks aims to provide a great experience for employees and guests alike! Join the team and become part of an industry-leading sports and entertainment organization. Once you've had a chance to e...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Not For Profit Audit Senior

Not For Profit Audit Senior

WithumIrvine, CA, United States
serp_jobs.job_card.full_time
Withum is a place where talent thrives - where who you are matters.It's a place of endless opportunities for growth.A place where entrepreneurial energy plus inclusive teamwork equals exponential r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Risk Analyst

Risk Analyst

VirtualVocationsIrvine, California, United States
serp_jobs.job_card.full_time
A company is looking for a Risk Analyst to protect customers and the company from fraud.Key Responsibilities Review new payroll direct deposit applications to identify potential fraud and ensure ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Risk Analyst

Senior Risk Analyst

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Business Risk Senior Analyst - Servicing.Key Responsibilities Partnering with Enterprise Risk Management for external audit requests and maintaining records of these re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Delaware Compliance Officer

Delaware Compliance Officer

VirtualVocationsEscondido, California, United States
serp_jobs.job_card.full_time
A company is looking for a Compliance Officer in Delaware.Key Responsibilities Oversee compliance functions for the Delaware health plan and ensure timely submission of CMS Medicare SNP requireme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Risk Manager

Risk Manager

TradeJobsWorkForce92129 San Diego, 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
Compliance Specialist

Compliance Specialist

Addison GroupOrange County, CA, US
serp_jobs.job_card.permanent
We are seeking a detail-oriented and proactive.This role is ideal for someone with hands-on experience in HUD and LIHTC compliance, as well as a strong background in rental subsidy programs and pro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days