Talent.com
Senior Risk Adjustment Analyst

Senior Risk Adjustment Analyst

VirtualVocationsHollywood, Florida, 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 • Hollywood, Florida, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Compliance Analyst

Compliance Analyst

VirtualVocationsFort Lauderdale, Florida, 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
Revenue Assurance Specialist

Revenue Assurance Specialist

VirtualVocationsBoca Raton, Florida, 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
Bill of Materials Analyst

Bill of Materials Analyst

VirtualVocationsDavie, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Materials Analyst to support the Maintenance, Repair, and Operations (MRO) department.Key Responsibilities Analyze historical data on equipment wear and failure to cate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Senior Actuarial Analyst

Senior Actuarial Analyst

VirtualVocationsDavie, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Group Retiree Pharmacy Senior Actuarial Analyst ALDP - Remote.Key Responsibilities : Prepare, review, and complete pricing requests for EGWP Part D Develop and complete...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Risk Adjustment Program Advisor

Risk Adjustment Program Advisor

VirtualVocationsMiami, Florida, 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
State Licensed Actuary

State Licensed Actuary

VirtualVocationsBoca Raton, Florida, United States
serp_jobs.job_card.full_time
A company is looking for an Actuary to join their Risk team.Key Responsibilities Oversee the design and enhancement of pricing and underwriting models in partnership with Underwriting Leverage s...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

VirtualVocationsHollywood, Florida, 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
Washington State Licensed Actuarial Analyst

Washington State Licensed Actuarial Analyst

VirtualVocationsDavie, Florida, United States
serp_jobs.job_card.full_time
Key Responsibilities Apply mathematical and statistical knowledge to calculate financial outcomes Assist in developing processes and reports based on financial and statistical data analysis Ana...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Risk Management Analyst

Risk Management Analyst

VirtualVocationsHialeah, Florida, 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

VirtualVocationsBoca Raton, Florida, 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
Delaware Compliance Officer

Delaware Compliance Officer

VirtualVocationsHialeah, Florida, 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
  • serp_jobs.job_card.new
Compliance Administrator

Compliance Administrator

VirtualVocationsFort Lauderdale, Florida, 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
Senior Risk Analyst

Senior Risk Analyst

VirtualVocationsHollywood, Florida, 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
Operational Risk Officer

Operational Risk Officer

Seacoast National BankMiami, FL, United States
serp_jobs.job_card.full_time
Based within the Enterprise Risk Management (ERM) Group, the Operational Risk Officer leads the build-out and evolution of the Bank's Second Line Operational Risk function.This role requires deep b...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Actuarial Consultant

Actuarial Consultant

VirtualVocationsBoca Raton, Florida, 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
South Carolina Compliance Officer

South Carolina Compliance Officer

VirtualVocationsHollywood, Florida, 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
Indiana Compliance Officer

Indiana Compliance Officer

VirtualVocationsTamarac, Florida, 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
Risk Analyst

Risk Analyst

VirtualVocationsDavie, Florida, 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
Actuarial Senior Consultant

Actuarial Senior Consultant

VirtualVocationsPompano Beach, Florida, 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_variable_days
  • serp_jobs.job_card.promoted
Audit Support Specialist

Audit Support Specialist

VirtualVocationsHollywood, Florida, 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