Risk Adjustment Analytics Manager
VirtualVocationsPhiladelphia, Pennsylvania, United Statesjob_description.job_card.1_day_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 • Philadelphia, Pennsylvania, United States
Job_description.internal_linking.related_jobs
Senior Analyst Of Global Risk Management.Comcast brings together the best in media and technology.We drive innovation to create the worlds best entertainment and online experiences.As a Fortune 50 ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals.
If this describes you, we want to speak with you...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte.Benefits A...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The Chubb Enterprise Risk Unit is seeking a motivated and creative applicant to fill the position of Senior Risk Analyst.
This position is with the Global Enterprise Risk Management group reporting ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
At WSFS Bank, we empower our Associates to grow their careers, guide our customers to secure their financial futures, and actively support our Communities so they can fully thrive.Careers with WSFS...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Internal Audit & Corporate Compliance.Bring your drive for excellence, teamwork, and customer commitment to Independence.
Join us as we renew and reimagine the future of health care.Together, we wil...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
Friedman Vartolo LLP is a rapidly growing New York based real estate and default services law firm with 300+ employees across six states.
The firm prides itself not solely on its superior legal prod...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Genesis10 is currently seeking a Risk Project Manager with our client in the financial industry located in Charlotte, NC and Pennington, NJ.
This is a 12+ month contract position.Responsibilities : S...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Casualty Underwriting Assistant.Starr Insurance Companies is a global insurance and investment organization providing property and casualty insurance solutions to business and industry, and one of ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Senior Compliance Consultant to their Corporate Synergies team in the Philly Met...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Origination Compliance Analyst.Assist in the development and maintenance of the firm's compliance implementation and risk assessment programs to ensure the firm is in compliance with applicable law...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
P&C Reinsurance Actuary opening in NY, PA, IL, or MN.Perform reinsurance pricing, stochastic modeling, and portfolio optimization analysis involving large account Property, Casualty, Professional L...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
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
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
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 Chubb is the world's largest publicly traded property and casualty insurer.With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Duration : 6 Months with possible extension.Role Overview : We are seeking a seasoned professional with deep expertise in SOC (System and Organization Controls) audits, particularly SOC 1 and SOC 2 T...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
At Grant Thornton, we believe in making business more personal and building trust into every result for our clients and you.
Here, we go beyond your expectations of a career in professional service...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
At Amazon, we're working to be the most customer-centric company on earth.To get there, we need exceptionally talented, bright, and driven people.
Amazon's Cross Border team is responsible for provi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
Senior Analyst, Global Risk Management
ComcastPhiladelphia, PA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Compliance Consultant
Marsh McLennanConshohocken, PA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Audit Analyst
Independence Blue CrossPhiladelphia, PA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Audit & Assurance Intern Technology Controls Advisory Summer 2026
DeloittePhiladelphia, PA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Risk Analyst
ChubbPhiladelphia, PA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Compliance Analyst II
WSFS BankPhiladelphia, PA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior or Lead Audit Analyst
Independence Blue CrossPhiladelphia, PA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Compliance Administrator
Friedman Vartolo LLPPhiladelphia, PA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Risk Project Manager
Genesis10Pennington, NJ, USserp_jobs.job_card.temporary
- serp_jobs.job_card.promoted
Underwriting Analyst Risk Management General Casualty
StarrcompaniesPhiladelphia, PA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Compliance Consultant
Corporate SynergiesMerchantville, NJ, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Origination Compliance Analyst
CPA Recruiter OnlineCherry Hill, NJ, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
P&C Reinsurance Actuary - PR12960
Pryor Associates Executive SearchPhiladelphia, PA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Risk Analyst - Risk Management
Lincoln FinancialBroomall, PA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Risk Analyst
Heffernan Insurance BrokersMedia, PA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Risk Manager- Florida
DevereuxVillanova, PA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Experienced Risk Analyst
ChubbPhiladelphia, PA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
SOC Audit & Risk Advisory
Diverse LynxPrinceton, NJ, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Audit & Assurance Intern - Summer 2027
Grant Thornton LLPPhiladelphia, PA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Sr. Compliance Specialist, GL Field - David Cardadeiro
AmazonDoylestown, PA, USserp_jobs.job_card.full_time