Talent.com
Risk Adjustment Analytics Manager

Risk Adjustment Analytics Manager

VirtualVocationsWarren, Michigan, United States
job_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 • Warren, Michigan, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Compliance Administrator

Compliance Administrator

VirtualVocationsWarren, Michigan, 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
Delaware Compliance Officer

Delaware Compliance Officer

VirtualVocationsDetroit, Michigan, 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 Adjustment Program Advisor

Risk Adjustment Program Advisor

VirtualVocationsWarren, Michigan, 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
Risk Management Specialist

Risk Management Specialist

Michigan FirstSouthfield, MI, US
serp_jobs.job_card.full_time
Responsible for assisting and supporting the Risk Management Team in implementing policies and practices that limit or reduce the financial, physical, and human risks associated with operating a fi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Premium Audit Consultant III

Premium Audit Consultant III

VirtualVocationsDetroit, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Premium Audit Consultant III (Remote).Key Responsibilities Conduct virtual and occasional on-site audits of policyholders' business records to determine proper risk cla...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Risk Analyst

Risk Analyst

NorthPoint Search GroupDetroit, MI, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Risk Analyst – Detroit Who : .A growing auto finance company building out its credit risk team.Analyze and forecast repossessions, origination risks, servicing exposure, and overall credit perf...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
AML Compliance Analyst

AML Compliance Analyst

ComericaNovi, MI, US
serp_jobs.job_card.full_time
Anti-Money Laundering Monitoring Analyst.The Anti-Money Laundering (AML) Monitoring Analyst will be joining an established team of analysts and will be responsible for reviewing transactions, docum...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Financial Risk Management Analyst

Financial Risk Management Analyst

StellantisAuburn Hills, MI, US
serp_jobs.job_card.full_time
Financial Risk Management Analyst.Financial Risk Management Analyst.This position focuses on analyzing financial risk and developing strategies to mitigate potential risks.The role requires a deep ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
BSA Compliance Manager

BSA Compliance Manager

VirtualVocationsWarren, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a BSA Compliance Assistant Manager.Key Responsibilities Manage BSA team members to ensure compliance with CTR, MIR, CIP, and SAR reporting functions Oversee quality cont...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Senior Business Continuity Analyst

Senior Business Continuity Analyst

VirtualVocationsDetroit, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Business Continuity Analyst - Vendors.Key Responsibilities Design and lead a vendor management program with integrated business continuity strategies Conduct ve...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Actuarial Senior Consultant

Actuarial Senior Consultant

VirtualVocationsWarren, Michigan, 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
  • serp_jobs.job_card.new
Senior Compliance Specialist

Senior Compliance Specialist

Atain Insurance CompaniesFarmington Hills, MI, US
serp_jobs.job_card.full_time
Assist in the development, implementation, and maintenance of compliance policies and procedures.Monitor and track laws and regulatory updates across multiple jurisdictions relevant to Property &am...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
  • serp_jobs.job_card.promoted
Indiana Compliance Officer

Indiana Compliance Officer

VirtualVocationsDetroit, Michigan, 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
South Carolina Compliance Officer

South Carolina Compliance Officer

VirtualVocationsDetroit, Michigan, 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
  • serp_jobs.job_card.new
Compliance Officer I

Compliance Officer I

VirtualVocationsWarren, Michigan, 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
Financial Risk Management Analyst - Urgently Hiring!

Financial Risk Management Analyst - Urgently Hiring!

StellantisAuburn Hills, MI, United States
serp_jobs.job_card.full_time
The Financial Risk Management Analyst is responsible for supporting foreign exchange and interest rate risk management activities including, but not limited to, the following : .Executing derivative / ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Risk Prevention Analyst

Risk Prevention Analyst

VirtualVocationsDetroit, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Risk Prevention Analyst responsible for operational risk assessments and fraud mitigation strategies. Key Responsibilities Develop and implement fraud strategies using t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Financial Risk Management Analyst - Now Hiring!

Financial Risk Management Analyst - Now Hiring!

StellantisAuburn Hills, MI, United States
serp_jobs.job_card.full_time
The Financial Risk Management Analyst is responsible for supporting foreign exchange and interest rate risk management activities including, but not limited to, the following : .Executing derivative / ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days