A company is looking for a Manager, Risk Adjustment Analytics.Key ResponsibilitiesDevelop automated processes for calculating CMS RAF scores using SQL or PythonOversee the training and development of risk adjustment models and maintain RAF calculation processesAnalyze RAF build over time and collaborate with finance teams for forecastingRequired QualificationsBachelor's Degree in Finance, Math, Economics, or related fieldThree years of experience in healthcare financial management or population healthThree years of experience in risk adjustment in a Medicare Advantage environmentThree years of experience with SQL and / or PythonDeep understanding of compliance within risk adjustment
Risk Adjustment Analytics Manager
A company is looking for a Manager, Risk Adjustment Analytics. ...
Manager, Risk Adjustment Retrospective
We're hiring a Manager, Risk Adjustment Retrospective to join our Risk Adjustment Retrospective team. The Manager, Risk Adjustment Retrospective works with internal and external Oscar partners and represents the needs and interests of the Risk Adjustment team in company wide programs. You will r...
Manager Risk Adjustment
A company is looking for a Manager, Risk Adjustment Retrospective to join their Risk Adjustment Retrospective team. ...
Risk Manager I- Card Analytics
The Risk Manager I manages the creation, implementation and validation of various risk segmentation strategies including, but not limited to: adjudication, account management, exposure management, risk segmentation, and financial return optimization. The Risk Manager I's primary accountability is pr...
Manager of Risk Analytics
A company is looking for a Manager, Risk Analytics to conduct actuarial analyses and enhance risk management strategies. ...
Manager, Statistical Analysis and Risk Adjustment
Manager, Statistical Analysis and Risk Adjustment. Leadership to develop an Analytics strategic plan and support business intelligence, analytic, and data science techniques to improve risk adjustment results, including obtaining data from various internal sources, understanding relevant differences...
Risk Adjustment-Claims & Data Analytics
A minimum of 5 years expertise in Risk Adjustment payment models for Medicare Advantage, ACA and Medicaid. Expertise in Risk Adjustment timelines and requirements. The Purpose of the Manager, Business Consultation job is to monitor and manage day to day operations for Commercial Accountable Care Act...
Assistant Manager, Risk and Analytics, Internal Audit
Paramount is looking for an individual to support its risk and analytics initiatives for the Internal Audit and Strategic Risk Management department! This individual is a great teammate primarily responsible for supporting internal audit in providing data and insights across specific audit assignmen...
Risk Adjustment Coder II
A company is looking for a Risk Adjustment Coder II to perform accurate medical record reviews and coding validation. ...
Senior Specialist, Risk Adjustment Coder
We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment team. The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work with management to meet communicated single and departmental goals, deadlines set forth b...