Talent.com
Data Scientist III - Risk Adjustment

Data Scientist III - Risk Adjustment

VirtualVocationsTallahassee, Florida, United States
1 day ago
Job type
  • Full-time
Job description

A company is looking for a Data Scientist III - Risk Adjustment Compliance.

Key Responsibilities

Develop models to detect coding anomalies and identify high-risk areas

Create analytical tools to assess the quality of Risk Adjustment data

Present findings to Risk Adjustment, Legal, Compliance, and executive teams

Required Qualifications

Bachelor's Degree in Data Science, Statistics, Information Systems, Health Informatics, or related field

5+ years of Statistical Analysis experience

3+ years of related IT experience, including data warehouse, coding, or ETL

Medicare Risk Adjustment experience preferred

Project Management or Project Implementation experience required

Create a job alert for this search

Data Scientist Iii • Tallahassee, Florida, United States

Related jobs
  • Promoted
  • New!
TPA Analyst

TPA Analyst

VirtualVocationsTallahassee, Florida, United States
Full-time
A company is looking for a TPA Analyst to assist in plan administration and support a team environment.Key Responsibilities Assist Associates and Consultants with Defined Contribution Balance For...Show moreLast updated: 16 hours ago
  • Promoted
Enterprise Denial Analyst

Enterprise Denial Analyst

VirtualVocationsTallahassee, Florida, United States
Full-time
A company is looking for an Enterprise Denial Analyst responsible for reviewing technical denial claims and optimizing financial outcomes in the revenue cycle. Key Responsibilities Review technica...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Risk Adjustment Analytics Manager

Risk Adjustment Analytics Manager

VirtualVocationsTallahassee, Florida, United States
Full-time
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 deci...Show moreLast updated: 18 hours ago
  • Promoted
  • New!
Epic PB Analyst

Epic PB Analyst

VirtualVocationsTallahassee, Florida, United States
Temporary
A company is looking for an Epic PB Analyst for a 6+ month contract position.Key Responsibilities Mentor and guide client builders in environments with limited system access Provide hands-on bui...Show moreLast updated: 16 hours ago
  • Promoted
  • New!
Risk Prevention Analyst

Risk Prevention Analyst

VirtualVocationsTallahassee, Florida, United States
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...Show moreLast updated: 16 hours ago
  • Promoted
Bill of Materials Analyst

Bill of Materials Analyst

VirtualVocationsTallahassee, Florida, United States
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...Show moreLast updated: 1 day ago
  • Promoted
Regulatory CMC Strategist

Regulatory CMC Strategist

VirtualVocationsTallahassee, Florida, United States
Full-time
A company is looking for a Regulatory CMC Strategist.Key Responsibilities Define and implement global CMC regulatory strategies for product development and lifecycle activities Provide strategic...Show moreLast updated: 1 day ago
  • Promoted
Senior Business Continuity Analyst

Senior Business Continuity Analyst

VirtualVocationsTallahassee, Florida, United States
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...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Risk Adjustment Program Advisor

Risk Adjustment Program Advisor

VirtualVocationsTallahassee, Florida, United States
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,...Show moreLast updated: 18 hours ago
  • Promoted
Pre-Funding QC Specialist

Pre-Funding QC Specialist

VirtualVocationsTallahassee, Florida, United States
Full-time
A company is looking for a Pre-Funding QC Specialist to analyze mortgage loans for compliance prior to closing.Key Responsibilities Perform pre-funding loan analysis to ensure compliance with req...Show moreLast updated: 1 day ago
  • Promoted
Delaware Compliance Officer

Delaware Compliance Officer

VirtualVocationsTallahassee, Florida, United States
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...Show moreLast updated: 1 day ago
  • Promoted
Data Integrity Specialist

Data Integrity Specialist

VirtualVocationsTallahassee, Florida, United States
Full-time
A company is looking for a Data Integrity Specialist.Key Responsibilities Coordinate and facilitate chart corrections and data quality issues across multiple departments Provide customer service...Show moreLast updated: 30+ days ago
  • Promoted
Transaction Monitoring Analyst

Transaction Monitoring Analyst

VirtualVocationsTallahassee, Florida, United States
Full-time
A company is looking for a Transaction Monitoring Analyst.Key Responsibilities Monitor and analyze transactions for compliance with regulations Investigate suspicious activities and prepare repo...Show moreLast updated: 30+ days ago
  • Promoted
Senior Regulatory Compliance Analyst

Senior Regulatory Compliance Analyst

VirtualVocationsTallahassee, Florida, United States
Full-time
A company is looking for a Senior Regulatory Compliance Analyst to advance its Corporate Compliance Program.Key Responsibilities Lead internal audits, operational reviews, and risk assessments M...Show moreLast updated: 1 day ago
  • Promoted
Actuarial Senior Consultant

Actuarial Senior Consultant

VirtualVocationsTallahassee, Florida, United States
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...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Data Scientist, Trust & Safety

Data Scientist, Trust & Safety

VirtualVocationsTallahassee, Florida, United States
Full-time
A company is looking for a Data Scientist, Trust & Safety.Key Responsibilities Facilitate a zero-friction approach to email sending Investigate anomalies and gang attacks to identify root causes...Show moreLast updated: 22 hours ago
  • Promoted
  • New!
Epic PB Certified Analyst

Epic PB Certified Analyst

VirtualVocationsTallahassee, Florida, United States
Full-time
A company is looking for an Epic PB SME.Key Responsibilities Conduct optimization and assessment engagements for Epic PB Lead stakeholder sessions with executive-level communication Coordinate ...Show moreLast updated: 16 hours ago
  • Promoted
  • New!
Temporary Regulatory Compliance Consultant

Temporary Regulatory Compliance Consultant

VirtualVocationsTallahassee, Florida, United States
Full-time
A company is looking for a Temporary Regulatory Compliance Consultant in Risk Consulting (Financial Services).Key Responsibilities Manage and deliver regulatory compliance assessments for financi...Show moreLast updated: 20 hours ago