Risk Adjustment Analytics Manager
VirtualVocationsStaten Island, New York, United States2 days ago
Job type
- Full-time
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
Create a job alert for this search
Manager Adjustment • Staten Island, New York, United States
Related jobs
Risk Manager, Market and Credit.FalconX is a pioneering team of operators, investors, and builders committed to revolutionizing institutional access to the crypto markets.Operating at the intersect...Show moreLast updated: 16 days ago
United States and supports its co-operative members' retail operations, trading under the ShopRite®, Price Rite®, The Fresh Grocer®, Dearborn Markets®, Fairway Markets, Gourmet Garage® and Di Bruno...Show moreLast updated: 22 days ago
Risk Manager Job Duties : Leads the identification, communication, measurement, and manag...Show moreLast updated: 30+ days ago
Internal Audit Consulting Manager.Risk & Compliance Services practice for our Financial Services clients.Focusing on Internal Audit, Internal Controls and Regulatory Compliance, we are seeking some...Show moreLast updated: 5 hours ago
RSM is seeking a dynamic Manager to join our Risk Consulting practice and specifically support financial crimes compliance model engagements for our Financial Services clients.This role is ideal fo...Show moreLast updated: 30+ days ago
This job is with State Street, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community.
Please do not contact the recruiter directly.Who we are ...Show moreLast updated: 6 days ago
Join our dynamic organization as Insurance Risk Manager and take charge of a diverse set of responsibilities working with development, construction and property management.The Risk Manager will exh...Show moreLast updated: 1 day ago
Assurance Experienced Manager, Risk Advisory Services.Job Summary : The Assurance Experienced Manager, Risk Advisory Services is responsible for managing and delivering high value solutions to clien...Show moreLast updated: 19 days ago
Offered Position : Risk Manager Ii.Job Location : New York, New York.Identify, design, develop, implement and execute new and existing processes, policies, goals, and solutions to reduce potential ri...Show moreLast updated: 30+ days ago
AUDIT MANAGER- ENTERPRISE RISK MANAGEMENT.Audit Manager position is a leadership role as an auditor-in-charge to guide a team of auditors to assess risks, develop detail audit programs, identify da...Show moreLast updated: 6 days ago
This role is based in Saint Petersburg, FL; Pittsburgh, PA; or New York, NY.Remote candidates may be considered with potential for relocation.
Under limited direction, uses extensive knowledge and s...Show moreLast updated: 6 days ago Assurance Manager, Risk Advisory Services.The Assurance Manager, Risk Advisory Services is responsible for managing and delivering high value solutions to clients in the areas of internal auditing ...Show moreLast updated: 27 days ago 
Assist in identifying, assessing, and mitigating operational and financial risks across the organization.Support the development and implementation of risk management policies and procedures.Conduc...Show moreLast updated: 30+ days ago
United States and supports its co-operative members' retail operations, trading under the ShopRite, Price Rite, The Fresh Grocer, Dearborn Markets, Fairway Markets, Gourmet Garage and Di Bruno Bros...Show moreLast updated: 22 days ago
The role will be located in our corporate office in Stamford, Connecticut (easy access to I-95 and Metro North Railroad).
The corporate office is a small, dynamic group who works closely as a team a...Show moreLast updated: 30+ days ago
Senior Manager Leading All Aspects Of Security Risk And Governance.As our Senior Manager leading all aspects of Security Risk and Governance, you will spearhead the advancement of our security risk...Show moreLast updated: 30+ days ago
Risk Manager job responsibilities : Leads the identification, communication, measurement, and management o...Show moreLast updated: 30+ days ago
Manager - Risk Advisory (Technology Risk) (NY).From the beginning, our goal was to establish an advisory firm that stands apart from the rest one that is grounded in our Core Values and dedicated ...Show moreLast updated: 9 days ago
BBVA is a global company with more than 160 years of history that operates in more than 25 countries where we serve more than 80 million customers.
We are more than 121,000 professionals working in ...Show moreLast updated: 30+ days ago
Wm And Us Banks Financial Crimes Risk Assistant Vice President (Avp).Morgan Stanley ("MS") is a global financial services firm that conducts its business through three principal business segmentsIn...Show moreLast updated: 30+ days ago
- Promoted
Risk Manager, Market and Credit
FalconXNew York, NY, USFull-time
- Promoted
Manager of Risk Management
Wakefern Food Corp.Edison, NJ, United StatesFull-time
- Promoted
Risk Manager
TradeJobsWorkForce10242 New York, NY, USFull-time
- Promoted
- New!
FS & SOX Internal Audit & Risk Advisory Manager
EisnerAmperIselin, NJ, United StatesFull-time
- Promoted
Risk Consulting Manager - AML Validation
RSMNew York, NY, USFull-time
- Promoted
Credit Risk Analytics AVP
State StreetStamford, Connecticut, United StatesFull-time
- Promoted
Insurance Risk Manager
Griffon ConstructionChappaqua, NY, United StatesFull-time
- Promoted
Experienced Manager, Risk Advisory Services
BDO USANew York, NY, USFull-time
- Promoted
Risk Manager II - AMZ9081130
AmazonNew York, NY, USFull-time
- Promoted
Sr. Audit Manager- Enterprise Risk Management
City National BankJersey City, New Jersey, United StatesFull-time
- Promoted
Manager, Enhanced Due Diligence (AML)
Raymond James FinancialNew York, NY, USFull-time
- Promoted
Assurance Manager, Risk Advisory Services
BDO USANew York, NY, USFull-time
- Promoted
Risk Manager
Michael PageNew York, NY, USFull-time
- Promoted
Manager of Risk Management (Edison)
Wakefern Food Corp.Edison, NJ, USPart-time
- Promoted
Manager, Risk & Insurance Management
Crane CoStamford, CT, USFull-time
- Promoted
Sr. Manager Risk & Governance
AdobeNew York, NY, USFull-time
- Promoted
Risk Manager
TradeJobsWorkforce10004 New York, NY, USFull-time
- Promoted
Manager - Risk Advisory (Technology Risk) (NY)
CrossCountry ConsultingNew York, NY, USFull-time
- Promoted
Senior Operational Risk Audit Manager
BBVANew York, NY, USFull-time
- Promoted
Anti-money Laundering Risk Enhanced Due Diligence (AML Risk Associate)
Morgan StanleyPurchase, NY, USFull-time