Sr. Analyst, Risk Adjustment-Pre Analyst

Job DescriptionJOB DESCRIPTIONJob SummaryResponsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintains the risk adjustment model, identifies risks, and estimates risk scores and financial impact. Opportunity to contribute to national risk adjustment studies. Prior experience in Medicaid risk...

Job DescriptionJOB DESCRIPTIONJob SummaryPerforms research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant...

Job SummaryThe BSA Analyst 1 assists in the execution of the Bank's Bank Secrecy Act (BSA) and Anti-Money Laundering (AML) Compliance Program. The BSA Analyst 1 supports the AML processes, including the verification of CTRs prior to submission to FinCEN. This job also is responsible for alert monitoring, suspicious activity case investigations, and SAR...

Senior Cost Analyst - Estimation - Modeling Location: El Segundo, California-US CITIZENSHIP and ACTIVE CLEARANCE REQUIREDThe Cost - Analysis / Estimation / Modeling Analyst III will support a broad range of program, acquisition, and financial Support capabilities to execute effective and responsive integrated program management of space-related research,...

Your RoleThe Blue Shield of California Finance team is responsible for providing Line of Business consolidation, reporting, and analysis support for the Growth Finance team.The Financial Analyst, Consultant will report to the Markets Planning and Analysis Finance Manager.In this role, you will work closely and collaborate with other stakeholders...

Our client, a managed care company, is seeking a Business Analyst IILocation: Long Beach, CA/ RemotePosition Type: ContractJob Summary:Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs...

Our Client, a managed care company, is seeking an Data Analyst/Programmer IILocation: Long Beach, CAPosition Type: Contract Job Summary:Access and integrate data from the various Client systems (QNXT, Medlnsight, (pharmacy, etc.), create actionable management reports that can be used to analyze costs and quality, analyze results and identify opportunities to...

Job DescriptionJOB DESCRIPTIONJob SummaryAnalyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and...

Job DescriptionJOB DESCRIPTIONJob SummaryResponsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.KNOWLEDGE/SKILLS/ABILITIESCollaborate with Actuarial staff to perform IBNR estimates and rate adequacy studies. Document assumptions....

Job DescriptionJOB DESCRIPTIONJob SummaryResponsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.KNOWLEDGE/SKILLS/ABILITIESCollaborate with Actuarial staff to perform IBNR estimates and rate adequacy studies. Document assumptions....

Job DescriptionJOB DESCRIPTIONJob SummaryResponsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.KNOWLEDGE/SKILLS/ABILITIESSupport the development of the IBNR estimates and rate adequacy studies. Document assumptions. Analyze results...

Job DescriptionJOB DESCRIPTIONJob SummaryAnalyzes data for cost savings opportunities and performance improvement initiatives. Researches healthcare utilization and claims experience to identify areas of growth. Collaborates with the KY Finance and corporate actuarial teams on IBNR calculations, capitation rate review, rate advocacy, and forecasting. This is...

Job DescriptionJOB DESCRIPTIONJob SummaryAnalyzes data for cost savings opportunities and performance improvement initiatives. Researches healthcare utilization and claims experience to identify areas of growth. Collaborates with Finance and corporate actuarial teams on IBNR calculations, capitation rate review, rate advocacy, and forecasting....

Job DescriptionJOB DESCRIPTIONJob SummaryPerforms research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant...

Summary Organizational Location: This position is with the Department of Homeland Security, within U.S. Customs and Border Protection, Office of Trade, Trade Regulatory Audit (TRA), located in the following locations.Buffalo, NY Laredo, TX Long Beach, CA Miami, FL Seattle, WA Salary listed reflects the rest of U.S. scale and, if applicable, will be adjusted...

Our Client, a managed care company, is seeking an Business Professional - Business Analyst IIILocation: Long Beach, CAPosition Type: Contract Job Responsibilities: Able to review, understand different types of Provider Contracts Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers ...

Job Description This role will primarily support the financial modules within the while being a part of a team who serve as project lead partnering with the business and other areas within IT to be the go-to-system support for the Finance and Accounting global end-user community. This role will work with stakeholders analyze system problems application data...

Job DescriptionJob Description Job SummaryThe Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to suport Molina's Prospective and Retrospective Interventions. Assist with research, development,and completion of special...

Job DescriptionJob DescriptionJob Summary The Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to suport Molina's Prospective and Retrospective Interventions. Assist with research, development,and completion of special projects....

Location: On site in Palm Beach, FL Summary The Credit Analyst, Sr position provides high level analytical support in underwriting/analyzing commercial credit facilities and assisting Portfolio Managers and Relationship Managers in managing customer Credit Analyst, Portfolio Manager, Senior Analyst, Relationship Manager, Risk Manager, Analyst, Technology

A leading High Frequency Trading Firm is hiring a Risk Analyst to join the team in Palm Beach, FL. The firm primarily serves as an equity + equity options market maker with offices and clients across the United States, Europe, and Asia. They develop in house proprietary technology, and they are constantly innovating to keep their edge in the market....

NextEra Energy Marketing is one of the nation’s leading electricity and natural gas marketers. We are responsible for electricity and fuel management for all of NextEra Energy Resources’ generation fleet, which includes the largest renewable energy portfolio in North America. We also provide marketing and trading services to electric and gas utilities,...

NextEra Energy Marketing is one of the nation’s leading electricity and natural gas marketers. We are responsible for electricity and fuel management for all of NextEra Energy Resources’ generation fleet, which includes the largest renewable energy portfolio in North America. We also provide marketing and trading services to electric and gas utilities,...

NextEra Energy Marketing is one of the nation’s leading electricity and natural gas marketers. We are responsible for electricity and fuel management for all of NextEra Energy Resources’ generation fleet, which includes the largest renewable energy portfolio in North America. We also provide marketing and trading services to electric and gas utilities,...

We are searching for a Financial Analyst, Sr for a 6-month contract assignment. The person in this role will be identifying and conduct complex analysis of financial impacts of issues and specific decisions facing the company & proposes strategies that maximize the company's financial performance. Looking for Sr Financial Analyst to help manage the ETRM...

We are searching for a Financial Analyst, Sr for a 6-month contract assignment. The person in this role will be identifying and conduct complex analysis of financial impacts of issues and specific decisions facing the company & proposes strategies that maximize the company's financial performance. Looking for Sr Financial Analyst to help manage the ETRM...

A leading High Frequency Trading Firm is hiring a Risk Analyst to join the team in Palm Beach, FL. The firm primarily serves as an equity + equity options market maker with offices and clients across the United States, Europe, and Asia. They develop in house proprietary technology, and they are constantly innovating to keep their edge in the market....

Title: Sr.Project Analyst Location: Hospital Facility- Newport Beach, CA 92663 Shift: M-F 8 am-5 pm, 40 GWW Duration: 6 month(s) Pay:$55/hr to $65/hr based on exp. Remote is available - but must be within 1 hour drive of Newport Beach. Duties: The Sr. Project Analyst – Value Management is responsible for supporting the implementation of initiatives...

We are searching for a Financial Analyst, Sr for a 6-month contract assignment. The person in this role will be identifying and conduct complex analysis of financial impacts of issues and specific decisions facing the company & proposes strategies that maximize the company's financial performance. Looking for Sr Financial Analyst to help manage the ETRM...

We are searching for a Financial Analyst, Sr for a 6-month contract assignment. The person in this role will be identifying and conduct complex analysis of financial impacts of issues and specific decisions facing the company & proposes strategies that maximize the company's financial performance. Looking for Sr Financial Analyst to help manage the ETRM...

JOB DESCRIPTION Position: Sr Salesforce System Admin/Analyst Mode: Long term contract Location: Remote Summary - Candidate will serve as a Sr Salesforce System Admin/Analyst for highly skilled and fast moving CRM and Event Management team of Salesforce engineers, admins, and quality engineers, using Agile methods to facilitate team activities. As a Sr...

JOB DESCRIPTION Position: Sr Salesforce System Admin/Analyst Mode: Long term contract Location: Remote Summary - Candidate will serve as a Sr Salesforce System Admin/Analyst for highly skilled and fast moving CRM and Event Management team of Salesforce engineers, admins, and quality engineers, using Agile methods to facilitate team activities. As a Sr...

Job Description Job Summary Job Duties Serves as the primary contact to State agencies for all Risk and Quality matters. Leads the local Quality committees. Prepares, in collaboration and support with MHI Quality, required documentation for state Performance Improvement Projects. Aligns with Enterprise the design, implementation, and monitoring the...

We are seeking a Compensation Analyst to join our team. In this role, you will maintain and deliver compensation programs in support of the companys philosophy, culture and strategy. The position requires providing ownership of all compensation data Compensation Analyst, Compensation, Analyst, HRIS, Technology, Retail, Program

JOB DESCRIPTION Summary - Candidate will serve as a Sr Salesforce System Admin/Analyst for highly skilled and fast moving CRM and Event Management team of Salesforce engineers, admins, and quality engineers, using Agile methods to facilitate team activities. As a Sr Salesforce System Admin/Analyst , candidate will work across the product team to identify and...

JOB DESCRIPTION Summary - Candidate will serve as a Sr Salesforce System Admin/Analyst for highly skilled and fast moving CRM and Event Management team of Salesforce engineers, admins, and quality engineers, using Agile methods to facilitate team activities. As a Sr Salesforce System Admin/Analyst , candidate will work across the product team to identify and...

JOB DESCRIPTION Summary - Candidate will serve as a Sr Salesforce System Admin/Analyst for highly skilled and fast moving CRM and Event Management team of Salesforce engineers, admins, and quality engineers, using Agile methods to facilitate team activities. As a Sr Salesforce System Admin/Analyst , candidate will work across the product team to identify and...