Risk Adjustment Director

About the RoleOscar Health is seeking an experienced Actuary, Risk Adjustment to join our Actuarial team. As a key member of our team, you will play a critical role in supporting our valuation, risk adjustment, forecasting, strategy, and pricing processes for several Affordable Care Act (ACA) markets.You will be responsible for reviewing pricing,...

Job SummaryThe Manager, Business Consultation role at CVS Health is a critical position that requires a high degree of expertise in Risk Adjustment payment models for Medicare Advantage, ACA, and Medicaid. The successful candidate will be responsible for monitoring and managing day-to-day operations for Commercial Accountable Care Act (ACA) Prospective...

Job Title: Actuary, Risk Adjustment SpecialistOscar Health is seeking an experienced Actuary, Risk Adjustment Specialist to join our Actuarial team. As a key member of our team, you will play a critical role in supporting our valuation, risk adjustment, forecasting, strategy, and pricing processes for several Affordable Care Act (ACA) markets.About the...

Job SummaryCVS Health is seeking a highly skilled Manager, Business Consultation to join our team. As a key member of our organization, you will play a critical role in monitoring and managing day-to-day operations for Commercial Accountable Care Act (ACA) Prospective Programs.Key ResponsibilitiesManage complex business consultation services to support the...

About the RoleWe are seeking a highly skilled Risk Adjustment Coding Specialist to join our team at VNS Health. As a key member of our Medicare Risk Adjustment team, you will play a critical role in ensuring the accuracy and compliance of our coding practices.Key ResponsibilitiesConduct thorough coding reviews of provider documentation to assign accurate...

About the RoleVNS Health is seeking a highly skilled Risk Adjustment Coding Specialist to join our team. As a key member of our Medicare Risk Adjustment team, you will play a critical role in ensuring the accuracy and compliance of our coding practices.Key ResponsibilitiesConduct thorough coding reviews of provider documentation to assign accurate ICD-10...

Job SummaryWe are seeking a skilled Claims Adjuster to join our team at North American Risk Services (NARS). As a Claims Adjuster, you will be responsible for handling a caseload of PIP/Medical Payment claims, investigating losses, determining coverage, and coordinating medical care.Key Responsibilities:Investigate losses and determine coverageCoordinate...

Job Title: Market Risk Director - RatesLocation: New York, NYSalary: $225K - $260K base, with an annual bonus in the range of $130K - $200KGresham Hunt is recruiting a Market Risk Director to join their Americas Head Office in New York City.Key Responsibilities:Developing risk reports, including reviewing current reporting and implementing changes.Team...

About AdvantmedWe are a leading provider of risk adjustment, quality improvement, and value-based solutions to health plans and providers. Our mission is to drive market-leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners.Our team is dedicated to identifying, managing,...

Job Title: Market Risk Director - RatesLocation: New York, NYSalary: $225K - $260K base, with an annual bonus in the range of $130K - $200KGresham Hunt is seeking a seasoned Market Risk Director to join their Americas Head Office in New York City. This role requires a skilled professional with experience communicating with traders, familiar with Market Risk...

Job Title: Director - Risk Analytics, Commercial Risk NAAt Aon, we are seeking a highly skilled Director - Risk Analytics, Commercial Risk NA to join our team. As a key member of our Commercial Risk Analytics team, you will play a critical role in shaping the future of our Commercial Risk Broking and Consulting.About the Role:This is a hybrid role with the...

Job Title: Director of Risk ManagementNYC Health + Hospitals/Metropolitan is a leading community hospital that provides culturally-sensitive care to residents of East Harlem, northern Manhattan, and neighboring communities. Our hospital is committed to delivering high-quality health services with compassion, dignity, and respect to all, without exception.Job...

Director - Risk Analytics, Commercial Risk NAThis is a hybrid role with the flexibility to work both virtually and from our New York City office, shaping decisions for the better to protect and enrich the lives of people around the world.Aon is in the business of better decisions, united through trust as one inclusive, diverse team. We are passionate about...

Director of Risk ManagementWe are seeking a seasoned Director of Risk Management to join our team at Selby Jennings in New York City. As a key member of our front office, you will be responsible for managing volatility across all strategies and collaborating with Portfolio Managers and Traders to optimize strategies and design hedges.Key...

Job Title:Market Risk DirectorJob Summary:We are seeking a highly skilled Market Risk Director to join our team at Gresham Hunt. The successful candidate will be responsible for developing and implementing risk management frameworks, leading a team of risk professionals, and providing expert advice to stakeholders.Key Responsibilities:Developing and...

Director of Risk ManagementWe are seeking a seasoned Director of Risk Management to join our team at Selby Jennings in New York City. As a key member of our front office, you will be responsible for managing volatility across all strategies and collaborating with Portfolio Managers and Traders to optimize strategies and design hedges.Key...

Director of Risk Management - VolatilityWe are seeking a seasoned Director of Risk Management to join our team in New York City. As a key member of our front office, you will be responsible for managing volatility across all strategies.Your primary focus will be on interacting with Portfolio Managers and Traders to optimize strategies, design hedges, and...

Job Title: Director of Risk ManagementHospital for Special Surgery is seeking a highly skilled and experienced Director of Risk Management to join our team. As a key member of our leadership team, you will be responsible for developing and implementing risk management strategies to ensure the highest level of patient safety and quality...

Director of Control Management Risk AssessmentAt American Express, we're committed to delivering exceptional customer experiences and driving business growth. As a Director of Control Management Risk Assessment, you'll play a critical role in ensuring the effectiveness of our control management processes and identifying opportunities for improvement.Key...

Enterprise Risk Management DirectorAbout the RoleNewYork-Presbyterian Hospital is seeking a highly skilled Enterprise Risk Management Director to join our team. As a key member of our organization, you will be responsible for identifying, assessing, and mitigating risks that could impact our operations, reputation, and financial stability.Key...