analyst risk adjustment analytics

Centene is seeking a risk adjustment analytics professional to support data analysis, modeling, actuarial reporting, and data validation within the Actuarial Development Program. This non-traditional actuarial role emphasizes data completeness, accuracy, and collaboration with cross-functional teams across markets.The position is fully remote within the...

CVS Health in New Jersey is seeking an experienced vendor analytics professional to lead strategy, valuation, and governance for Medicare and Medicaid risk adjustment vendors. You will partner with business, technical, and regional stakeholders to translate requirements into vendor solutions and actionable insights.Responsibilities include developing ROI...

CVS Health is seeking a strategist to support risk adjustment vendor management for Medicare and Medicaid programs. You will evaluate vendor performance, develop ROI analyses, and forecast revenue impact while collaborating with stakeholders to translate risk requirements into vendor solutions and governance.Ideal candidates bring 3+ years in healthcare...

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Senior FP&A Analyst - Risk Adjustment based in the United States. As a Senior FP&A Analyst, you will play a key role in financial planning, forecasting, and strategic decision-making for a Risk Adjustment organization. Working...

Senior Coding Analyst, Risk Adjustment# Careers## Senior Coding Analyst, Risk AdjustmentApply: Remote: Full time: Posted 6 Days Ago: JR100135About Altais:At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on...

Supporting risk adjustment initiatives through data analysis and modeling, the full-time Sr. Actuarial Analyst - Risk Adjustment will work remotely to assist in financial analysis, data validation, and risk assessment while collaborating with cross-functional teams. Key responsibilities Run and analyze market-level results using risk adjustment models Act...

Job ID: 6322Req ID: 1213Location: Tulsa, OK, USAPosted: 2026-10-09Job Family: CommercialPay Type: SalaryJOB SUMMARY: The Risk Adjustment Analyst II supports the organization’s Medicare Advantage (MA) and Affordable Care Act (ACA) risk adjustment programs by managing data submissions, developing reporting, and delivering actionable analytics. This role is...

Centene Management Company LLC is seeking a senior professional to lead risk adjustment and quality improvement initiatives across assigned products and plans in a primarily remote role with a preference for Arizona. This position requires strong analytical abilities and leadership to drive cross-department collaboration. You will develop action plans,...

Job-ID: 1840 Category: Legal, Compliance and Risk Location: Fort Worth, TX, United States Schedule: Full time Posted: Why Credit Risk Analytics? ​ GM Financial is the wholly owned captive finance subsidiary of General Motors and is headquartered in Fort Worth, U.S. We are a global provider of auto finance solutions, with operations in...

Centene Corp. is seeking an actuarial professional for its Actuarial Development Program. This fully remote role focuses on data analysis, risk adjustment modeling, and financial forecasting as you progress toward actuarial credentials.You will collaborate with cross-functional teams, perform data validation and reporting, and use SQL, SAS, Snowflake, and...

Supporting risk adjustment initiatives through data analysis and modeling, the full-time Sr. Actuarial Analyst - Risk Adjustment will work remotely to assist in financial analysis, data validation, and risk assessment while collaborating with cross-functional teams. Key responsibilities Run and analyze market-level results using risk adjustment models Act...

Senior Health Actuarial RoleActuarial data and analytics crossover. A data-science crossover rather than a pure modelling IC: operational data quality, reporting, and market coordination are part of the remit.Senior Health actuarial role focused on risk adjustment within Centene's operations team. You'll analyze market-level results, validate healthcare...

Senior Fpa Analyst – Risk AdjustmentJoin HealthEdge as Senior FP&A Analyst – Risk Adjustment – play a central, highly visible role in how the business plans, forecasts, and makes decisions. In this position, you will support financial planning and analysis for the Risk Adjustment organization, partnering closely with Risk Adjustment leadership as well...

Position Purpose:Support risk adjustment initiatives through data analysis, modeling, actuarial reporting, and data validation. Assist in financial analysis, data validation, and risk assessment to estimate outcomes.Key Details:This is a non‑traditional actuarial role within operations, offering opportunities to build technical, analytical, and business...

Altais is seeking a Senior Coding Analyst, Risk Adjustment, to code medical records for HCC reimbursement and guide clinical documentation improvement across the Medicare Advantage program. You will support audits, provide analytics, and train provider offices while collaborating with clinical and provider network teams. The role emphasizes accuracy,...

Senior Risk Adjustment AnalystThe Senior Risk Adjustment Analyst leads advanced analytics, data governance, and operational processes that support accurate, compliant, and optimized risk-adjusted revenue across Medicare Advantage and ACA populations. This role requires independent execution, strong technical skills, and the ability to translate complex...

Affirm is hiring multiple Senior Analyst roles within its Risk & Analytics organization. You will own end-to-end analytical problems, translate data into business actions, and influence decisions across cross-functional teams including Product, Legal, and Compliance. Expected to work autonomously on analytics lifecycle, applying rigorous data science to...

Busey Bank is seeking a Credit Risk and Portfolio Management Analyst – 2nd Line of Defense to deliver precise and timely reports to the First Busey Chairman, Bank President, and Chief Credit Officer. The role supports portfolio management through data analysis, metrics, and cross-department reporting. Ideal candidates have strong communication, data...

Busey Bank is seeking a Credit Risk and Portfolio Management Analyst to support the 2nd Line of Defense with timely, succinct reporting for the Chairman, President, and Chief Credit Officer. The role emphasizes data analysis, risk reporting, and collaboration with risk and finance teams. Responsibilities include maintaining dashboards, utilizing nCino, Power...

LPL Financial is seeking an Analyst for Fraud Risk to screen, identify, and report fraud, protecting clients and advisors while ensuring compliance with OCC, SEC, FINRA and other regulators. You’ll collaborate with FIU, GRC, and operations teams to assess risks and document findings. The role involves data-driven analysis, case management, and partner...