but not limited to evaluation of potential pricing and volume accruals, secondary cost accrual along with the Crude LIFO Adjustment... hydrocarbon gains and losses. Provide strategic insights and recommendations based on financial data analysis to support review...
CITGOTypically 2-5 years healthcare industry experience Preferred Knowledge of Risk Adjustment and HEDIS Preferred. Experience in... intelligence (AI) to develop scalable data-driven solutions that bring significant value to all healthcare stakeholders. Together...
AllscriptsTypically 2-5 years healthcare industry experience Preferred Knowledge of Risk Adjustment and HEDIS Preferred. Experience in... intelligence (AI) to develop scalable data-driven solutions that bring significant value to all healthcare stakeholders. Together...
AllscriptsTypically 2-5 years healthcare industry experience Preferred Knowledge of Risk Adjustment and HEDIS Preferred. Experience in... intelligence (AI) to develop scalable data-driven solutions that bring significant value to all healthcare stakeholders. Together...
AllscriptsTypically 2-5 years healthcare industry experience Preferred Knowledge of Risk Adjustment and HEDIS Preferred. Experience in... intelligence (AI) to develop scalable data-driven solutions that bring significant value to all healthcare stakeholders. Together...
AllscriptsTypically 2-5 years healthcare industry experience Preferred Knowledge of Risk Adjustment and HEDIS Preferred. Experience in... intelligence (AI) to develop scalable data-driven solutions that bring significant value to all healthcare stakeholders. Together...
Allscriptsclaims with minimal supervision. Supports organizational processes and programs for mitigation of financial risk. Analyzes... with Law Department attorneys. Job Responsibilities Reviews, analyzes and evaluates the investigation, adjustment...
Walgreensinformation, Risk Adjusted PMPM, Coordination of Benefits (COB) information, and other internal and external data sources..., data, systems, reimbursement methodology, case-mix adjustment, and applications for claims payment, providers...
Cignainformation, Risk Adjusted PMPM, Coordination of Benefits (COB) information, and other internal and external data sources..., data, systems, reimbursement methodology, case-mix adjustment, and applications for claims payment, providers...
The Cigna Group. Required Qualifications: 2+ years of data analysis experience 2+ years of writing SQL and/or PL/SQL 1+ years of CMS risk adjustment model.../version experience or ACA or Medicaid model risk adjustment or quality performance measurement experience performing a wide...
UnitedHealth Group: This role is responsible for supporting Cigna Medicare Advantage’s Risk Adjustment & Stars program for assigned populations in... an operational market. The role will be accountable for assigned provider groups reaching risk adjustment and stars related annual...
The Cigna Group: This role is responsible for supporting Cigna Medicare Advantage’s Risk Adjustment & Stars program for assigned populations in... an operational market. The role will be accountable for assigned provider groups reaching risk adjustment and stars related annual...
Cignaand customer satisfaction. Underwrite and process mid-term adjustment requests, resolve billing issues, and answer coverage... for new business submissions and renewal reviews. Provide data entry, initial analysis and account set up transactions. Work...
MedPro GroupAbout the business: LexisNexis Special Services Inc (LNSSI) provides data-driven operational and tactical Pattern..., crime and fraud analysis, criminal psychology, computer and data science, statistics, geography, and mathematics. Combined...
LexisNexisAbout the business: LexisNexis Special Services Inc (LNSSI) provides data-driven operational and tactical Pattern..., crime and fraud analysis, criminal psychology, computer and data science, statistics, geography, and mathematics. Combined...
RELXuse cases and implications of various data structures and recommend visualization options. Expertise designing, building..., securing, and deploying, and processing Tabular and Multi-dimensional models. Connect to data sources, import data...
LexisNexis: Risk, Data Services, Finance, the Regulatory Reporting interpretive Office, GCB and ICG Businesses, Regulators and Senior... (e.g., data, systems, FRB instructions) while working with various stakeholders. Familiarity with Risk and Finance...
Citigroup