Top 227 Risk analyst Jobs in Coral Gables, Fl

Risk Adjustment Data Analyst
Centrum Health —Doral, FL
- Mid-level
- Office
- Bachelor's degree
Quick Apply
Financial Analyst Junior
City National Bank of Florida —Coral Gables, FL
- Full-time
- Microsoft Word
- ERP systems
- Office
Analyst, UHealth Management Reporting
University of Miami —Medley, FL
- Full-time
- Mid-level
- 3 years
- University
- Health insurance
- Dental insurance
Senior Business Systems Analyst - Epic Radiant, Technology and Digital, FT,08A-4:30P
Baptist Health South Florida —Coral Gables, FL
- $85,901.44 - $111,671.87 a year
- Full-time
- Computer science
- Computer Science
- Research
- Wellness program
- Health insurance
Senior Business Systems Analyst - Epic Radiant, Technology and Digital, FT,08:30A-5P
Baptist Health South Florida —Coral Gables, FL
- $85,901.44 - $111,671.87 a year
- Full-time
- Computer science
- Computer Science
- Research
- Wellness program
- Health insurance
EDI Business Analyst
Pediatrica Health Group —Florida
- $75,000 - $85,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
3d
Senior Analyst, Compensation & Analytics
Kaseya Careers —Miami, FL
- Finance
- SQL
- Analysis skills
Quick Apply
Risk & Compliance Analyst (On-Site)
Educational Federal Credit Union —Kendall, FL
- Full-time
- Background check
- Writing skills
- Research
- Paid holidays
- Disability insurance
Quick Apply
Lead Business Systems Analyst - Epic Beaker, Technology & Digital, FT,8A-4:30P
Baptist Health South Florida —Coral Gables, FL
- $96,682.12 - $125,686.76 a year
- Full-time
- Computer science
- Computer Science
- HIPAA
- Wellness program
- Health insurance
Pricing Analyst, Financial Products
Intermex Wire Transfer —Hialeah, FL
- Background check
- Mid-level
- Finance
Quick Apply
Pricing Analyst, Financial Products
Intermex Wire Transfer —Palmetto Bay, FL
- Background check
- Mid-level
- Finance
Quick Apply
Bilingual Case Management Analyst - Field in Downtown Miami, FL
CVS Health —Florida
- $21.10 - $40.90 an hour
- Full-time
- Spanish
- English
- Master's degree
- Health insurance
- Dental insurance
Bilingual Case Management Analyst – Field in Little Havana/West Flagler area of Miami, FL
CVS Health —Florida
- $21.10 - $40.90 an hour
- Full-time
- Spanish
- English
- Master's degree
- Health insurance
- Dental insurance
Fintech Pricing Analyst- LATAM
Intermex Wire Transfer —Pinecrest, FL
- Background check
- Mid-level
- Finance
Quick Apply
Credit Risk Analytics Analyst
BankUnited, N. A. —Miami Lakes, FL
- Microsoft Word
- Mid-level
- Finance
2d
Financial Analyst
Prescient Edge Federal —Doral, FL
- Full-time
- PMP
- 5 years
- Mid-level
- Health insurance
- Dental insurance
Finance Analyst
Mr. Greens Produce —Miami, FL
- Mid-level
- Office
- Finance
- Health savings account
- Paid holidays
Quick Apply
OPERATIONS ANALYST
Lakeview Loan Servicing —Coral Gables, FL
- $70,000 - $80,000 a year
- Contract
- Microsoft Access
- Microsoft Outlook
- Research
12d
Analyst, Onboard Revenue Operations
Royal Caribbean Group —Miami, FL
- Full-time
- Microsoft Word
- Microsoft Excel
- 5 years
Senior Financial Analyst
Royal Caribbean Group —Miami, FL
- Full-time
- Microsoft Excel
- 5 years
- Office

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risk analyst jobs near coral gables, fl

Risk Adjustment Data Analyst

Centrum Health -
Doral, FL

Quick Apply

Job Details

Qualifications

Data visualization software proficiency
Business intelligence tools
Bachelor's degree
Data analytics technologies
Database software proficiency

Full Job Description

WHO WE ARE

NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.

NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all.

SCOPE OF ROLE

The Risk Adjustment and Analytics Team is working to push boundaries to redefine Risk Adjustment and Quality Analytics in a Value-Based Care Setting. The Risk Adjustment Analyst will be the lead in the design, implementation, and maintenance of all Risk Adjustment and Quality Data and Dashboards for our entire NeueHealth Portfolio: ACA, Medicare, ACO REACH, MSSP, and Medicaid. The Risk Adjustment and Quality Analyst will be responsible for working both independently and collaboratively between multiple departments such as Analytics, Risk Adjustment and Quality, Medical Economics, & Clinical Operations.

This is an onsite position in Doral, FL.

ROLE RESPONSIBILITIES

Proactively collaborate and interact with business stakeholders across the organization to understand analytics needs, develop plans to address those needs, and deliver analytics to meet those needs.
Using SQL code, mine data on medical spend, clinical data and population health data and derive meaningful insights to improve operations such as trends, correlations and patterns.
Own the data. You are responsible for accurate presentation of your data elements, so ensuring data integrity is paramount.
Thoroughly analyze data, quickly identify relevant information, and transform it into a meaningful output. Conduct thoughtful presentations, online or in person, to stakeholders with actionable findings for improvement.
Provide concise data reports and clear data visualizations for executive level reporting through Power BI, Excel and other tools used by the organization.
Create data processes that are consistent, repeatable, and scalable.
Conduct Quarterly Reconciliations to identify dropped HCCs and prepare supplemental data submission files according to payor partner specifications.

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

Bachelor's degree is required.
Comprehensive understanding of risk adjustment and quality programs across all government-regulated lines of business, including Marketplace, Medicaid, and Medicare programs.
Five (5) or more years of hands-on SQL code development is required, including expertise with programming languages like Scala or Python.
Three (3) or more years of experience in healthcare field dealing with claims/utilization as it pertains to Risk Adjustment and Quality.
Three (3) or more years of analytics experience (Required)
Two (2) or more years of Power BI experience (Required)
Experience with Databricks (Preferred)
Familiarity with CMS-HCC and HHS-HCC risk Adjustment Models
Familiarity with HEDIS and MSSP Quality Reporting

PROFESSIONAL COMPETENCIES

Expertise in analytics, statistics, data visualization, or programming
Dedicates exacting attention to detail and data quality
Eager learner, collaborative partner, easy communicator, and careful analyst

As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Quick Apply

Refine Your Search

risk analyst jobs in coral gables, fl

Risk Adjustment Data Analyst

Financial Analyst Junior

Analyst, UHealth Management Reporting

Senior Business Systems Analyst - Epic Radiant, Technology and Digital, FT,08A-4:30P

Senior Business Systems Analyst - Epic Radiant, Technology and Digital, FT,08:30A-5P

EDI Business Analyst

Senior Analyst, Compensation & Analytics

Risk & Compliance Analyst (On-Site)

Lead Business Systems Analyst - Epic Beaker, Technology & Digital, FT,8A-4:30P

Pricing Analyst, Financial Products

Pricing Analyst, Financial Products

Bilingual Case Management Analyst - Field in Downtown Miami, FL

Bilingual Case Management Analyst – Field in Little Havana/West Flagler area of Miami, FL

Fintech Pricing Analyst- LATAM

Credit Risk Analytics Analyst

Financial Analyst

Finance Analyst

OPERATIONS ANALYST

Analyst, Onboard Revenue Operations

Senior Financial Analyst

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