Risk Analyst jobs in Maine

Risk Analyst evaluates the vulnerability of an organization's assets to determine the potential risk factors. Performs statistical analysis to quantify risk and forecast probable outcomes. Being a Risk Analyst prepares reports and presents findings to assist management with decision-making while offering solutions to minimize or eliminate risks. Monitors internal and external risk factors including economic, market, and regulatory risks to continuously maintain maximum protection of an organization's assets. Additionally, Risk Analyst supports managers in risk management or risk model construction. Requires a bachelor's degree. Typically reports to a supervisor. The Risk Analyst work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Risk Analyst typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Senior Risk Adjustment Analyst (Remote)
  • Martin's Point Health Care
  • Portland, ME FULL_TIME
  • Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary ** NEW POSITION ** This position offers a remote work schedule and 2-4 visits to Maine, per year! Join this dynamic Risk Adjustment Team which is growing and making an impact! Apply today for immediate consideration! The Senior Risk Adjustment Analyst analyzes data, reviews findings, and develops recommendations for leadership related to revenue optimization utilizing third party software as well as the data warehouse as key sources of data. The Senior Analyst uses their extensive content knowledge and analytical expertise to guide and educate leaders on revenue optimization from a range of operational lenses and levels of analysis. This individual may lead project teams and process improvement activities in their area of expertise. Job Description Key Outcomes: Examines and performs data management analyses and develops and presents a variety of performance results in addition to other pertinent communication Transfers data into meaningful, professional, and easy to understand formats for leadership Reviews data, develops recommendations and reviews findings with senior leadership Analyzes and extracts data from the Enterprise Data Warehouse (EDW) and other sources to report to internal and external customers Designs, develops, tests, documents, and maintains database queries for ad hoc reporting used in complex conceptual analyses for all departments within Risk Adjustment Operations Develops systematic reporting processes and procedures to ensure timely delivery of daily, weekly, monthly, annual, and ad hoc reports to support key departmental and organizational initiatives Serves as the liaison between departments including IT and Finance for all Risk Adjustment reporting needs Troubleshoots errors and data inconsistencies and coordinates resolutions to issues as directed by self, staff, and various levels of leadership Takes a lead role in the tracking of progress and activities of key initiatives Plans and assists with testing processes and activities including new report or analytics methodology validation Responsible for documenting and updating changes to workflow, training plans, policies and procedures and ensure redundancy in these knowledge areas with other analytics resources Provides analytic mentorship and guidance to operational departments related to revenue optimization Participates in the development of risk adjustment operational and strategic planning processes Subject matter expert in CMS HCC Risk Adjustment modeling May lead vendor research, software installation, configuration support, and interface development applications as needed Maintains and is expert user of third-party analytical tools and reporting platforms related to risk profile analysis and HCC coding Recommends tools and methodologies that can be deployed at the organizational level, to the departments and with external partners Education/Experience: Bachelor’s degree in Economics, Finance, Statistics, Mathematics, Actuarial Sciences, or other quantitative discipline; Master’s degree preferred Minimum of 5 years’ experience related to reporting and analysis of health care data ideally in the areas of managed care, health care delivery, code sets, and/or reimbursement Experience in developing cost-benefit and ROI analyses We are an equal opportunity/affirmative action employer. Do you have a question about careers at Martin’s Point Health Care? Contact us at: jobinquiries@martinspoint.org Martin’s Point Health Care is a progressive, not-for-profit organization providing care and coverage to the people of Maine and beyond. The organization operates six primary care health care centers in Maine and New Hampshire, accepting most major insurance plans. Martin’s Point also administers two health plans: Generations Advantage (Medicare Advantage plans available throughout Maine and New Hampshire), and the US Family Health Plan (TRICARE Prime® plan for active-duty and retired military families in northern New England, upstate New York, and western Pennsylvania). For more information, visit https://careers.martinspoint.org.
  • 7 Days Ago

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Senior Risk Adjustment Analyst - Health Plan (Remote)
  • Martin's Point Health Care
  • Portland, ME FULL_TIME
  • Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," ...
  • 23 Days Ago

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Senior Insurance Examiner - Senior Risk Focused Financial Analyst
  • State of Maine
  • Gardiner, ME FULL_TIME
  • Department of Professional and Financial Regulation (and Boards) - Bureau of Insurance/Examination Division Job Class Code: 0364Grade: 26 (Professional/Technical)Salary: $54,620 - $73,756Location: Gar...
  • 11 Days Ago

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Staffing
  • Presque Isle, ME PART_TIME
  • Hueman is hiring Nurse Practitioners and Physician Assistants to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Presque Isle, ME. This position offe...
  • 20 Days Ago

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Staffing
  • Farmington, ME PART_TIME
  • Hueman is hiring Nurse Practitioners and Physician Assistants to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Farmington, ME. This position offers...
  • 20 Days Ago

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Staffing
  • Waldoboro, ME PART_TIME
  • Hueman is hiring Nurse Practitioners and Physician Assistants to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Waldoboro, ME. This position offers ...
  • 20 Days Ago

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Financial Risk Analyst
  • Informatic Technologies, Inc.
  • Chicago, IL
  • One of our leading Financial Services Client is looking for a Clearing House Risk Management Consultant. The Consultant'...
  • 4/24/2024 12:00:00 AM

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Senior Risk Analyst
  • Ashley Furniture Industries
  • Advance, NC
  • Do you have innate problem-solving and analytical skills with the ability to self-manage and an intellectual curiosity a...
  • 4/24/2024 12:00:00 AM

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Senior Risk Analyst
  • Clicklease Llc
  • Salt Lake City, UT
  • At Clicklease, we're on a unique mission to empower the small business owners often overlooked by traditional lenders. I...
  • 4/24/2024 12:00:00 AM

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Senior Risk Analyst
  • Ashley Furniture Industries
  • Do you have innate problem-solving and analytical skills with the ability to self-manage and an intellectual curiosity a...
  • 4/24/2024 12:00:00 AM

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Senior Risk Analyst
  • Ashley Furniture Industries
  • Advance, NC
  • Do you have innate problem-solving and analytical skills with the ability to self-manage and an intellectual curiosity a...
  • 4/23/2024 12:00:00 AM

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Financial Risk Analyst
  • Insight Global
  • San Francisco, CA
  • **This is a 4-month contract for someone on maternity leave** Must be currently living in San Francisco or comfortable c...
  • 4/22/2024 12:00:00 AM

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Financial Risk Analyst
  • Yamaha Motor Corporation, USA
  • Cypress, CA
  • Yamaha has an excellent opportunity for a Financial Risk Analyst to join our team in Cypress, CA. The Financial Risk Ana...
  • 4/22/2024 12:00:00 AM

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Financial Risk Analyst
  • Insight Global
  • San Francisco, CA
  • This is a 4-month contract for someone on maternity leave Must be currently living in San Francisco or comfortable commu...
  • 4/20/2024 12:00:00 AM

To the south and east is the Atlantic Ocean and to the north and northeast is New Brunswick, a province of Canada. The Canadian province of Quebec is to the northwest. Maine is both the northernmost state in New England and the largest, accounting for almost half of the region's entire land area. Maine is the only state in the continental US to border only one other American state (New Hampshire to the South and West). Maine is the easternmost state in the United States in both its extreme points and its geographic center. The town of Lubec is the easternmost organized settlement in the United...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Risk Analyst jobs
$55,465 to $73,772

Risk Analyst in Lorain, OH
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