Search the 3 jobs at CareSource

The Risk Adjustment Analyst III is responsible for compiling and analyzing member information to ensure accurate Risk Adjustment Factor reflects member health profiles. This full-time remote position involves preparing reports, analyzing data, and providing management with financial analysis based on risk adjustment and revenue impacts.

The Risk Adjustment Analyst II provides analysis, extraction, review, and reporting of data to ensure accuracy and completeness and identify areas of risk and opportunity. Responsibilities include compiling and analyzing member information, preparing reports, identifying trends, and assisting with revenue projections and budgeting.

The Operations Specialist II provides analytical support and leadership for projects impacting Claims and internal Claims projects. Responsibilities include representing claims on cross-functional project teams, monitoring IT tickets, analyzing data, developing P&P's, and providing training on claims processing policy.