Strategic Risk Adjustment Consultant for Provider Performance
Blue Cross and Blue Shield of Massachusetts, Inc.
Blue Cross Blue Shield of Massachusetts, Inc. is seeking a Risk Adjustment Provider Performance Consultant to design and execute provider engagement and improvement strategies within our risk adjustment program. Reporting to the Senior Director of Risk Adjustment and Analytics, you will partner with provider networks, clinic managers, and coding leads to enhance documentation, accuracy of CMS HCC capture, and value-based care outcomes. #J-18808-Ljbffr Blue Cross and Blue Shield of Massachusetts, Inc.
$111k - $189k
Description The Lead Strategic Partnership Data Analyst turns data... ...identify what is driving performance and influence decisions with... ...there is business value in adjusting the models. You will ensure... ...performance drivers and provides insights into performance trends...PerformanceFull timeWork at officeLocal areaRelocationRelocation packageFlexible hours- ...underwriters to understand what actions can be taken to improve performance of individual Programs May assist in completion of quarterly... ...identify and define business problems and issues, and develop strategic, analytical, and financial frameworks to conduct analyses Analytical...PerformanceFlexible hours
$28.41 - $56.83 per hour
...Job Description Strategic Sourcing Analyst – Memory and Storage... ...Storage Strategic Sourcing team by providing tactical coordination of... ...Purchase Order (BPO) execution, risk-buy purchases, and supplier/... ...actions. Monitor supplier performance and identify risks related to...PerformanceHourly payContract workTemporary workFlexible hours$80k - $145k
...currently seeking a Loss Control Risk Management Consultant. This position is... ...on company and individual performance. Be ready to:responsible for... ...control services through strategic Risk & Service Management... ...customer satisfaction by providing value-adding loss control...PerformanceWork at officeRemote workWork from home$155k - $185k
...objectives. Monitor business performance and recommend corrective... ...actuarial decision-making. Provide actionable insights through analysis... ...considerations, and emerging risks. Clearly communicate... ..., pricing methodologies, and strategic recommendations to both technical...PerformanceFull time$75k - $107k
...building the only technology‑led, full‑stack provider of small business insurance in the industry,... ...to monitor, analyze, and report on historical performance Conduct analyses, generate insights, and translate them to strategic or tactical recommendations Collaborate with...PerformanceFull timeInternshipFlexible hours$80k - $90k
...directly shape pricing strategy, risk management, and business... ...actions to optimize portfolio performance. Advanced Data Analytics... ...recommendations that support strategic decision-making. Rate Filing... ...capabilities. Provide leadership within the actuarial...PerformanceFull timeInternshipWork at officeRemote work- ...A Boston-based asset management firm is seeking an experienced Senior Risk Analyst to provide quantitative analysis supporting equity portfolio construction, performance measurement, and risk management. Key Responsibilities Analyze equity portfolio exposures across risk...Performance
$160k - $185k
...fiduciary, the guidance we provide is in the best... ...Analyst, Quantitative & Risk AnalyticsOur Quantitative... ...-based frameworks, strategic asset allocation, and... ...to identify drivers of performance and risk; interpret results... ...an accommodation or adjustment, due to a medical...PerformanceFull timeLocal area$110k - $140k
...peer support. The Senior Strategic Financial Planning Analyst is... ...Drive the budgeting process, providing functional support on revenue... ...market-specific drivers, and perform financial analyses to support... ..., growth initiatives, and risk management. Create executive...PerformanceFull timeLocal areaRemote workFlexible hours$77k - $202k
...Opportunity As a Health Actuary Consultant - Senior Associate, you will... ...and Benefits. You will provide strategic, analytic, and technical... ...Organizational Management/Behavior, Risk Management/Insurance,... ...Structuring Utilizing Agile Performance Measurement for efficient...PerformanceH1b$50k
...associates, attorneys, healthcare providers, vendor partners and Brand... ...and appropriate level. Performance standards include thorough investigations... ...the overall Total Cost of Risk to the Banners' bottom lines.... .... Requirements Licensed adjuster or ability to obtain license...PerformanceFull timeRemote workFlexible hours$148.2k - $292.3k
...apply actuarial, strategic, and analytical experience... ...and technical consulting services to help... ..., and risk analysis methodologies... ..., including work performed in connection with... ...Ability to mentor and provide clear guidance to... ...with risk adjustment mechanisms, group...PerformanceLocal areaVisa sponsorship$100.4k - $197.9k
...strategies with their strategic visions. Our practice... ...ll do As an Actuarial Consultant on the Insights, Innovation... ...deadlinesAbility to provide clear guidance to... ...estimate has not been adjusted for the applicable geographic... ...and organizational performance. Deloitte is...PerformanceLocal areaVisa sponsorship$180.2k - $355.1k
...apply actuarial, strategic, and analytical experience... ...care models and performance, product and... ...and technical consulting services to help... ...with payers and provider clients to support... ...underwriting, and risk analysis methodologies... ...with risk adjustment mechanisms, group...PerformanceLocal areaVisa sponsorship$76.34k - $107.82k
...The Senior Data Analyst will provide support to key projects through... ...support decision making and strategic direction, resource... ...development and maintenance of key performance dashboards that show progress... ...data quality in reports and adjust as needed. Support migration...PerformanceWork experience placementVisa sponsorship- ...MonteCarlo), EOD or intra-day risk & valuation, as well as... ...person who thrives in a high performance/high reward culture - doing hard... ...determination, and curiosity, we'll provide the resources, mentorship,... ...modeling techniques and strategic decision-making processes.PerformanceApprenticeshipWork at officeEasy work
- ...Statistical Analysis, Incident Analysis, Safety Risk Management, Trend Analysis, KPI... ...evaluate mitigation effectiveness, and provide actionable insights to support organizational... ...progress against annual safety Key Performance Indicators (KPIs) . Evaluate the effectiveness...Performance
$128k - $252.5k
...As an Actuarial Senior Consultant, you will apply actuarial, strategic, and analytical experience... ...Operate team, you will provide strategic and technical... ...care initiatives to drive performance Develop structured query... ...estimate has not been adjusted for the applicable geographic...PerformanceWork at officeLocal areaVisa sponsorship$100.4k - $197.9k
...practice as an Actuarial Consultant and help clients... ...role, you will support strategic and technical... ...engagements for health plans, providers, pharmacy benefit... ...initiatives to drive performance Review Medicare Advantage... ...has not been adjusted for the applicable geographic...PerformanceWork at officeLocal areaVisa sponsorship$60k
...S. national status required. The Risk, Quality, and Performance Analyst serves as the Risk, Quality,... ...governance reporting. The position also provides backup support for onboarding and... .... Maximus TCS (Technology and Consulting Services) Internal Job Profile Code:...PerformanceContract workRemote work$104.8k - $192.3k
...commercial claims adjusting to join our... ...cyber, builder's risk, or large-loss adjuster... ...expertise in a consulting environment. As... ...will include: Providing comprehensive financial... ..., economic and strategic advice to... ...rewarded based on your performance and recognized...PerformanceSummer holidayWork at officeFlexible hours$68.64k - $81.9k
...We are the leading provider of professional services to the middle... ...practice assists with various consulting, internal, and external audit... ...controls issues. The practice performs a variety of services... ...performing ERP implementation risk reviews. The practice also has...PerformanceFull timeWork experience placementSummer workLocal area- ...OVERVIEW: Vice President of Strategic Communications is... ...Communications provides leadership on organization-wide culture and performance standards and input to... ...providing insights into risk management for the business... ...engagement, and adjust strategies and tactics...PerformanceSummer workWork at office2 days per week
$52 - $53 per hour
...and scenario analysis to support long-range strategic planning, forecasting and budgeting... ...accommodations and reimbursement for work travel, and discretionary performance or recognition bonus. Sick leave and mobile phone reimbursement provided based on state or local law....PerformanceHourly payFull timeContract workLocal areaFlexible hours$100k - $120k
...Who are we? A strategic and trusted insurance partner... ...Insurance (BHSI), provides a broad range of commercial... ...in pricing individual risks and managing a... ...changes and underwriting adjustments. Provide insights into... .... Team Member may perform other related duties as...Temporary workWork experience placementWork at officeFlexible hours$113k - $188k
...NoneWhat You Will Do:Our Climate Risk, Resilience, and... ...investor expectations.As a Managing Consultant, you will lead client-facing... ...supporting a collaborative, high-performance culture.Contribute to... ...guidehouse.com. All information you provide will be kept confidential and...PerformancePermanent employmentFull timeFor contractorsInternshipWork at officeRemote workFlexible hoursShift work- ...workflows, effectively enhancing application performance and use. Principal Duties and... ...cycles, optimization initiatives, or strategic system projects. Expertise in Epic... ...time of posting. Any base pay offer provided depends on skills, experience, education...PerformanceWork experience placementFlexible hours
- ...Vice President, Provider Revenue Optimization About the Company Innovative provider... ...Revenue Optimization to lead the strategic and commercial growth of its provider product... ..., and the ability to establish clear performance objectives, lead cross-functional execution...Performance
$109.5k - $164k
...specific panel of patients.Performs all activities related to the... ...supervision of care plan, to include consultations, referrals and... ...plan author and supervisor. Adjusts treatment regimens based on... ...where primary & specialty care providers collaborate with hospital partners...PerformanceMinimum wageWork experience placementLocal areaWork from home
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