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.
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Strategic Risk Adjustment Consultant for Provider Performance in Hingham, MA vacancy
$105.4k - $207.8k
...Cyber Security & Risk Strategy Senior Consultant Our Deloitte Cyber... ...deadlinesAbility to provide clear guidance to others... ...with a client's strategic objectives, regulatory... ...has not been adjusted for the applicable... ...and organizational performance. Deloitte is...PerformanceLocal areaVisa sponsorshipDeloitte
Boston, MA4 days ago$160k - $170k
...commercial management, controls and performance, procurement and supply chain... ...and CBRE work together to provide clients with the premier... ...individual will be an experienced risk professional that has... ...accordance with the contract. Provide strategic and contractual advice on...PerformanceContract workFor contractorsImmediate startFlexible hoursTurner & Townsend
Boston, MA2 days ago$170k - $185k
...long-term investment performance and advice to our clients... ...new data sources, and adjusting model parameters to... ...credit, and FX markets. Provide actionable... ...Allocation team and facilitate strategic, solutions-oriented conversations... ...to enhance investment risk management strategies...PerformanceFull timeWork at officeRemote workWorldwideFlexible hoursGMO
Boston, MA4 days ago$192k
...person who thrives in a high performance/high reward culture - doing... ...determination, and curiosity, we'll provide the resources, mentorship,... ...profitability teardowns, risk adjustment and quality analytics, cost-... ...teams to address critical strategic priorities and transform how...PerformanceApprenticeshipWork experience placementEasy workMcKinsey & Company
Boston, MA3 days ago- ...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...PerformanceRemote workFlexible hours
American Family Mutual Insurance Company
Boston, MA2 days ago $110k - $188.75k
...of the world’s leading providers of financial services... ...Management’s relative performance, and implications for... ...Translate analysis into clear strategic implications, ensuring... ..., competitive data, consultant/OCIO insights) Strong... ...to help them manage risk, respond to challenges...PerformanceTemporary workWorldwideFlexible hoursShift work$63.44k - $95.16k
...The Analyst II role is an experienced adjusting position responsible for managing a caseload... ...with associates, medical providers, attorneys, and vendors while maintaining... ...of WC claims aligned with departmental performance targets. Works closely with the Safety...PerformanceFull timeRemote work$109.04k - $163.56k
...Sr Risk Analyst - KR07DE We're determined to make a difference... ...underwriting decisions by providing catastrophe modeling and exposure... ...contribute to the company's strategic risk assessment capabilities.... ...including but not limited to performance, proficiency and...PerformanceTemporary workWork at office3 days per week$70k - $80k
Overview First Line Senior Risk Analyst. As the First Line Sr.... ...an assessment of the controls performance based on analysis. The Sr Risk... ...monitoring and risk-adjusted control testing. Increase the... ...testing and data analytics to provide value and insight to key stakeholders...PerformanceWork experience placementLocal areaMonday to FridayFlexible hours- ...industry, and other key business segments, and provide actionable insights to product... ...leaders.Recommend rate changes and other strategic actions to achieve an appropriate balance... ...dashboards and monitoring tools to track BOP performance and key business metrics.Monitor...PerformanceFull timeFlexible hours
AmTrust
Boston, MA4 days ago $90k - $110k
...is to enhance people’s lives by providing a high-quality fitness experience... ...started! Overview The Governance, Risk, and Compliance (GRC) Analyst is a strategic and critical role that closely collaborates... ...regulatory frameworks. Performs risk assessments across diverse business...PerformanceWork at officeLocal areaRemote workWork from home$97.9k - $203.9k
...for all. The opportunity The objective of our consulting risk services is to provide clients with a candid and reliable overview of their risk... ...will assist clients and other Risk professionals in performing information technology control and security engagements...PerformanceFull timeContract workSummer holidayFlexible hours$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 timePURE Insurance
Boston, MA1 day ago$80.9k - $110.3k
...methodologies and frameworks from the ground up to support performance measurement, financial reconciliation, and strategic decision-making across multiple value-based care... ...employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office...PerformanceFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Boston, MA4 days ago$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 timeInternshipLocal areaFlexible hoursERGO NEXT Insurance
Boston, MA2 days ago$91k - $321.5k
...At PwC, our people in risk and compliance focus on maintaining... ...managing risks for clients, providing advice, and solutions. They help... ...environment. Growing as a strategic advisor, you leverage your... ...to develop and sustain high performing, diverse, and inclusive teams...PerformanceContract workH1bPwC
Boston, MA4 days ago$77k - $202k
...Description & SummaryThe OpportunityAs a Health Actuary Consultant- Payer/Provider- Senior Associate you will contribute to strategic, analytic, and technical support for payer and... ..., Organizational Management/Behavior, Risk Management/Insurance, Science, Taxation, Other...Full timeH1bPwC
Boston, MA2 days ago- ...The Catastrophe and Risk Solution team within Verisk is looking... ...ambitious Risk Analyst to join our Consulting and Client Service Team. The... ...their risk. We strive to provide exemplary service and support... ...! Responsibilities • Perform sophisticated risk analyses...Performance
- ...the unique return and risk objectives of institutional... ...’s Global Risk and Performance Strategy (GPS)... ...alongside Risk Strategists, providing complementary insights... ...support of superior risk-adjusted outcomes for clients.*... ..., the Sell-side or Consultancy* Proven ability to partner...Performance
$125k - $132k
...who thrives in a high performance/high reward culture -... ...and curiosity, we'll provide the resources, mentorship... ...and functional and strategic support areas. You will... ...specialists, and generalist consultants. You will also work... ..., with the ability to adjust your style to suit...PerformanceApprenticeshipWork at officeEasy workMcKinsey & Company
Boston, MA3 days ago- ...Note: Fidelity will not provide immigration sponsorship for... ...Position Description: Performs fundamental equity research... ...Presents buy/sell recommendations strategically aligned with the specific investment... ...with disabilities who need adjustments to participate in the...PerformanceFull time
Soteria Reinsurance Ltd.
Boston, MA2 days ago $212k - $318k
...Actuarial and Financial Group provides clients with high-... ...aligned to their strategic needs and growth objectives... ...and high-performing environment • Advance... ...you need to have: • Consulting experience with large... ...is a global leader in risk, reinsurance and capital...PerformanceMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- ...The Governance, Risk, and Compliance (GRC) Analyst is responsible for identifying, assessing... .... Third-Party & Supply-Chain Risk Perform detailed third-party/vendor security assessments... .... Support enterprise roadmaps by providing risk insights that influence technology,...Performance
Massachusetts-Bay-Transportation-Authority
Boston, MA3 days ago $120k - $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... ...allocation, growth initiatives, and risk management. Create...PerformanceFull timeLocal areaRemote workFlexible hoursBicycle Health
Boston, MA8 days ago- ...system. Our mission is to serve the public by providing safe, reliable, and accessible... ...and each employee that works for the MBTA performs their roles based on our vision, mission,... ...meetings as needed. Job Summary The Governance, Risk, and Compliance (GRC) Analyst is...PerformanceFull timePart timeInternshipLocal areaImmediate startRemote workAll shifts
MBTA
Boston, MA1 day ago $80k - $90k
...assigned client - generating performance insights, producing... ...incremental opportunity from strategic shifts Apply seasonality... ...using whatever stack the client provides Adapt to varying data architectures... ...on experience and may be adjusted based on skills,...PerformanceTemporary workSummer workWork at officeLocal areaRemote workShift work829 Studios
Boston, MA2 days ago$72k - $77k
...The Catastrophe and Risk Solution team within Verisk is looking... ...ambitious Risk Analyst to join our Consulting and Client Service Team. The... ...their risk. We strive to provide exemplary service and support... ...! Responsibilities • Perform sophisticated risk analyses...PerformanceFull time$44.2k
...gap between manufacturers and retailers, providing consumers access to the best products... ...insights on fixture placement and/or category performance. Manages multiple project timelines in... ...optimize space utilization and support strategic merchandising decisions. Provide...PerformanceFull timeWork at office$92.64k - $138.96k
...to leverage size and scale and optimize performance & savings opportunities. Our flexible/... ...& execute RFPs Responsible for (1) providing all necessary input for the preparation... ...markets and applying market insights to strategic decision-making Salary ME/NC/PA/SC Salary...PerformanceFull timeWork experience placementWork at officeRemote workFlexible hours$66.43k - $89.87k
The Enterprise Risk Management Analyst will play a critical role in the governance of... ...with the completion of risk-based vendor performance reviews to ensure timely governance and... ...reports and related ERM documentation Provide support on the monitoring of risks against...PerformanceWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Strategic Risk Adjustment Consultant for Provider Performance. Be the first to apply!
