Strategic Risk Adjustment & Quality Lead
Highmark Health
A leading health services organization in Des Moines is seeking a Risk Adjustment Manager to oversee coding and quality initiatives. The position involves managing staff, implementing process improvements, and ensuring compliance with regulatory requirements. Candidates should possess a bachelor's degree in a health-related field or a current RN/LPN license, along with 6 years of relevant experience, including leadership and certification as a Professional Coder. Excellent communication and analytical skills are essential. #J-18808-Ljbffr Highmark Health
$86.4k
...for developing plans and managing activities in support of Risk Adjustment and Quality/HEDIS. Directs the daily activities of direct reports... ...and identifies opportunities for improvement. Implements strategic and tactical improvements to the Risk Adjustment Coding and...QualityRiskFor contractorsWork at officeLocal areaRemote work$100k - $231.54k
...accountable and prioritize safety and quality in everything we do. Join us... ...Revenue Integrity (RI), the Lead Director - Revenue Integrity (... ...performance across Medicaid risk adjustment and revenue integrity initiatives. This role leads strategic program execution, performance...QualityRiskHourly payFull timeTemporary workWork experience placementWork at officeLocal area- ...for developing plans and managing activities in support of Risk Adjustment and Quality/HEDIS. It directs the daily activities of direct reports... ...and identifies opportunities for improvement, implements strategic and tactical improvements to the Risk Adjustment Coding and...QualityRiskWork at officeLocal area
$117.6k - $161.7k
...community The Business Intelligence Lead solves complex business... ...data visualizations that move strategic direction. You will work with... ...have experience with Medicare Risk Adjustment (MRA), Health Information Exchange (HIE), and quality healthcare data aggregation....QualityRiskFull timeTemporary workRemote work$143.62k - $229.79k
...As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in... ...organization. Responsibilities include leading pricing strategies and actuarial... ...timeliness, compliance, and quality of work Provide proactive and strategic thought leadership of ways to improve...QualityRiskLocal area$52k
...wholeheartedly believe 'Together We Lead, Together We Succeed’.... ..., administration & risk management. As an on-... ...Promote harmony and quality job performance of... ...recommend strategies and adjustments Develop yearly operating... ...are accurate Strategic Leasing Management Develop...QualityRiskPermanent employmentFull timeFor contractorsWork at officeNight shiftWeekend work- ...across all 7 continents. The Lead, Supplier Performance & Global Supply Resilience is a strategic leader responsible for transforming... ...that drives innovation, risk resilience, operational excellence... ...Develop KPI architecture (OTIF, quality, cost, service, ESG, innovation...QualityRiskHourly payContract workLocal areaRemote work
- ...wholeheartedly believe 'Together We Lead, Together We Succeed’.... ..., administration & risk management. As an on-... ...Promote harmony and quality job performance of... ...recommend strategies and adjustments Develop yearly operating... ...are accurate Strategic Leasing Management Develop...QualityRiskPart timeFor contractorsWork at officeImmediate startNight shiftWeekend work
$201.37k - $236.9k
...Executive Protection (at-risk individuals, travel,... ...Intelligence (threat management, strategic intelligence,... ...business outcomes, risk-adjusted investments, and integrated... ...Security portfolio; lead headcount, budget, and... ...efficiency, cost, and quality. Experience: 8+ years in...QualityRiskLocal area- ...Lead Structured Cabling Technician The Lead Structured Cabling... ...manager to meet deadlines and quality benchmarks. Key Responsibilities... ...with network engineers to adjust AP placement or configuration... ...adherence to ICRA (Infection Control Risk Assessment) protocols in...QualityRiskFor contractorsLocal area
$140k - $210k
...Moines, IA. They are seeking a Lead Planner to join their... ...determine their financial goals, risk tolerance, income, expenses and... ...to their goals, then strategize methods of reducing or eliminating... ...planner role CFP® required Qualities and Success: Quick and...QualityRiskWork at officeFlexible hours- ...Lead Business Analyst / Quality Assurance Anywhere Type: Contract Category: Business Analysis... ...integration impact analysis and identify risks for migration from Data Center to... ...Eliassen Group: Eliassen Group is a strategic consulting firm that helps organizations...QualityRiskHourly payContract workLocal areaRemote work
- ...Global Financial Services Media Lead Accenture is looking for a... ...modernization, responsible AI, risk management, cybersecurity and... ...relations, speaking engagements and strategic partnerships. Further... ...deliverables and programs of the highest quality possible. Excellent...QualityRiskLive inLocal areaFlexible hours
- ...seeking an experienced Senior Lead Digital Product Manager to join... ...product roadmap, translating strategic objectives into prioritized features... ...functionally with technology, risk, compliance, and business... ...Agile teams, enabling high-quality delivery through iterative development...QualityRiskWork experience placement
$115.2k - $158.4k
...substantial. Primary Responsibilities Strategic Planning & Execution Support... ..., proactively identifying risks, tradeoffs, and misalignments.... ...materials to ensure clarity, quality, and alignment with strategic... ...and/or shared resources. Lead by example through strong prioritization...QualityRiskTemporary work$110.9k - $122.6k
...assessed for technical impact, business risk, and alignment with strategic objectives before implementation,... ..., and incident/problem management leads to ensure change controls are integrated... ...procedures, improve documentation quality, and meet compliance expectations in...QualityRiskContract workWork experience placementWork at office$52k
...financial, administration & risk management. As an on‑site leader... .... Promote harmony and quality job performance of staff through... ...and recommend strategies and adjustments Develop yearly operating budgets... ...reports are accurate Strategic Leasing Management Develop yearly...QualityRiskPermanent employmentFull timeFor contractorsWork at officeNight shiftWeekend work$16 per hour
...wholeheartedly believe 'Together We Lead, Together We Succeed’.... ..., administration & risk management in the... ...Promote harmony and quality job performance of staff... ...policies and procedures. Strategic Leasing Management... ...overhead position and reach, adjust or move objects of up...QualityRiskHourly payPermanent employmentFull timeFor contractorsNight shiftWeekend work- ...improvement financing sector as a Lead Consumer Underwriter. This... ...underwriting with the leadership qualities needed to guide and enhance... ...source of support for the entire Risk department, including... ...process improvements. Provide strategic input on credit policies and practices...QualityRiskHourly payFor contractorsWork at officeRemote workWeekend workAfternoon shiftWeekday work
- Team Leader - Engineering Quality and Security In this... ...EPIC concept to Release. Leads the strategy, standards... ...insights. Applies strategic thinking grounded in DevOps... ...balancing speed vs. risk. Required: Bachelor's degree... ...to be adaptable and adjust effectively to work within...QualityRiskWork experience placement
$142.6k - $261.5k
...ServiceNow Consulting Manager you’ll play a leading role in that mission, providing the... ...’s AI thought leadership, shaping our strategic point of view and driving innovation through... ...projects, ensuring a strong focus on quality and risk management. This role presents exciting...QualityRiskSummer holidayWorldwideFlexible hours$72.91k - $95k
...Services & Insurance Claims Team Lead - Workers Compensation PRIMARY... ...appropriate action. Performs quality review on claims in compliance... ...is the world’s leading risk and claims administration partner... ...in claims administration, loss adjusting, benefits administration, and...QualityRiskContract workWork at officeLocal areaFlexible hours- ...Simplicity, Trust, Respect and Shared Risk. Job Description These... ...and sales (e.g., equipment leads, contract leads, water... ...programs such as Word and Excel. Quality Demonstrates accuracy and... ...multi-tasking environment and can adjust priorities quickly Timely...QualityRiskContract workWork experience placementWork at officeNight shiftAfternoon shiftEarly shift
- Team Leader - Engineering Quality and Security Full-time... ...concept to Release. Lead the strategy, standards... ...dependency insights. Apply strategic thinking grounded in... ...balancing speed vs. risk. Required Bachelor’s... ...ability to be adaptable and adjust effectively to work...QualityRiskPermanent employmentFull timeWork experience placementH1bShift work
- ...A leading insurance firm in Des Moines is seeking a dedicated Account Executive to manage and service existing clients while nurturing future accounts. This pivotal role involves performing risk analysis, crafting proposals, and ensuring comprehensive account management...Risk
$105.1k - $192.6k
...areas and processes, devising strategic outcomes to some very complex... ...across the indirect tax lifecycle. Lead optimization, recovery, and... ...to guide others toward quality solutions. Demonstrate an understanding... ..., disciplined quality and risk management, continuous improvement...QualityRiskSummer holidayLocal areaFlexible hours- ...Lead Commercial Loan Servicing Specialist Wells Fargo is seeking... ...Sales, Legal, Control and Risk, Technology, and various... ...procedural modifications Conduct quality reviews and monitor key... ...and regulatory requirements Strategically collaborate and consult with...QualityRiskWork experience placementWork at officeRemote workRelocation packageMonday to Friday
$160k - $308k
...build a better working world. Lead Negotiator – Associate... ...development leaders to advise and strategize on deal opportunities Cascade... ...and seek information on risks and dependencies to capture in... ...in a timely manner, with high quality Demonstrate creativity, versatility...QualityRiskContract workSummer holidayFlexible hours- ...seeking a Broadcast Engineer Lead to drive innovation and maintain... ...hands‑on expertise with strategic project leadership. The Broadcast... ...direction and reviewing work for quality. Project Leadership & Design... ...technical approaches, sequencing, and risk mitigation strategies to...QualityRiskFull timeTemporary workPart timeLocal areaFlexible hoursNight shift
- ...technology while delivering high quality solutions. We are a $14B... ...delivering innovative, data-driven risk solutions to clients across a wide... ...We are seeking a strategic, enterprise-focused AI Technology Leader to lead the architecture, platform strategy...QualityRisk
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