Medicaid Risk Adjustment Strategy Lead
Stryker Orthopaedics
Stryker Corporation is seeking a Lead Director - Revenue Integrity (Medicaid) to drive Medicaid risk adjustment and revenue initiatives. This leadership role, based in Boise, Idaho, involves executing strategic programs that enhance revenue integrity outcomes and governance. The ideal candidate has over 10 years of experience in Medicaid, strong analytical and leadership skills, and a proven ability to navigate complex environments to achieve measurable results. A competitive salary and comprehensive benefits are offered. #J-18808-Ljbffr Stryker Corporation
$100k - $231.54k
...Director of Revenue Integrity (RI), the Lead Director - Revenue Integrity (Medicaid) is responsible for driving... ...performance across Medicaid risk adjustment and revenue integrity initiatives... ...with enterprise revenue integrity strategy. This position requires a results...RiskHourly payFull timeTemporary workWork experience placementWork at officeLocal area$86.4k - $138.6k
A leading healthcare organization located in Boise, Idaho is seeking a Risk Adjustment Manager to oversee coding and quality initiatives. The role entails managing daily operations, implementing strategic improvements, and ensuring compliance with regulatory standards....RiskRemote job$117.6k - $161.7k
...caring community The Business Intelligence Lead solves complex business problems using... ...executives to develop functional strategies (often segment specific) on matters of... ...You must have experience with Medicare Risk Adjustment (MRA), Health Information Exchange (HIE...RiskFull timeTemporary workRemote work- ...Strategy Lead, RWD Commercial Strategy & Innovation Company: Norstella Location: Remote, United States Date Posted: Jun 1, 2026... ...and scope definitions to clients to prevent downstream delivery risk Uses SQL proficiency to interrogate data as needed, validate...RiskFull timeTemporary workLocal areaRemote workFlexible hours
$125k - $155k
Overview As the nation’s leading provider of high-quality home care... ...that transform lives. The Value Strategy & Enablement Leader is... ...financial return, and execution risk to inform leadership decision‑... ...priorities and market conditions; adjusts plans to maintain momentum and...RiskLocal areaFlexible hours$86.4k
...for developing plans and managing activities in support of Risk Adjustment and Quality/HEDIS. Directs the daily activities of direct reports... ...of current direction/projects/operations and recommends strategies and tactics to satisfy current and future business needs. Actively...RiskFor contractorsWork at officeLocal areaRemote work$169.4k - $279.6k
...best-in-class solutions. As a Lead Architect, you will... ...• Help establish governance, risk, and control processes that ensure... ...complex, large scale technology strategies. Leadership & Influence:... ...transformational change. Able to adjust plans, priorities and strategies...RiskTemporary workWork experience placementLocal area$143.62k - $229.79k
...Job Description As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial... ...services for our organization. Responsibilities include leading pricing strategies and actuarial initiatives for business segments,...RiskLocal area- Description & Requirements The Risk Adjustment Analyst serves as a strategic partner to the business segments within the St. Luke’s Health Plan. In alignment with identified strategies and tactics, leads the development of business processes and delivery of insights and...Risk
$115.2k - $158.4k
...community The Program Delivery Lead strategically identifies,... ...overseeing and managing eligibility strategy, execution, and data integrity... ...and resolve eligibility risks. This role plays a critical part... ...for people with Medicare and Medicaid, families, individuals, military...RiskBi-weekly payFull timeContract workTemporary workRemote workWork from homeHome office$22.3 - $35.2 per hour
...Lead Coordinator, Collections About Navista We believe in... ...representatives. Develop and implement strategies to increase revenue.... ...-10-CM, CPT, HCPCS, Medicare, Medicaid, Managed Care preferred ~ Strong... ...with credit analysis and risk assessment. What is expected...RiskHourly payTemporary workWork at officeLocal areaImmediate startFlexible hours$110.54k - $172.73k
...technical expertise to develop market-leading products with the highest levels of... ...centers based on global supply strategies. Execute and continuously improve DRP... ...versus plan and proactively adjust plans to mitigate supply risks. Coordinate closely with logistics,...RiskWork at officeLocal area$138.9k - $191k
...Become a part of our caring community The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM,... ...leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and...Full timeTemporary workRemote work$115.3k - $264.1k
...highly experienced Principal Lead Estimator to support hyperscale... ...estimates, shaping estimating strategy, supporting cost negotiations,... ...interfaces, pricing anomalies, cost risks, constructability concerns,... ...capital planning, and risk-adjusted cost development. Familiarity...RiskContract workTemporary workFor contractorsFlexible hoursShift work$176k - $288k
Senior Civil Discipline Lead McMillen, Inc. is seeking a Senior Civil Discipline Lead to... ...produced by reporting staff meets company risk management and quality standards Ensure QA... ...peripheral vision, depth perception and ability to adjust focus. Compensation Package: Pay Range:...RiskVisa sponsorshipRelocation packageNight shift$16 - $24.75 per hour
...values and increasing brand awareness * Leads implementation of Company initiatives and... ...acumen and executes forward-planned strategies to achieve leaderships initiatives surrounding... ...before moving on; can comfortably handle risk and uncertainty. Drive for Results:...RiskMinimum wageShift work$66.8k - $91.1k
...of our caring community A Medicaid Business Intelligence... ...Humana Healthy Horizons Medicaid Risk Adjustment, prospective programs, and interoperability... ...segment, and organizational strategy and operating objectives,... ...Inc. (NYSE: HUM) is a leading U.S. healthcare company....RiskBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$145k - $155k
...agriculture. Summary The Genetic Selection Lead provides strategic long‑term genetic... ...insights and marketing direction (3–5 year strategy) to Innvictis Seed product strategies to... ...adopting new technology without significant risk, and assisting with training and...RiskRemote workRelocation package$145k - $155k
...Summary The Genetic Selection Lead provides strategic long term genetic selection research... ...and marketing direction (3–5 year strategy) to Innvictis Seed product strategies in... ...adopt new technology without significant risk and assist with training and positioning...RiskRemote workRelocation package$143k - $243k
...creation of innovative pricing strategies and influencing senior... ...analyses, and the RFP process.Lead, manage and review ad hoc complex... ...Commercial, Medicare or Medicaid lines of businesses.Previous... ...experience in underwriting or risk adjusted rate setting.Management/...RiskWork experience placementLocal areaRemote workVisa sponsorshipWork visa- St. Luke's Health System in Boise, Idaho, is searching for a Clinical Risk Adjustment Specialist (RN) to improve patient outcomes through accurate documentation and coding practices. This remote-friendly position is designed for an RN with healthcare documentation expertise...RiskRemote job
$132.23k - $176.31k
...building the future. The Role The Senior Lead, Funnel Governance & Performance Insights... ...rhythms—needed to hit plan and mitigate risk. The Main Responsibilities Funnel... ...+ years in Commercial Excellence / Sales Strategy / Revenue Operations or related fields....RiskTemporary workRemote work$104k - $143k
...caring community The Workforce Management Lead applies and integrates advanced and... ...workforce planning. You will own forecasting strategy end-to-end while leading a small team (2-... ...plan feasibility; proactively mitigate risk Lead performance reviews and present...RiskFull timeTemporary workRemote work$53.6k - $85.1k
...Paylocity. Launch your career with us! This Lead Client Services Ops role will support the... ...: Continually schedules, monitors and adjusts workload across the team to ensure priorities... ...experience in escalations and at risk client retention efforts • Project Management...RiskWork at officeLocal areaRemote workWorldwide- ...Description Turner & Townsend are looking for an experienced Lead Cost Manager and/or Quantity Surveyor to deliver cost... ...knowledge sharing. Collaborate with senior leadership on project strategy, risk management, and delivery approach. Contribute to...RiskFor contractorsFlexible hours
- St. Luke's Health System in Boise, Idaho is seeking a Risk Adjustment Analyst to be a strategic partner, analyzing health insurance data and... ...experience and strong skills in SQL and data analysis. You will lead projects and collaborate with teams to enhance operational...Risk
$91k - $147.2k
...recruiting for an MTST Global Finance Reporting Lead - Endomech and Energy to be located in... ...portfolio execution team as well as the Strategy and Transformation Operating Committee (... ...Reporting and Analysis, Financial Risk Management (FRM), Financial Statement Analysis...RiskFull timeTemporary workLocal areaRemote workWorldwide- Our Culture and Impact Cvent is a leading meetings, events, and hospitality technology provider... ...to think like entrepreneurs, taking risks and making decisions confidently. We... ...with Success teams to develop and execute strategies that enhance customer experience and...RiskWork at officeWorldwide
$59.6k - $85.1k
Job Type Full-time Description The Lead Client Services Ops provides operational initiative... ...& Assessment: Schedule, monitor and adjust workload to ensure priorities are met and... ...experience in handling escalations and at‑risk client retention efforts. Project management...RiskFull timeWork at officeRemote work- Position Summary The Progress & EVM Lead serves as the technical lead for scheduling, progress... ..., what‑if scenario planning, and schedule risk evaluations to identify impacts,... ...environment including the use of stairs Ability to adjust focus, especially due to concentration on...RiskFor contractorsWork at officeWeekend work
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