Risk Adjustment & Quality Analytics Lead
Centrumhealth
NeueHealth is seeking a Risk Adjustment and Analytics Analyst to lead the design, implementation, and maintenance of Risk Adjustment and Quality Data and Dashboards for ACA, Medicare, MSSP, and Medicaid across the NeueHealth portfolio. This onsite role collaborates with Analytics, Risk Adjustment, Medical Economics, and Clinical Operations in Doral, FL. Responsibilities include collaborating with stakeholders to define analytics needs, mining data with SQL to derive insights, ensuring data #J-18808-Ljbffr Centrumhealth
- ...of Program Management within Revenue Integrity to lead vendor management, procurement, and quality oversight. This role partners with internal stakeholders... ...7+ years in consulting or program management with Risk Adjustment experience and strong relationship skills. #J-1880...QualityRisk
$143.62k - $229.79k
...As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal... ...wide array of actuarial and analytical services for our organization. Responsibilities include leading pricing strategies and actuarial... ...timeliness, compliance, and quality of work Provide proactive...QualityRisk$20.9 - $31.35 per hour
...of Illness department leadership, the Risk Adjustment Coding Specialist is responsible for various... ...for risk adjustment coding and quality assurance validation for the following... ...coding principles. Excellent diligence and analytical skills, with the ability to review and...QualityRisk- ## Lead Analyst - Cyber Incident ResponseApplylocations... ...and dynamically adjusts to the ever-changing threat... ...solutions.* Strong analytical, troubleshooting, and problem... ..., consistency, and quality.**Licenses/Certifications... ..., and operational risk. Makes or recommends timely...QualityRiskWork experience placement
- ...focused on increasing efficiency and reducing risk. Assist in the execution of Enterprise... ...-annual/quarterly/monthly attestation, quality oversight, and related reporting. Assist... ..., Standards, and Procedures. Strong analytical skills to evaluate complex risk and control...QualityRiskWork at office
- ...recruiting partner to industry-leading companies, we focus on direct... ...teams while delivering high‑quality projects safely, efficiently,... ..., budgeting, scheduling, and risk management. Conduct... ...recovery plans when schedule adjustments are required. Foster a collaborative...QualityRiskFor contractorsFor subcontractorWork at officeImmediate start
- About Fullscript We’re an industry-leading health technology company on a... ...insights, lab interpretations, patient analytics, education, and access to high-quality supplements. Over 10 million... ...privacy posture, surface emerging risk areas to the Senior Director of Compliance...QualityRisk
- Job Summary We are seeking a CQV Lead (OSD Manufacturing) with strong... ...packaging systems Develop and execute risk‑based IQ/OQ/PQ protocols aligned with critical quality attributes (CQAs) and critical... ...Excellent technical writing, analytical, and problem‑solving skills...QualityRisk
- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role requires conducting quality audits specific to ICD-10 code abstraction and ensuring compliance with coding standards. The ideal candidate holds a Bachelor's degree...QualityRiskRemote job
$22 per hour
...term vision. The Role: The Floor Lead plays a pivotal role on our... ...Lead by example and validate the quality of the in-store customer... ...and escape opportunities, gaps, risks and roadblocks with urgency and... ...quickly. Excellent organization and analytical skills. Critical thinking...QualityRiskPart timeWorldwideShift workWeekend workAfternoon shift- CenterWell Senior Primary Care seeks a Manager, IPA Consultative Medical Coding to lead a regional team focused on risk adjustment accuracy and documentation excellence. You will guide the transition to a longitudinal consultative model, align operations with market needs...Risk
$120k - $135k
...recruiting, marketplace operations, and analytics. You will lead efforts to recruit, activate, and grow... ...improvements to increase speed, quality, and engagement Partner cross-functionally... ...demand, activation needs, and supply risks Ensure recruiting and onboarding workflows...QualityRiskFor contractorsLocal areaRemote workFlexible hours- LexisNexis Risk Solutions is seeking an Analytics Team Lead in the United States (Remote) to provide technical and project leadership across analytics engagements. You will leverage global data from our real-time fraud platform to craft solutions for enterprise customers...RiskRemote job
- ...Government maintenance personnel, quality assurance representatives, and... ...direction, and sound aviation risk management principles.... ...ability to meet deadlines. Strong analytical and problem‑solving skills. Strong... ...training new staff. The site lead is not responsible for the...QualityRiskPermanent employmentFull timeContract workTemporary workFor contractorsWork at officeLocal areaFlexible hoursNight shift
$170k - $190k
...engineering, program management, and analytical expertise to the Department of... ...ourselves on exceptional quality, deep technical credibility,... ...Position Summary We are seeking a Lead Price & Proposal Analyst to... ...rate structures to identify risks and cost drivers. Support creation...QualityRiskLong term contractContract workFor contractorsWork at officeLocal areaWork from homeFlexible hoursNight shift- ...Summary Portfolio Management Team Lead candidates are experienced... ...credit policy, processes and risk appetite are preferred. The incumbent... ..., including Market Asset Quality Meetings. Monitors workflow... ...capacity across the team, making adjustments to ensure production deadlines...QualityRiskLocal area
- ...is seeking a detail-oriented Lead Compliance Coordinator to support... ...changes, identify potential risks, and assist with corrective action... ..., and documentation. Conduct quality assurance and compliance... ...insurance industry preferred. Strong analytical and critical thinking skills....QualityRiskTemporary workWork at officeFlexible hours
$62k - $67k
Liability Assoc. Claims Adjuster Department: Claims Administration... ...we help businesses navigate risk, optimize operations, and spearhead... ...progress. Deliver high-quality customer service. Maintain accurate... .... Strong investigative, analytical, and negotiation skills. Excellent...QualityRiskPermanent employmentFull timeTemporary workFor contractorsLocal areaRemote work- ## Lead Technical Data AnalystApplylocations: Saint Petersburg, Florida... ...You will work with engineers, risk analysts, and platform teams... ...data products.* Define **data quality and reconciliation rules**... ...financial services or risk/data analytics** is a plus.## **Education**...QualityRiskWork experience placementWork at office3 days per week
- adventhealth is seeking a Risk Manager to oversee regulatory surveys and assist in risk... ...healthcare setting. Candidates must have strong analytical skills, excellent communication abilities... ...and paid time off. With a focus on quality and safety, the Risk Manager will...QualityRisk
- ...Lead Structured Cabling TechnicianThe Lead Structured Cabling Technician... ...manager to meet deadlines and quality benchmarks.Key... ...Collaborate with network engineers to adjust AP placement or configuration... ...adherence to ICRA (Infection Control Risk Assessment) protocols in...QualityRiskFor contractorsLocal area
- Jobtailor is seeking an experienced UAT Specialist to design and execute comprehensive UAT plans, translating requirements into test cases with clear acceptance criteria and traceability. You will act as the day-to-day UAT contact, coordinating environments, data, and access...QualityRisk
- ...Services & Insurance General Liability Adjuster Primary Purpose The Commercial General Liability... ..., litigation management, and risk transfer, particularly across multi-jurisdictional... ..., regulatory requirements, and internal quality expectations. #J-18808-Ljbffr SedgwickQualityRisk
$94.3k - $141.5k
...West LA office). Job Summary The Lead Financial Analyst, FP&A is a fully... ...into financial plans, identify risks and opportunities, and recommend... ...platform, and adoption of AI‑enabled analytics to reduce cycle time and elevate insight quality. Support capital allocation...QualityRiskWork at officeRemote work3 days per week- Jobtailor is seeking a senior Quality leader to design and deploy comprehensive... ...advance AI-enabled monitoring and analytics to optimize performance. Leading cross-functional teams, you will establish... ...metrics, dashboards, and effective risk controls while coaching a growing...QualityRisk
- ...Ingredients is seeking a Regulatory Manager (Flavors) to lead regulatory operations and ensure compliant product... ...guide labeling and documentation, and partner with R&D, Quality, and Commercial teams to minimize risk. The role requires a Bachelor’s in a relevant field...QualityRisk
$22 per hour
...vary by position. Job Summary The Meat Lead is responsible for overseeing meat department... ...operational execution and product quality while ensuring adherence to company policies... ...malfunctions, stock shortages, or food safety risks, to management as necessary. Execute...QualityRiskWeekly payFull timeSeasonal workFlexible hours- ...general contractor, is seeking an experienced Lead Superintendent to oversee field operations... ..., subcontractor coordination, scheduling, quality control, safety, inspections, and project... ..., procurement, budgeting, scheduling, and risk management. Lead subcontractor...QualityRiskFor contractorsFor subcontractorImmediate start
- ...collaboration in a community mental health setting. The focus is high-quality, evidence-based, recovery-oriented care for diverse and... ...standards. Participate in quality improvement, peer review, and risk management activities. Support best practices in documentation and...QualityRiskAfternoon shift
$150k - $200k
Senior Drainage Engineer / Engineering Lead Our client is an established multidisciplinary... ..., and traffic engineering teams Guide quality control and quality assurance efforts across... ...on project outcomes Evaluate project risks and develop solutions for complex engineering...QualityRiskLocal area
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