Hybrid Provider Quality & Risk Adjustment Consultant
University of Minnesota School of Nursing
Blue Cross and Blue Shield of Minnesota is seeking a Quality & Risk Adjustment Provider Consultant to support providers with value-based agreements. You will review data and identify opportunities to improve Quality (HEDIS/Stars) and Risk Adjustment coding, and lead provider discussions to drive actionable improvement plans.
The role requires strong medical coding expertise, regulatory knowledge, and the ability to translate complex information into clear guidance for cross-functional teams.
#J-18808-Ljbffr- ...In this role, you will provide support for providers with... ...to improve their Quality (HEDIS/Stars) and Coding Accuracy/Risk Adjustment performance. You will lead... ...progress on action plan. Consult with providers on best... ...Role Designation Hybrid Role designation...QualityFull timeFor contractorsWork at officeRemote workShift work2 days per week
$105.4k - $207.8k
...Summary Cyber Security & Risk Strategy Senior Consultant Our Deloitte Cyber team... ...attention to detail and quality of work productAbility to... ...meet deadlinesAbility to provide clear guidance to others The... ...estimate has not been adjusted for the applicable geographic...QualityLocal areaVisa sponsorship$100k - $196k
About this role:The Senior Credit Risk Specialist (P3) is an... ...problem-solving to improve decision quality and portfolio performance. The... ...to comply with our current hybrid work model; working from a Wells... ...96,000.00Benefits Wells Fargo provides eligible employees with a comprehensive...QualityFull timeWork experience placementRemote workRelocation package1 day per week$74k - $96k
...Aon is looking for a Risk Consultant As part of an industry-leading... ...solutions supporting risk. This hybrid role (2–3 days onsite weekly... ...regulatory compliance, and providing client guidance. It is ideal... .... The salary may also be adjusted based on applicant’s...SuggestedFull timeTemporary workPart timeWork at officeLocal areaFlexible hours$35 per hour
Job Title: Risk Adjustment Coding Oversight Specialist (Risk Analyst)Job Description This role... ...risk adjustment programs. You will lead quality assurance and vendor oversight... ...with AI‑based coding tools and a vendor‑provided coding platform to perform retrospective...QualityContract workTemporary workRemote workShift workEarly shift$119.77k - $140.9k
...DescriptionThe Senior Special Projects Consultant - Fraud & Operations serves... ...management activities, and risk-related projects.This role... ...plans.The position will provide significant support for Chief... ..., and executive presentation quality across Fraud and Operations.Business...QualityFull timeWork experience placementWork at officeLocal area3 days per week$90k - $110k
...our Minneapolis, Minnesota, team. In this hybrid role, you will support enterprise... ...defining key inputs, outputs, ownership, quality expectations, and system dependencies.... ...- what we offer We are committed to providing an employee experience that attracts and...QualityHourly payFull timePart timeWork at officeFlexible hours- ...an ITSM Process Analyst for a hybrid position with a Public Sector... ...role will strengthen service quality and advance process maturity... ..., Change, and CMDB processes Provide training and guidance to technical... ...Genesis10 puts thousands of consultants and employees to work across...QualityHourly payLong term contractPermanent employmentContract work2 days per week
$137.7k - $229.5k
...Innovation, & Operate offering provides key aspects of our... ...an Actuarial Senior Consultant, you will:Provide... ...fiscal analyses, and risk adjustmentSupport business... ...to detail and quality of work productAbility... ...)Experience with risk adjustment mechanismsExperience with...QualityLocal area$74.9k - $147.6k
...capital, and enterprise risk management models to... ...attention to detail and quality of work productAbility... ...estimate has not been adjusted for the applicable... ...Deloitte is committed to providing reasonable... ...Deloitte" means Deloitte Consulting LLP, a subsidiary of Deloitte...QualityWork at officeLocal areaVisa sponsorshipNight shift$111.3k - $207.8k
...business, with a focus on Pension Risk Transfer (PRT) and defined... ....Experience in PRT, pension consulting, actuarial, retirement... ...important part of our culture. Our hybrid work model gives associates the... ...than just a job - it means providing a rewarding and fulfilling career...Full timeWork at officeRemote workHome officeFlexible hours3 days per week$180.2k - $355.1k
...strategic and technical consulting services to help... ...Engage with payers and provider clients to support a transition... ..., underwriting, and risk analysis methodologies... ...to detail and quality of work product Ability... ...experience with risk adjustment mechanisms, group insurance...QualityLocal areaVisa sponsorship$100.4k - $197.9k
...Work you'll do As an Actuarial Consultant on the Insights, Innovation &... ...attention to detail and quality of work productAbility to build... ...to meet deadlinesAbility to provide clear guidance to others The... ...range estimate has not been adjusted for the applicable geographic...QualityLocal areaVisa sponsorship$111.3k - $207.8k
...actuarial teams, and external consultants.The successful candidate will... ....This position will be in a hybrid working arrangement.Securian... ...Solving, Project Management, Risk Management, Stakeholder Management... ...than just a job – it means providing a rewarding and fulfilling...Work at officeRemote workHome officeFlexible hours3 days per week$100.4k - $197.9k
...ll do As an Actuarial Consultant on the Insights, Innovation... ..., and enterprise risk management models to support... ...to detail and quality of work productAbility... ...meet deadlinesAbility to provide clear guidance to... ...estimate has not been adjusted for the applicable geographic...QualityLocal areaVisa sponsorship$20 - $23 per hour
...Foods, LLC is looking for an experienced Quality Assurance Technician to join our team!... ...ERP System (PLEX), and make any necessary adjustments. Include adjustments made in the end‑of‑... ...is an Equal Opportunity Employer We provide equal employment opportunities to all employees...QualityFor contractorsWork at officeLocal areaShift workNight shift$69k - $138k
...Rates for new business Rate change justifications, cap/spread adjustments, and supporting analyses ~ Communicates actuarial pricing... ...of our current employees. Please keep in mind that the range provided is the full base salary range for the role. Hiring at or near...H1bLocal areaFlexible hours$80.9k - $110.3k
...forecasts financial, economic, and other data to provide accurate and timely information for... ...at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work... ...it. These efforts are leading to a better quality of life for people with Medicare and Medicaid...QualityFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$69k - $138k
...Rates for new business Rate change justifications, cap/spread adjustments, and supporting analyses ~ Communicates actuarial pricing... ...of our current employees. Please keep in mind that the range provided is the full base salary range for the role. Hiring at or near...Full timeH1bLocal areaFlexible hours- ...leading technology services and consulting company focused on building... ..., visit us at Technology Risk Officer Roles and Responsibilities... ...robust remedial action plans.Provide oversight and ensure... ...experience in operations and quality processes.Mandatory Skills: Mortgage...QualityWork experience placement
$30 per hour
...specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that’s aligned to our targeted customer groups. Intact's Global Specialty Lines...Full timeWork experience placementInternshipWork at officeFlexible hours$132.26k - $155.6k
...current or future visa sponsorship.The Market Risk Data Analytics Specialist will support... ...reporting tools, investigate data quality issues, and help modernize risk processes... ...hours per calendar year unless otherwise provided by lawReview our full benefits available...QualityFull timeWork experience placementLocal area3 days per week- ...has been designed as 'Hybrid' with a requirement that... ...Management Analyst provides financial, pipeline, and... ...key cost drivers, risks, and optimization opportunities... ...the impact of pricing adjustments, cost changes, product... ...improvements in data quality, reporting automation,...QualityFull timeWork experience placementWork at officeLocal areaImmediate startShift work2 days per week
$90k - $127k
...solutions, backed by targeted risk control and claims... ...are passionate about providing insurance coverage that... ...Boston, MA offices on a hybrid schedule. The Claim... ...exposure. Monitors claim quality, customer feedback and... ...Monitors vendors, independent adjusters and appraisers to...QualityFull timeWork at officeFlexible hours$73.2k - $96.1k
...and asset utilization, providing insights to support... ...to diverse audiences, adjusting your message to ensure... ...range. #LI-GR1 #LI-Hybrid To qualify for this... ...wellness education and consultation to plan for their financial... ...1954. Polaris' high-quality product line-up...QualityFull timeTemporary workWork experience placementLocal area$96.9k - $121.1k
...company that has been in business since 1914. We pride ourselves on providing world-class equipment to help maintain the environment that we... ...of data, reports, and dashboards by troubleshooting data-quality, integration, and visualization issues.Analyze business performance...QualityFull timeSummer workCasual workWork at officeWork visaFlexible hoursWeekend work1 day per week$60k - $75k
...benefit program. This is a hybrid role with the... ...administration and decision-making. Adjust queries as... ...service strategies, and risk mitigationOffer ideas for... ...tools to enhance work quality and efficiencyEducation... ...year, paid sick leave as provided under state and local paid...QualityFull timeTemporary workPart timeWork at officeLocal area$40 - $44 per hour
...exclusive features. This range is provided by Brooksource. Your actual... ...range $40.00/hr - $44.00/hr Quality Assurance Analyst Position... ...Industries IT Services and IT Consulting and Wellness and Fitness Services... ...Associate/Quality Analyst | Hybrid Minneapolis, MN $33,000.00-$8...QualityContract workLocal area- ...candidate will partner with Trading, Risk, and IT teams to translate... ...support solution design, and drive high-quality delivery. This position also provides ongoing application and... ...years, Genesis10 puts thousands of consultants and employees to work across the United...QualityHourly payPermanent employmentContract work
$116.2k - $229.1k
...and industry-specific hybrid solutions. Don’t miss... ...be part of a team that provides exceptional client value... ...to detail and quality of work product· Ability... ...estimate has not been adjusted for the applicable geographic... ..." means Deloitte Consulting LLP, a subsidiary of Deloitte...QualityLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Hybrid Provider Quality & Risk Adjustment Consultant. Be the first to apply!



