CMS Edge Server Architect - Payer Risk & Data Strategy
Huron Consulting Group
Huron Consulting Group helps healthcare organizations drive growth and improve data quality in a complex payer landscape. We seek a CMS EDGE Server | Risk Adjustment Data Architect to act as a strategic advisor and hands-on lead for payer clients. The role focuses on ACA risk adjustment, reinsurance, regulatory reporting, and data platforms. You will design scalable CMS EDGE Server solutions and work closely with business, compliance, actuarial, operations, and IT teams. #J-18808-Ljbffr Huron Consulting Group
- ...architecture for customer data collection, storage,... ...online and offline sources. Architect batch and streaming... ...with CRM, ERP, CMS, marketing automation platforms... ...and implementation strategies to leadership. Required... ...assess, and report security risks, focusing on how these...CmsDataRiskWorldwide
$190.6k - $286k
...unleash growth through technology, strategy, design, execution and... ...business leaders. We deliver cloud, data and customer experience... ...actually scales.• Design and architect AI-enabled enterprise solutions... ...and responsible AI frameworks — risk, regulatory considerations, and...DataRiskPermanent employmentFull timeTemporary workRemote workFlexible hours$117.5k - $222.99k
...company purpose is to empower easy, data-driven decision-making on... ...financing, enterprise risk management and regulatory compliance... ...MedInsight is seeking a Senior Product Strategy Manager to lead product... ...for assigned payer products and offerings. This role...DataRiskFull timeWork experience placementRemote workFlexible hours- ...outcomes.Healthcare payer organizations are... ...clients in advancing data quality, regulatory... ...healthcare data strategy, with an initial focus... ...impacting HEDIS, CMS submissions, and regulatory... ...: Cognizant CMS Edge... ...to identify trends, risks, and opportunitiesEvolve...CmsDataRiskFull time
$204.73k - $370.53k
...KPMG is currently seeking a Director, AI Strategy Architect to join our Advisory Services practice.... ...enterprise workflowsAdvise clients on AI Risk Management, Governance, and Security,... ...eight years of recent experience in AI/ML, data analytics, and cloud technology,...DataRiskH1bLocal area- We Are: Accenture Strategy. We empower clients to survive and thrive in the new, the now, and... ..., client segmentation, pricing, risk, and digital transformation. As a manager... ...strength in technology and leadership in cloud, data and AI with unmatched industry experience...DataRiskFull timeLive inWork at officeLocal areaFlexible hours
$150k - $200k
...It combines product strategy, healthcare domain... ...Design, Engineering, Data Science,... ...understanding of provider and payer ecosystems,... ...constraints, API contracts, edge cases, system... ...healthcare claims, CMS data, X12 transactions... ...evidence to reduce risk, and give engineers...CmsDataRiskFull timeRemote work$163k - $224.5k
...problems with cutting-edge technology and bold thinking... ...are seeking a Practice Architect, Delivery Architecture... ...for complex, high-risk, or large-scale Cortex... ...on advanced execution strategies.Qualifications Proven track... ...response workflows, and data ingestion architectures...DataRiskRemote workVisa sponsorshipWork visa- ...such as AI, cloud, and data-led innovation to help... ...opportunity to work with cutting-edge AI technologies,... ...solutions and develop strategies for integration with... ...projects Identify potential risks in the system landscape... ...as a Mainframes Architect on large scale enterprise...DataRiskFull timeTemporary workRelocation
$150k
...the pioneer in business strategy when it was founded in... ...solutions through leading-edge management consulting... ...Application and Risk functions. We balance vision... ...You'll DoSenior AI Tech Architects at BCG Platinion are:Collaborative... ..., application, and data architecture.Developing...DataRiskWork at officeLocal area$187.6k - $220.7k
...Monroe is looking for an Advisory Architect, Data/AI due diligence to join our... ...while working with cutting edge tools, platforms, and frameworks... ...investment summaries, key risk mitigation analyses, and long-term technology-based strategy for both pre-close and post-close...DataRiskH1bLocal areaImmediate startFlexible hours- ...solutions.As a Senior Lead Architect at JPMorganChase within... ...workflow solutions, and cutting-edge AI/GenAI capabilities.... ...habits and awareness of data sensitivityAbility to... ...and passion for business strategy and business processesExperience in risk and risk control complianceAbility...DataRiskFor contractors
$190k
...superior performance through data, technology and digital. BCG... ...Enterprise Application and Risk functions. We balance vision... ...path to change transforming strategies into leading-edge tech platforms, at scale.What You'll DoLead AI Tech Architects - AI Platforms at BCG Platinion...DataRiskWork at officeLocal area$171.6k - $392.1k
...– ServiceNow AI Architect Senior Manager... ...providing the competitive edge our clients need... ...with EY’s AI & Data (AI&D) team to define... ..., end-to-end AI strategies that address complex... ...on quality and risk management. This position... ...with MCP servers and Agent-to-Agent...DataRiskSummer holidayWorldwideFlexible hours- ...accomplished Senior AI Architect with 12-15 years of progressive... ...can translate cutting-edge AI capabilities into... ..., covering data ingestion, model development... ...helping shape their AI strategy and roadmap. Manage CXO... ...governance, and model risk frameworks . Ability to...DataRisk
$145k - $200k
...& CPG, modernize their data and put AI to work, not... ...stay close to the cutting edge, and care more about... ...and AI lifecycle: Data Strategy & Advisory, Data Engineering... ...a Data Scientist Architect with hands-on experience... ...trade-offs and operational risks clearly to both...DataRisk$85k - $120k
...Critical MassJob Function:Strategy and PlanningJob... ...of cutting-edge AI technology and complex... ...roles, you'll architect backend frameworks,... ...brings control back to risk-averse clients who... ...in Microsoft Excel, CMS platforms, and understanding... ...your personal data in accordance with...CmsDataRiskPermanent employmentFull timeWork at officeLocal areaRemote work3 days per week- ...machine, you are shaping strategy, influencing outcomes... ..., including providers, payers, pharma, medtech and digital... ...the unique drivers and risks of healthcare... ...financial modeling and data visualization skills; familiarity... ...data sources (CMS, HCRIS, etc.) preferredProven...CmsDataRiskInterim roleWork at officeRelocation
- ...senior leadership on financial strategy, risk, and organizational... ...against approved targets. Uses data-driven methodologies to allocate... ...impact of reimbursement changes, payer mix shifts, and regulatory updates... ...compliance with CAAP, GAAS, CMS, state and federal financial...CmsDataRiskFull timeShift work
$104.9k - $199.07k
...purpose is to empower easy, data-driven decision-making... ...financing, enterprise risk management and... ...the surrounding market (CMS-HCC models, RADV, quality... ...selling into healthcare payer, provider, and/or risk-... ...customer-specific account strategies.Entrepreneurial:...CmsDataRiskFull timeWork experience placementRemote workFlexible hoursShift work$170k - $185k
...pursuit and proposal management strategies, ensuring all deliverables... ...GovernanceCreate robust frameworks for risk management and quality... ...capabilities and comfort with data-driven decision makingTechnology... ...integrationAccess to cutting-edge technology and industry-leading...CmsDataRiskFull timeContract workLocal areaRemote work$80k - $90k
...growth through elegant, data-driven digital solutions... ..., UX/UI design, product strategy, data analytics, and artificial... ...and work on cutting-edge technologies that push... ...on progress, risks, and outcomes.Coordinate... ...web/mobile applications, CMS, eCommerce, or platform...CmsDataRiskWork at office$123.1k - $186.3k
...team as a Commerce Cloud Success Architect specializing in Point of Sale... ...Architecture, Solution Strategy, Thought Leadership, and Product... ...PredictSpringDeep understanding of data modelling, integration... ...challengesFamiliarity with POS configuration, CMS capabilities, APIs and...CmsDataFull timeWork experience placementRemote work$190k
...the pioneer in business strategy when it was founded in 1... ...superior performance through data, technology and digital.... ..., and Technology Risk Management. Our Tech Advisory... ...strategies into leading-edge tech platforms, at scale... ...systems (e.g., CRM, CMS, CPQ, SPM) and data (e.g...CmsDataRiskWork at officeLocal area- ...a multi-year financial strategy aligned with the organization... ...complex financial data into clear, actionable insights... ...collections across all payer mixes — including... ...projections for shared savings, risk corridors, quality bonus... ...Models (APMs), and CMS innovation models.Team Leadership...CmsDataRiskContract work
$94k - $135k
...tissue between clients, architects, engineers, product... ..., you'll own the strategy, execution, and... ...timelines, budgets, risks, dependencies, and... ...marketing, product, data, engineering, and executive... ...data platforms, CMS, DAM, analytics,... ...to cutting-edge Adobe technologies,...CmsDataRiskWork at officeLocal areaRemote workFlexible hours2 days per week3 days per week$190k - $265k
...constant change. Through a combination of strategy, expertise and creativity, we help... ...logging, retention, redaction, and client data segregation patterns in partnership with... ...source quality.Ability to translate policy, risk, quality, and observability requirements...DataRiskFull timeLocal areaFlexible hours$215k - $300k
...SummaryWe are seeking a Principal Architect to help lead the next... ...decisions across application, data, integration, platform, and operational... ...reviews, technical strategy discussions, and investment decisions... ...to balance innovation, speed, risk management, and long-term maintainabilityPreferred...DataRiskFull timeLocal areaRemote work$131.2k - $240.5k
...business services agendas and strategies. You will work with leading-... ...enterprise resource planning and data warehouse environmentsProvide... ...profitable growth. Manages risk and opportunities associated... ...certification as a Lead Architect or Core Platform ArchitectAbility...DataRiskLocal area$219.73k - $323.13k
..., Cboe delivers cutting-edge trading, clearing and investment... ...leads measurement strategy, attribution, and... ...business outcomes, translating data into insights for senior... ..., paid media, web/CMS, and agency teams to ensure... ...metrics into revenue and risk narratives for EVP/C-suite...CmsDataRiskFull timeWork at officeImmediate start
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to CMS Edge Server Architect - Payer Risk & Data Strategy. Be the first to apply!


