Remote Leader, Strategic Risk Adjustment & Quality
Highmark Health
- Remote job
Highmark Health seeks a Supervisor for Strategic Risk Adjustment and Quality to lead Risk Adjustment coding and Quality/HEDIS initiatives. You will manage staff, coordinate audits, and drive improvements across departments to ensure accurate coding and compliant operations. The role requires a health-related degree or RN/LPN license, plus 6+ years in risk adjustment or related management, with strong communication and analytical skills. #J-18808-Ljbffr Highmark Health
- Highmark Inc. seeks a senior professional to develop plans and manage activities supporting Risk Adjustment and Quality/HEDIS across product lines. You will direct daily activities of staff, assess current strategies, and implement improvements in coding, documentation,...QualityRisk
- ...tailor education plans for assigned providers. Reports to the Manager, Medicare Risk Adjustment. You will arrange educational sessions, analyze data, and prepare reports on coding quality trends while delivering on-site education and collaborating with market provider-...Remote jobQualityRisk
- Highmark Inc. is seeking a senior manager to develop and oversee Risk Adjustment and Quality/HEDIS programs. The role directs daily activities, drives process improvements, and ensures compliance with audits and accreditation standards across all product lines. The position...QualityRisk
$152.4k - $249.5k
Strategic Relationship Leader - Construction Zurich North America is currently looking... ...clean, efficient, high‑quality delivery at the client level... ...across property, builders risk, financial lines, accident,... ...Seattle, Irvine, Phoenix. Remote Working: Hybrid. Schedule:...Remote workQualityRiskFull timeTemporary workFor contractorsFor subcontractorWorldwideVisa sponsorship$100k
...Strategic Program & Sourcing Lead Recruiting Heroes LLC Location: Columbus, Ohio | On-Site or Remote Compensation: $100,000+ Commission Job Type: Full... ...purchase orders, operational risks, and program milestones.... ...procured components meet quality, documentation,...Remote workQualityRiskFull timeContract work- ...procurement operations. This executive-level role will create and implement strategies to acquire high-quality goods and services while ensuring compliance and risk mitigation. The ideal candidate has at least 8 years of progressive experience in procurement leadership...Remote workQualityRiskFull timePart time
- ...Director, Life Underwriting to accurately assess medical and financial risk while supporting sales and protecting mortality results. The... ...life insurance, interact with clients, and ensure prompt processing and high-quality risk #J-18808-Ljbffr Corebridge FinancialRemote jobQualityRisk
$177.5k - $275.2k
...US Federal Growth Leader for our US Government... ...developer, strategic thinker, and works... ...collaboration with remote flexibility. Your... ...theme development, risk reviews, and proposal... ...delivery of high-quality proposals. Develop... ...require reasonable adjustments to be made during...Remote workQualityRiskFull timeTemporary workPart timeWork experience placementCasual workLocal areaFlexible hours- ...tailor education plans. You will lead on-site education, analyze coding quality trends, and collaborate with market provider-facing teams. The role reports to the Manager, Medicare Risk Adjustment. Responsibilities include arranging training sessions, preparing reports...Remote jobQualityRisk
$77.9k - $100k
...and Measurement and is a leader in configurable fare... ...industry. By creating high quality equipment and payment... ...(Job Summary) The Strategic Sourcing Lead is responsible... ...cost, mitigate supply risk, and ensure continuity... ...based role with occasional remote flexibility. 3 day...Remote workQualityRiskContract workWork at officeFlexible hours$45 - $60 per hour
Job Title: Category Lead - Strategic Sourcing (Contract-to-Hire) Location... ...(Onsite Tuesday-Thursday, Remote Monday & Friday) Contract... ...opportunities to reduce cost, improve quality, increase value, and support... ...performance, issues, risks, and improvement actions. Prepare...Remote workQualityRiskContract workVisa sponsorshipMonday to Friday- Highmark Inc. is seeking an experienced Risk Adjustment and Quality/HEDIS leader to develop plans and manage activities supporting Risk Adjustment Coding and QA/HEDIS. You will supervise staff, assess current programs, and drive improvements in coding accuracy and regulatory...QualityRisk
- SUMMARY The Site Team Leader (STL) plays a... ...timelines, budget, and quality expectations through remote oversight of clinical... ...craft and execute a strategic approach that enhances... ...potential risks and develops mitigation... ...trends, assess risk, and adjust operational plans to...Remote workQualityRiskContract work
- Highmark Inc. is seeking a senior leader to develop plans and manage activities in support of Risk Adjustment and Quality/HEDIS. This role directs daily activities of direct reports and assesses project viability, recommending strategies to satisfy current and future business...QualityRisk
- Highmark Inc. is seeking a senior-level professional to develop plans and manage activities supporting Risk Adjustment and Quality/HEDIS. You will direct daily activities of direct reports, assess strategies, implement improvements, and coordinate audits and provider education...QualityRiskWork at office
$84 per hour
...Documentation Integrity (CDI) Leader, you will leverage your... ...expertise in DRG optimization, HCC risk adjustment, and physician query... ...aimed at improving documentation quality, compliance, and revenue integrity... ...independently in a fully remote environment. Preferred Qualifications...Remote workQualityRisk- ...fulfillment, supplier development, quality, logistics, and inventory... ...supplier analysis, including strategic direction, capacity, market and industry position, and risk assessment Manage costs to ensure... ...requires on-site presence, remote work not considered ITAR Requirements...Remote workQualityRiskPermanent employmentContract workWeekend work
- ...supplies. We are the industry leader, recognized and awarded... ...with us. Lead - Strategic Inventory Distribution... ...forecast accuracy, and supply risk. Translate large... ...to improve output quality. Collaborate with Sonnys... ...Experience leading offshore or remote planning teams. Strong...Remote workQualityRiskTemporary work
- ...Director, DP Workstream Leader - Small Molecule... ..., and product quality across clinical and... ...partnership. Strategic Alignment: shape and... ...Deliverables (PQDs). Risk and Compliance:... ...collaboration is expected. Remote work may be... ...at usrecruitment.adjustments@gsk.com. #J-18808...Remote workQualityRiskContract workLocal area
$160k - $220k
Area Leader - Northwest - Forensic Architecture... ...Location Type: Remote Department:... ...scientific, financial, and strategic expertise to... ...value and mitigate risk. Our professionals... ...and compensation adjustments. Finally, this position... ...Manages team quality and execution by providing...Remote workQualityRiskFull timeLocal areaFlexible hours- Lead Strategic Sourcing Business Analyst CONMED is seeking a highly motivated... ...insights. This is a remote role with 20% travel. Responsibilities... ..., Finance, Operations, Quality, etc.) to align sourcing initiatives... ...compliance initiatives and risk mitigation strategies. Process...Remote workQualityRiskWork experience placementImmediate start
$127k - $184k
Description Strategic Advisor and Execution Lead, Checking... ...and Work Arrangement Remote is not an option. Candidates... ..., operations, risk, and finance Business... ...dependencies Partner with senior leaders to ensure initiatives... ...Success Measures Quality and impact of executive...Remote workQualityRiskLocal areaFlexible hours1 day per week- ...achieve more. About the Role As the Strategic Partnerships Manager, Personal... ...Product, Engineering, Credit, Risk, Operations, Compliance, Legal... ...increase the efficiency and quality of cross-functional execution... ...for this role’s success, and remote placement will not be...Remote workQualityRiskWork at officeLocal areaRelocationFlexible hours
$64.38k - $96.58k
...Summary Alignment Health is seeking a remote Risk Adjustment Compliance Auditor to support auditing... ...percentages to ensure the coding accuracy and quality of the data submitted to CMS. Works... .... Specialized Skills: Experience with strategic planning in risk mitigation. Previous...Remote workQualityRiskFull timeLocal areaMonday to FridayFlexible hours$99k - $124k
...Lead Actuarial Analyst, MA Risk Adjustment Chicago, IL How You'll Make An Impact At... ...Strive! Benefits & Perks Hybrid-Remote Flexibility – Work from home while fulfilling... ...hoc deliverables without compromising quality. Comfortable navigating ambiguity...Remote workQualityRiskWork at officeWork from homeFlexible hours$150k
...customers manage risk with laser-focused... ...underwriting solutions. The qualities and capabilities... ...that provide strategic impact to the... ...authority. Be a team leader and builder who... ...regularly reviewed and adjusted in accordance with... .... #LI-BS1 #LI-REMOTE #J-18808-Ljbffr...Remote jobQualityRiskWork at office$138.75k - $231.25k
...Island. The Thought Leader Liaison (TLL) builds and manages strategic relationships with a... ...ensure timely, high-quality execution. Understand risk associated with the... ...employees. #LI-GSK #LI-Remote #GSKCommercial GSK... ...us at usrecruitment.adjustments@gsk.com. For more...Remote workQualityRiskLocal areaNight shift- Senior Associate, Strategic Communications - Germany Desk Lead Application... ...stakeholders to manage risks; Monitoring impact and outcomes... ..., you will have the below qualities: Extensive professional experience... ...Why join us? Be part of a remote‑first, international network...Remote workQualityRiskFull timeContract workTemporary workSummer workLocal area
- ...Senior Claims Adjuster - Job Description Position Summary The Senior Claims Adjuster... ...relationships, and delivering high-quality, strategic claims management. The position is both... ...stakeholders. • Monitor claims for risks, trends, and opportunities for resolution...Remote workQualityRiskWork at office
$82.72k - $108.57k
...Oscar is hiring an Associate, Risk Adjustment Auditor to join our Risk Adjustment team. This role involves conducting quality audits related to ICD-10 code abstraction and working... ...quality assurance programs. This is a remote position available to candidates from select...Remote workQualityRisk
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