Strategic Risk Adjustment & Quality Lead
Highmark Health
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 to meet regulatory standards. The role requires a health-related bachelor's degree or RN/LPN licensure, 6+ years in related roles, and at least 1 year in leadership. Office-based with travel up to 25%. #J-18808-Ljbffr Highmark Health
$86.4k
...for developing plans and managing activities in support of Risk Adjustment and Quality/HEDIS. Directs the daily activities of direct reports... ...and identifies opportunities for improvement. Implements strategic and tactical improvements to the Risk Adjustment Coding and...QualityRiskWork at officeLocal area- A leading healthcare provider in Boston seeks a Manager of Risk Adjustment Coding to oversee daily operations and ensure accurate coding practices. The role includes managing workflows, implementing quality initiatives, and collaborating with stakeholders to enhance patient...QualityRisk
$93k - $147k
Full-Time Sr. Strategic Sourcing Lead, Marketing Hybrid, Boston, MA. You will lead strategic sourcing and category management efforts... ...stakeholders and suppliers to optimize costs, improve quality, and reduce risk while delivering innovative sourcing strategies. You’ll...QualityRiskFull timeContract workWork at office$175k - $425k
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A biopharmaceutical company in Boston is seeking a Vendor Quality Management Specialist to oversee vendor onboarding and assess risks in GxP areas. This role includes maintaining vendor qualification requirements, collaborating with multiple teams, and ensuring compliance...QualityRisk- ...seeking an experienced Commodities Manager to lead strategic sourcing across five business units. You... ..., Supply Chain, Manufacturing, Quality, and Finance to develop sourcing strategies... ..., and monitor market trends to mitigate risk while supporting new product introductions...QualityRisk
$99k - $167k
...recommendations that support strategic decision-making across... ...initiatives. You will lead analytics efforts... ...there is business value in adjusting the models. Ensures... ...pipelines; ensure data quality, lineage, and governance... ...customer outcomes), and flag risks/opportunities....QualityRiskWork at officeRelocation package$151.2k - $184.8k
Director of Risk Adjustment Data and Analytics Under the direction of the... ...and externally, and leads the strategy, execution, and... ...Adjustment Performance and Strategic Analytics Team and the Risk... ...Demonstrated attention to detail, quality results, and collaborative teamwork...QualityRiskFull time- ...responsibilities as a Lead Dentist — helping guide... ...designed to reward high-quality clinical care, comprehensive... ...a tiered percentage of adjusted production, with:... ...clinical findings and honest risk assessment, driving... ...schedules in advance, strategizing in daily huddles, and offering...QualityRiskDaily paidFull timePart timePrivate practiceShift work2 days per week3 days per week
$166.8k - $218.9k
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Description The Lead Strategic Partnership Data Analyst turns data into clear, actionable insights... ...model where there is business value in adjusting the models. You will ensure analysis... .... You will analyze and address data quality issues, tests and analyzes impact of...QualityFull timeWork at officeLocal areaRelocationRelocation packageFlexible hours$90k - $119k
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Lead Clinical Data Management, ClinicalData Management, R&D, Orion... ...Data Management provides strategic and operational leadership for... ...ensuring the delivery of high-quality, inspection-ready, and submission... ...issues through proactive review, risk‑based approaches, and...QualityRiskImmediate start- ...Clinical Data Management Lead Lead and manage clinical data management activities... ...to project timelines, budgets, and quality standards. Provide strategic oversight and direction to CRO... ...) certification. Experience with risk-based monitoring in oncology studies...QualityRiskWork at office
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Job title: Global Regulatory Lead Location: Morristown, NJ / Cambridge... ...the primary interface and key strategic GRA partner for the Global... ..., take thoughtful risks, accept challenges, and making... ...wellbeing benefits including high-quality healthcare, prevention and wellness...QualityRisk- Stryker is seeking a Senior Manager, Compliance PMO to lead the global Compliance PMO, partnering with leadership to drive strategic work and manage risk while translating strategy into actionable projects. You will mentor PMs, manage budgets, establish milestones, influence...Risk
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Discovery Research Procurement Lead, R&D Procurement Join to apply... ...responsible for the strategic management of spend within the... ...procurement’s value delivery, minimize risk, and promote innovation by providing... ...both Research, R&D and Global Quality’s broader success. The role...QualityRiskMinimum wageFull timeContract workTemporary workWork at officeLocal area$105k
...Global Asset Management Content Lead, GAM Join the Global Content... ...achieve compliance and reduce risk through user-friendly guidance... ...enterprise content portfolio and strategic content calendar across NEJM... ...publications, ensuring high‑quality editorial and corporate communications...QualityRiskFull timeWorldwide$110.9k - $122.6k
...assessed for technical impact, business risk, and alignment with strategic objectives before implementation,... ..., and incident/problem management leads to ensure change controls are integrated... ...procedures, improve documentation quality, and meet compliance expectations in...QualityRiskContract workWork experience placementWork at office$67.9k - $199.14k
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