Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

VP, Risk Adjustment Ops & Data Integrity (Remote/Hybrid)

$188.9k - $359.8k

Centene Management Company LLC

Florida, NY
  • Remote job

Centene Management Company LLC is seeking an experienced leader for its Risk Adjustment program in the Town of Florida, New York. The role requires oversight of compliance, data integrity, and operational execution to drive enterprise change. You will lead multidisciplinary teams and ensure regulatory alignment while communicating progress to stakeholders. Applicants should have at least 10 years of experience in healthcare compliance or related fields, along with a Bachelor's degree. The position includes a comprehensive benefits package and a competitive salary ranging from $188,900 to $359,800 annually. #J-18808-Ljbffr Centene Management Company LLC

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the VP, Risk Adjustment Ops & Data Integrity (Remote/Hybrid) in Florida, NY vacancy
  • $188.9k - $359.8k

     ...operational leadership for Centene's Corporate Risk Adjustment program operations and its...  ...Oversee compliance with Risk Adjustment data integrity and validation audit process. Lead...  ...and a flexible approach to work with remote, hybrid, field or office work schedules. Actual... 
    Remote work
    Data
    Risk
    Full time
    Part time
    Work at office
    Local area
    Flexible hours

    Centene Management Company LLC

    Florida, NY
    3 days ago
  •  ...better today and tomorrow. VP of the Integration Management Office will...  ...Location preference is hybrid Dresher, PA or Newton, MA. Remote candidates on the East...  ...processes and workflows Ensure data integrity and...  ...and projects, managing risks, issues, and opportunities... 
    Remote work
    Data
    Risk
    Work at office
    Relocation package

    Ascensus

    New York, NY
    12 hours ago
  • $89.17k - $142.68k

     ...of North Carolina is seeking a highly skilled Senior Data Analyst who specializes in ACA Risk Adjustment and EDGE submissions. You will act as a liaison...  ...a Bachelor's degree or equivalent experience. Enjoy hybrid workspace flexibility and comprehensive health benefits... 
    Remote job
    Data
    Risk

    Blue Cross and Blue Shield of North Carolina

    Brooklyn, NY
    2 days ago
  • $89.17k - $142.68k

     ...and Blue Shield of North Carolina is seeking a Senior Data Analyst with expertise in ACA Risk Adjustment and EDGE data submissions. The role requires strong...  ...various stakeholders and ensure timely reporting. This hybrid position offers flexibility, work-life balance,... 
    Remote job
    Data
    Risk

    Blue Cross and Blue Shield of North Carolina

    New York, NY
    2 days ago
  • $89.17k - $142.68k

     ...Blue Shield of North Carolina is seeking a Senior Data Analyst with expertise in Affordable Care Act Risk Adjustment. The candidate will collaborate with stakeholders...  ...and experience with ACA data flows. Offering a hybrid work environment, competitive salary ranging from... 
    Remote job
    Data
    Risk

    Blue Cross and Blue Shield of North Carolina

    Raleigh, NC
    2 days ago
  •  ...of North Carolina is looking for a Senior Data Analyst skilled in Affordable Care Act (ACA) Risk Adjustment. This role will be essential in ensuring...  ...experienced employees. This position supports a hybrid work model that balances remote work with in-office collaboration.... 
    Remote job
    Data
    Risk
    Work at office

    Blue Cross and Blue Shield of North Carolina

    Brooklyn, NY
    2 days ago
  • $99k - $124k

     ...is seeking a Lead Actuarial Analyst, MA Risk Adjustment to join their Seattle team. In this...  ...financial performance and translate complex data into strategies that improve patient...  ...least 3 actuarial exams completed. Enjoy hybrid-remote work options and a competitive salary... 
    Remote job
    Data
    Risk

    Strive Health Services LLC

    Seattle, WA
    3 days ago
  • $89.17k - $142.68k

     ...Cross and Blue Shield of North Carolina seeks a Senior Data Analyst skilled in ACA Risk Adjustment. The role involves complex data analysis, stakeholder...  ...Intelligence skills and 5+ years of experience. Enjoy a hybrid work model with competitive benefits including medical... 
    Remote job
    Data
    Risk
    Flexible hours

    Blue Cross and Blue Shield of North Carolina

    Kansas City, MO
    1 day ago
  • $89.17k - $142.68k

     ...North Carolina is seeking a Senior Data Analyst with expertise in Affordable Care Act (ACA) Risk Adjustment. You will collaborate with business...  ...and analysis. The position offers a hybrid work model, with flexibility in working remotely while ensuring in-office... 
    Remote job
    Data
    Risk
    Work at office

    Blue Cross and Blue Shield of North Carolina

    New York, NY
    2 days ago
  •  ...and Blue Shield of North Carolina is seeking a Senior Data Analyst to manage ACA Risk Adjustment. This role serves as a liaison between various teams, ensuring...  ...and strong analytical skills. The position offers a hybrid work model, competitive salaries, and comprehensive... 
    Remote job
    Data
    Risk

    Blue Cross and Blue Shield of North Carolina

    Phoenix, AZ
    2 days ago
  •  ...evaluate financial performance and guide data-driven operational improvements. The role requires 4+ years of experience in risk adjustment analytics along with strong skills in SQL...  ...patients and markets. The position offers a hybrid work environment and competitive... 
    Remote job
    Data
    Risk

    Strive Health, LLC

    Raleigh, NC
    2 days ago
  • Elevance Health is looking for a Risk Adjustment Strategic Manager to oversee operations...  ...ensure quality and compliance in data submissions and audits. This hybrid position requires presence in the...  ...a week, combined with a flexible remote work model. #J-18808-Ljbffr... 
    Remote work
    Data
    Risk
    Work at office
    Flexible hours
    2 days per week
    1 day per week

    Elevance Health

    Independence, OH
    2 days ago
  • $99k - $124k

     ...Chicago is seeking a Lead Actuarial Analyst, MA Risk Adjustment, to evaluate financial performance and translate data into actionable strategies. The ideal candidate...  ...00 - $124,000, plus a target annual bonus, in a hybrid work environment, encouraging significant contributions... 
    Remote job
    Data
    Risk

    Strive Health Services LLC

    Chicago, IL
    3 days ago
  •  ...a new individual contributor executive role: VP, AI‑Native Ops & Automation, GTM. This role will redesign our...  ...across structured and unstructured GTM data sources Develop systems that continuously surface pipeline risks, expansion opportunities, operational anomalies... 
    Remote job
    Data
    Risk

    Algolia

    New York, NY
    1 day ago
  • $210k - $350k

     ...capabilities, managed risk, and a...  ...ransomware, data theft, other...  ...from Sophos X-Ops and the newly...  ...and how SDRs integrate with...  ...Sophos operates a remote-first working...  ...necessitate a hybrid approach. Please...  ...are any adjustments we could make...  ...Operational Excellence VP, Operational... 
    Remote work
    Data
    Risk
    Full time
    Local area
    Worldwide

    Sophos

    New York, NY
    12 hours ago
  • $85k - $125k

     ...Underwriter III (VP) will be an integral part of the loan...  ...team and credit risk management in reviewing...  ...of financial data for CRE loan transactions...  ...personalities, adjust quickly to...  ...modified in the future. Hybrid Work Model...  ...designated as a remote-working day, unless... 
    Remote work
    Data
    Risk
    Full time
    Work experience placement
    Work at office

    Amalgamated Bank

    New York, NY
    3 days ago
  • $225k - $265k

     ...highly personalized risk and claims...  ...intuitive solutions Integrity, expertise, and...  ...The VP, National Broker...  ...offices offer a hybrid work schedule with...  ...office; and 1 day remote where it makes...  ...benchmarking data to monitor and...  ...make data-driven adjustments to optimize... 
    Remote work
    Data
    Risk
    Full time
    Work at office
    Local area
    Flexible hours

    W. R. Berkley Corporation

    Chicago, IL
    2 days ago
  • $66.7k - $76.1k

     ...Core Ops Data Integrity Reviewer (QC) Are you looking for a challenging role that includes the convenience of working virtually at home?...  ...fund. The primary function of the DI team is to minimize the risk to the bank and the customer while ensuring that commercial closing... 
    Remote work
    Data
    Risk
    Full time
    Part time
    Work at office
    Local area
    Work from home
    Home office

    Capital One

    United States
    4 days ago
  • $132k - $190k

     ...their most significant risk, workforce, wealth management...  ...: The Commercial Lines, VP/SVP has responsibilities...  ...the flexibility of a hybrid schedule in our Bethesda...  .... We will consider a remote option for well-experienced...  ...effective deployment of data and analytics to provide... 
    Remote work
    Data
    Risk
    Full time
    Work at office

    NFP

    Warrington, PA
    2 days ago
  • $80k - $140k

     ...Arrangement:This role follows a hybrid model, with regular in-...  ...expectation. While remote flexibility is...  ...that assists in reducing risk and ensures regulatory...  ...upon timeframes;Leading integration testing with technology...  ...review, and categorizing data to support trend analysis... 
    Remote work
    Data
    Risk
    Temporary work
    Work at office
    Local area
    Flexible hours

    STATE STREET CORPORATION

    Boston, MA
    1 day ago
  • Blue Cross and Blue Shield of North Carolina is looking for a Senior Data Analyst with expertise in Affordable Care Act (ACA) Risk Adjustment and EDGE server submissions. This role involves complex data analysis, problem solving, and communication with stakeholders. The... 
    Remote job
    Data
    Risk
    Flexible hours

    Blue Cross and Blue Shield of North Carolina

    Louisiana, MO
    4 days ago
  • $300k - $420k

     ...Audit to lead enterprise-wide audit, risk, and control strategy within a highly...  ...regulated Medicare Advantage environment. *Remote or Hybrid Available* *$300-$420K Total Comp (...  ..., including RADV and encounter data integrity Operational and IT audit leadership... 
    Remote work
    Data
    Risk

    Recruiting Resources, Inc.

    Los Angeles, CA
    2 days ago
  •  ...Us EDB provides a data and AI platform that...  ...to control risk, manage costs and scale...  ...strategically minded VP of Strategic Alliances...  ...marketplace offers and hybrid deployment. ? Global System Integrators (GSIs): Expand...  ...party requesting payment of a fee. #LI-Remote... 
    Remote work
    Data
    Risk

    EDB

    Cheyenne, WY
    3 days ago
  • $150k - $170k

     ...the world's capital with integrity, humility, compassion,...  ...in donor activity and adjusting plans accordingly. Team...  ...with clear goals, data-driven decisions, and measurable...  ...working on a fully-remote team, and the ability...  ..., anticipate risks, and make clear trade-offs... 
    Remote work
    Data
    Risk
    Full time
    For contractors
    Seasonal work
    Shift work

    Scholars of Finance

    United States
    3 days ago
  •  ...focused on advocacy and program integrity through compliance management....  ...by identifying trends, risks, and opportunities for improvement...  ...records, documentation, and billing data Collaborate with...  ...for vulnerable populations Remote work - enjoy the convenience... 
    Remote work
    Data
    Risk
    Full time
    Temporary work
    Work at office
    Work from home

    The CKHobbie Group

    Harrisburg, PA
    4 days ago
  • $190k - $220k

     ...Safety and Quality Location: Hybrid (Columbia, MD) or Remote About Us At Tate, we are...  ...and manufacture of data center infrastructure solutions...  ...of Site EHS Managers, the integrity of high-hazard process controls...  ...and observation programs. Risk Management, Hazard Control... 
    Remote job
    Data
    Risk
    Permanent employment
    Full time
    For contractors
    Work at office
    Worldwide
    Shift work

    Solatube

    Columbia, MD
    4 days ago
  • $379.06k

     ...individual trials. The VP leads global site...  ..., cost, and risk across the portfolioOversee...  ..., ensuring data integrity, patient safety, and...  .... Employees in remote-by-design or lab-based...  ...be eligible for a hybrid work model with at...  ...accommodations/adjustments and ongoing support... 
    Remote work
    Data
    Risk
    Hourly pay
    Full time
    Temporary work
    Part time
    For contractors
    Summer work
    Live in
    Work at office
    Local area
    Flexible hours
    Shift work

    Bristol-Myers Squibb Company

    Princeton, NJ
    3 days ago
  • $60.23k - $76.8k

    The IDD Community Integration CM position provides a critical...  ...setting. This role is hybrid, requiring facility...  ...and through available data related to resource utilization...  ...potential rising risk or escalation and seek...  ...schedules including hybrid/remote options Paid time off... 
    Remote work
    Data
    Risk
    Full time
    Work at office
    Local area
    Flexible hours

    Alliance Health

    Morrisville, NC
    4 days ago
  • $257.25k

     ...our core values - honesty, integrity, loyalty and service - define...  ...spouses. USAA roles may offer remote or hybrid flexibility for active-duty...  ...The Opportunity The VP, Risk Management - Property & Casualty...  ...for assessing market data and establishing ranges to ensure... 
    Remote work
    Data
    Risk
    Temporary work
    H1b
    Work at office
    Relocation package
    Flexible hours

    USAA

    Plano, TX
    2 days ago
  • $175k

     ...Area of Expertise: Risk Management &...  ...is a senior-level adjusting position responsible...  .... Our flexible/hybrid work schedule includes...  ...locations and 4 remote days. Applicants...  .... Analyze data and claim outcomes...  ..., care, teamwork, integrity (and even a little... 
    Remote work
    Data
    Risk
    Full time
    Local area
    Flexible hours

    Peapod Digital Labs

    Salisbury, NC
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to VP, Risk Adjustment Ops & Data Integrity (Remote/Hybrid). Be the first to apply!