VP, Risk Adjustment Ops & Data Integrity (Remote/Hybrid)
$188.9k - $359.8kCentene Management Company LLC
- 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
$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 workDataRiskFull timePart timeWork at officeLocal areaFlexible hours- ...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 workDataRiskWork at officeRelocation package
$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 jobDataRisk$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 jobDataRisk$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 jobDataRisk- ...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 jobDataRiskWork at office
$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 jobDataRisk$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 jobDataRiskFlexible hours$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 jobDataRiskWork at office- ...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 jobDataRisk
- ...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 jobDataRisk
- 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 workDataRiskWork at officeFlexible hours2 days per week1 day per week
$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 jobDataRisk- ...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 jobDataRisk
$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 workDataRiskFull timeLocal areaWorldwide$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 workDataRiskFull timeWork experience placementWork at office$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 workDataRiskFull timeWork at officeLocal areaFlexible hours$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 workDataRiskFull timePart timeWork at officeLocal areaWork from homeHome office$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 workDataRiskFull timeWork at office$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 workDataRiskTemporary workWork at officeLocal areaFlexible hours- 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 jobDataRiskFlexible hours
$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 workDataRisk- ...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 workDataRisk
$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 workDataRiskFull timeFor contractorsSeasonal workShift work- ...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 workDataRiskFull timeTemporary workWork at officeWork from home
$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 jobDataRiskPermanent employmentFull timeFor contractorsWork at officeWorldwideShift work$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 workDataRiskHourly payFull timeTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaFlexible hoursShift work$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 workDataRiskFull timeWork at officeLocal areaFlexible hours$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 workDataRiskTemporary workH1bWork at officeRelocation packageFlexible hours$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 workDataRiskFull timeLocal areaFlexible hours
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