Remote Risk Adjustment & Quality Strategy Lead
$86.4k - $138.6kHighmark Health
- Remote job
A healthcare organization in Connecticut is seeking a Risk Adjustment Manager to oversee daily operations and manage compliance with coding guidelines. The role requires at least 3 years of experience in government markets, alongside leadership capabilities. The ideal candidate will enhance risk adjustment processes and conduct necessary audits to ensure quality improvement. Compensation is competitive with a pay range of $86,400 to $138,600, and the role may require occasional travel. #J-18808-Ljbffr Highmark Health
$86.4k - $138.6k
A leading healthcare organization located in Boise, Idaho is seeking a Risk Adjustment Manager to oversee coding and quality initiatives. The role entails managing daily operations, implementing strategic improvements, and ensuring compliance with regulatory standards....Remote jobQualityRisk- ...Carrollton, Texas is looking for a Risk Adjustment Manager. The selected candidate will lead the implementation of Medicare risk adjustment strategies, ensuring compliance and operational... ...educate providers. The position may be remote, providing a vibrant workplace...Remote jobRisk
$117.6k - $161.7k
...Business Intelligence Lead solves complex business... ...to develop functional strategies (often segment... ...experience with Medicare Risk Adjustment (MRA), Health Information... ...Information Exchange (HIE), and quality healthcare data... ...: While this is a remote position, occasional travel...Remote workQualityRiskFull timeTemporary work$99k - $124k
...conditions by identifying risk earlier,... ...Benefits & Perks Hybrid-Remote Flexibility - Work... ...We are seeking a Lead Actuarial Analyst, MA Risk Adjustment to join our high-performing... ...into actionable strategies. Your work will... ...without compromising quality. Comfortable...Remote workQualityRiskWork at officeWork from homeFlexible hours$86.4k - $138.6k
A leading healthcare firm seeks a Risk Adjustment Manager in Denver, CO. The role involves overseeing risk adjustment coding and quality improvement efforts. Ideal candidates have a Bachelor's Degree in a Health-related field, strong analytical skills, and five years of...Remote jobQualityRisk$86.4k - $138.6k
A leading health organization in Columbus, Ohio, is seeking a qualified individual to manage Risk Adjustment and Quality/HEDIS activities. The role involves overseeing daily operations, ensuring compliance with coding guidelines, and improving processes. Candidates should...Remote jobQualityRisk$86.4k - $138.6k
A leading healthcare provider in Raleigh, North Carolina, is seeking a Manager for Risk Adjustment. This role involves managing staff, ensuring compliance with coding guidelines, and improving quality measures. A Bachelor’s degree in a health-related field and significant...Remote jobQualityRisk$86.4k - $138.6k
A leading healthcare organization in Salt Lake City is seeking a Risk Adjustment Manager to oversee activities related to coding and quality improvement. Responsibilities include managing daily operations... ...600 annually, and is primarily remote. #J-18808-Ljbffr Highmark...Remote jobQualityRisk$86.4k - $138.6k
...healthcare firm seeks a dedicated professional to manage Risk Adjustment and Quality/HEDIS activities. The role involves directing staff, improving... ...a pay range between $86,400 and $138,600 annually. Potential for remote work available. #J-18808-Ljbffr Highmark HealthRemote jobQualityRisk$86.4k - $138.6k
A leading health organization in Boston is seeking a manager for Risk Adjustment and Quality/HEDIS. The role involves directing daily operations, improving coding processes, and... ...00 based on qualifications and experience. Remote work flexibility is included. #J-18808-Ljbffr...Remote jobQualityRisk- A national healthcare organization is looking for a Risk Adjustment Manager in Phoenix, Arizona. The role involves developing plans for Risk Adjustment and Quality/HEDIS while managing dedicated staff. Responsibilities include overseeing audits, ensuring compliance, and...Remote jobQualityRisk
$86.4k - $138.6k
A leading healthcare provider in Annapolis, MD is seeking an experienced candidate to manage Risk Adjustment and Quality/HEDIS initiatives. You will oversee teams, implement strategic improvements, and ensure compliance with government guidelines. Candidates should have...Remote jobQualityRisk$86.4k - $138.6k
A leading healthcare organization seeks an experienced manager to oversee Risk Adjustment and Quality/HEDIS operations. The role includes managing audits, ensuring compliance, and... ...in healthcare coding or related areas. Remote position with a comprehensive benefits package...Remote jobQualityRisk$86.4k - $138.6k
A health insurance provider is seeking a Risk Adjustment Manager in Columbia, SC. The role involves managing coding activities and ensuring... ...overseeing audits and implementing process improvements for quality assurance. Candidates must have a Bachelor's in a health-related...Remote jobQualityRisk$156.9k - $247k
...Marketing — GI Cancer HCP Strategy & Execution... ...Gwynedd): USA - REMOTE - REMOTEtime type:... ...Strategy & Execution Lead** is a high-... ...identify and mitigate risks, and escalate issues... ...into tactical adjustments and strategic recommendations... ...delivering high-quality results on time...Remote workQualityRiskFor contractorsLocal areaRelocationVisa sponsorshipFlexible hours- ...Transcend: QA Strategy Lead At Johnson & Johnson, we believe health... ...their merit. Job Function: Quality Job Sub Function: Quality... ...define the Quality Plan, set risk tolerance and acceptance criteria... ..., with the option for two remote workdays each week #LI-Hybrid...Remote workQualityRiskWork experience placementLocal areaFlexible hours3 days per week
$140k - $190k
.... We are seeking a Finance Strategy & Department Lead to help shape Affirm’s financial... ...Finance, Product, Legal, Risk, and Executive Leadership... ...review Develop high-quality materials, including executive... ...position. Affirm is proud to be a remote-first company! The majority...Remote workQualityRiskWork at officeFlexible hours$160k - $180k
...Opportunity Overview The Program Strategy & Execution Director... ...Customer Experience Lead the execution team,... ...sequencing, dependencies, risks, and stakeholder and... ...initiative. Pay & Perks Fully remote opportunity with about... ...streamline access to quality care by improving payer...Remote workQualityRiskContract workFlexible hours$86.4k - $138.6k
A healthcare organization is seeking a leader responsible for managing Risk Adjustment and Quality/HEDIS activities. This role involves oversight of coding processes, strategic planning, and compliance audits. The ideal candidate will have at least 6 years of experience...QualityRisk$160k - $240k
...brands, which includes five leading omnichannel grocery brands -... ...of Lead Enterprise Architect, Strategy, you will spearhead the development... ...of our core locations and 2 remote days. Our core office... ...to guide decisions on scope, quality, risk, and total cost of ownership....Remote workQualityRiskFull timeWork experience placementWork at officeLocal areaFlexible hours$150k
...hiring Loula's founding Payer Strategy & Partnerships Lead! This is someone who... ..., revenue projections, and risk assessments. Payer Operations... ...momentum and deliver high‑quality results. A masterful relationship... ...or New York preferred but remote is welcome. Loula is an...Remote workQualityRiskContract workTemporary work$77k - $154k
...Description | Technology Innovation Strategy and Insights Lead The Technology Innovation... ..., and enable timely, high‑quality decisions. This role... ...misalignment, or narrative risks and address them through targeted... ..., and do their best work. Remote roles will also have the...Remote workQualityRiskWork at officeWork from homeFlexible hours$210k
...alternative investment strategies across public and private... ...data professional to lead the execution of our market... ...teams to deliver high‑quality, scalable data... ...Partner with investment, risk, and middle office teams... ...blend of in‑office and remote work. Our office is in...Remote workQualityRiskContract workWork at officeFlexible hours$90k - $105k
...Lead Specialist, Life Science & AI Data StrategyCompany... ...: NorstellaLocation: Remote, United StatesDate... ...is part of the Content Strategy team within Norstella Content... ..., classification, and quality assuranceUtilization—... ...priorities, progress, risks, and strategic implications...Remote workQualityRiskTemporary workWork at officeLocal areaFlexible hours$115.2k - $158.4k
...Innovation Portfolio Strategy Advisor Become a part... ...proactively identifying risks, tradeoffs, and misalignments... ...to ensure clarity, quality, and alignment with... ...or shared resources. Lead by example through strong... ...This position is remote Travel: Occasional travel...Remote workQualityRiskTemporary work$125k - $175k
...heavy emphasis on content strategy, social media... ...tracking funnel metrics from lead to inquiry and using data... ...to deliver high-quality, evidence-based care. If... ...Denver, CO (Hybrid) or Remote Salary Range : $125,00... ...needs and potential brand risks. Thought Leadership &...Remote workQualityRiskLocal area$130k - $147.5k
...Lead Medical Provider The Lead Medical... ...services, providing high-quality direct patient... ...hours and are adjusted based on staffing... ...this position is remote, the selected candidate... ...Conduct suicide risk assessments and support... ...service line strategy. Participate in...Remote workQualityRiskWork at officeRelocationFlexible hoursAfternoon shift$164.78k - $314.96k
...USAA roles may offer remote or hybrid... ...Reserving Life Actuary Lead, you will be responsible... ...valuation, and/or risk management.... ...recommendations for model adjustments and improvements,... ...business strategies and solutions.... ...governance, integrity, quality, and validation functions...Remote workQualityRiskFull timeH1bWork at officeRelocation package3 days per week- ...executive team to set product strategy and prioritize... ...methodologies, rituals, and quality bar for product management... ...learning objectives, risks & assumptions before delivery. Leads the Triad (PM + UX + Lead... ...date work) only when risk-adjusted forecasts support them;...Remote workQualityRisk
- A healthcare provider is looking for a Risk Adjustment Manager in Texas to oversee the Medicare risk adjustment strategy. Responsibilities include implementation of coding... ...and strong analytical skills. This role may be remote with travel required, offering an opportunity...Remote workRisk
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