Strategic Lead, Risk Adjustment Analytics & Submissions
$190.9k - $265.55kHorizon Blue Cross Blue Shield of New Jersey - Headquarters
Horizon Blue Cross Blue Shield of New Jersey seeks a senior-level position to lead data and analytics for the Enterprise Risk Adjustment department. This role involves creating predictive models, managing data submissions, and advising leadership on performance strategies. Candidates should possess a bachelor’s degree in a quantitative field and a Fellowship with the Society of Actuaries. Located in Hopewell, NJ, the position requires a strong analytical background and experience in health insurance analytics. Competitive salary range of $190,900 - $265,545 with comprehensive benefits. #J-18808-Ljbffr Horizon Blue Cross Blue Shield of New Jersey
$190.9k - $265.55k
This position will lead the data, analytics and modeling work for the Enterprise Risk Adjustment department responsible for overall strategy... ...data and encounter submission platforms. The position will... ..., and submissions providing strategic direction, oversight, and updates...RiskWork experience placementLive inLocal area$177.7k - $230k
...Specialty - North America, a leading specialty insurance... ..., claims, and risk management expertise to... ...advice and serves as a strategic partner to MRS-NA claim... ...candidate should have strong analytical skills, the ability to... .... The offer will be adjusted per geography. The...RiskTemporary work$94k - $151.8k
...and Location Job Function: Data Analytics & Computational Sciences Job... ...Supply Chain is recruiting for a Lead Analyst/Technical Product... ...balancing innovation, compliance, risk, and technical debt. Partner... ...enterprise thinking and long‑term strategic perspective. Leads through...RiskTemporary workLocal areaImmediate start$152.7k - $267.3k
...This involves executing strategic initiatives across the... ...closely with initiative leads. This Associate... ...enterprise strategic planning, risk management, as well as... ...The role requires strong analytical skills, the ability to... ...‑informed decisions to adjust course as needed to...RiskLocal areaFlexible hoursNight shift- ...we are dedicated to helping people lead longer and healthier lives. We are... ...We are looking for a strategic and results-driven Commercial Analytics Lead to support our U.S. Generics... ...impact Identify opportunities and risks in the U.S. generics market, including...RiskPermanent employmentContract workWork experience placementWork at officeVisa sponsorship
- ...Own the product vision, strategy, and roadmap for AI and Data & Analytics solutions supporting MAKE and DELIVER Supply Chain processes.... ...prioritize a value-driven backlog balancing innovation, compliance, risk, and technical debt. Partner with Architecture, Engineering,...Risk
$169.4k - $279.6k
...Architecture, you'll be joining a strategic and collaborative team that is... ...-in-class solutions. As a Lead Architect, you will... ...• Help establish governance, risk, and control processes that ensure... ...transformational change. Able to adjust plans, priorities and strategies...RiskTemporary workWork experience placementLocal area$150k - $258.75k
...best talent for MES Program Lead ATSC. This hybrid position will... ...are handled, and risks mitigated. Accountable for financial... ...management experience. Strong analytical and quantitative skills, excellent... ..., Program Management, Strategic Change, Tactical Planning, Technical...RiskWork experience placementLocal areaImmediate start$84.63k - $112.84k
...us today. The Role As a Lead Finance Analyst - Global... ...supporting the financial and strategic direction of a partner-driven... ...role is designed for a highly analytical finance professional who thrives... ...financial results. Identify risks and opportunities across the...RiskTemporary workRemote work- ...is seeking a Senior Manager for Integrated Intelligence, responsible for analytics across marketing performance and insights. The role involves working with various data sources to inform strategic decisions for healthcare clients. This hybrid position can be based in...Work at officeRemote work
- ...role is based in Titusville, New Jersey, and involves leading compliance activities, managing a team of specialists,... ...’s degree and 4-7 years of experience in compliance or risk management with strong analytical and communication skills. The position offers a competitive...Risk
$101.7k - $169.5k
...Specialty - North America, a leading specialty insurance... ..., claims, and risk management expertise to... ...underwriting, marketing and analytical skills that have been... ...principles related to strategic planning, and other... ...locations. The offer will be adjusted per geography. The...RiskTemporary work$125.8k - $212.1k
...Specialty - North America, a leading specialty insurance... ...underwriting, claims, and risk management expertise to... ...will also direct the adjusting and litigation process, strategically partnering with counsel,... ...presentations and reporting. Good analytical thinking, advocacy and...RiskTemporary work$22.3 - $35.2 per hour
...Lead Coordinator, Collections About Navista We believe in the power of community... ...especially Excel preferred ~ Excellent analytical, organizational, and communication skills... ...~ Familiarity with credit analysis and risk assessment. What is expected of you...RiskHourly payTemporary workWork at officeLocal areaImmediate startFlexible hours$112k - $149k
...Job Description Summary The Lead Government Pricing Analyst is responsible for delivering... ...Analyst will be required to complete a risk assessment to ensure the proposal is financially... ...interpretation Develop proposal variance analytics to better demonstrate our cost basis with...RiskContract workRemote workRelocation package$105.1k - $164.13k
...selected candidate will lead complex research and... ...functions, supply chain risk management methodologies... ...deliverables that inform strategic decision-making. This... ...contributing innovative analytical approaches and... ...compensation is proportionately adjusted based on hours worked....RiskFull timeContract workPart timeLocal areaRemote work$65k - $108k
...commitment to excellence. The Role The Lead Operations Analyst is responsible for... ...current-state E&C processes to identify gaps, risks, and improvement opportunities across... ...Operations organizations. ~ Strong analytical skills with the ability to translate complex...RiskWork at officeLocal areaRemote work$79.4k - $136.4k
...Position Overview The Database Team Lead oversees the design, administration, and performance... ...critical business applications and analytics. This role leads a team of database administrators... ..., detect performance or reliability risks, and recommend improvements or scaling...RiskContract workWork at office$109.25k - $149.5k
...new standards of care. SUMMARY The Lead Auditor, Quality Compliance will form part... ...audits as well as informal high-risk CAPA reviews, mock inspection role-playing... ...****@*****.***. Unsolicited Agency Submission Integra LifeSciences does not accept unsolicited...RiskTemporary workWork experience placement$84.63k - $112.84k
...outcomes. This role participates in and leads the completion of complex solutions to meet... ...are met on time. Assess/Manage risk, impacts and potential alternatives and escalate... ...life of the project. Often dedicated to strategic global customers for repeat business....RiskTemporary workRemote work$113.2k - $154.46k
...variances and drivers of forecasts to department leaders. Provide strategic thinking regarding the overall business strategy,... ...excellent oral and written communication skills. Requires strong analytical thinking. Requires strong mathematical skills and statistical...Live inLocal area- ...Director, Supply Chain Analytics Challenging. Meaningful. Life-changing... ...Supply Chain Analytics will lead the development of analytical... ...to GSC and associated risk/opportunities with scenarios.... ...reasonable workplace accommodations/adjustments and ongoing support in their...RiskLocal area
$161.5k - $190k
...Description Summary We are seeking a strategic and detail-oriented Director,... ...readiness, identifying risks, and ensuring compliance with... ...industry best practices. Lead technical assessments, audits... ...tools, DCIM, CMMS, and data analytics platforms. Key Competencies Deep...RiskContract workLocal areaFlexible hours$27.02 - $41.85 per hour
...Highmark Health, located in Trenton, NJ, is seeking an HCC Coding Specialist who will deliver value through coding processes for Risk Adjusted government programs. This role requires at least 3 years of experience in HCC coding and requires a CPC, CRC, CCS, or RHIT...RiskHourly payRemote work$115k - $130k
...apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain... ...Reserving, Risk Management, Finance, Claims, and Data & Analytics colleagues to achieve desired business outcomes and implement...RiskWork at office3 days per week- ...Media Relations & Issues Management to enhance the visibility and positive reputation of the company. This role requires establishing strategic media relations programs and addressing complex issues impacting the company. Ideal candidates will have at least 12 years of...
$135.95k - $164.74k
...departments. Team Overview Our Analytical Science and Operations team... ...will serve as a CMC Analytical Lead (CMC‑AL) for drug candidates... ...to support regulatory submissions. Respond to regulatory authority... ...GMP and GLP requirements and risk assessment processes. Strong...RiskFull timeFlexible hours$249.97k - $388.13k
...Executive Director, Global Value Evidence Lead, is a strategic leader responsible for driving the... ...support regulatory, HTA, and payer submissions, and demonstrate the differentiated value... ...health technologies, and advanced analytics. Competencies Accountability...Temporary workLocal areaFlexible hours$63k - $84.42k
...provide member assistance and strategic insight during the... ...worker timecards to analyze PTO submissions, EVV compliance and hours of... ...including but not limited to fall‑risk prevention. Provide clear and... ...priorities. Team player, strong analytical and interpersonal skills....RiskLive inLocal area$105.6k - $165k
...have excellent communication, analytical and influential skills to be... ...portfolio and be a key influencer of strategic technology spend.... ...usability, and reliability) Leads rapid shaping of a high level... ...and regulations. Identify risks to quickly resolve issues and...RiskContract workWork at officeLocal areaFlexible hoursShift workDay shift
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