Risk Adjustment & HCC Program Lead
Hartford HealthCare
Hartford HealthCare in Hartford, CT is seeking an experienced Risk Adjustment Program Team Lead to coordinate the Risk Adjustment team, verify coding reviews, and ensure reports are accurate. The role partners with the Director of Quality and Clinical Integration to improve workflows and drive network initiatives, aligning coding with CMS guidelines. Requires 5+ years in Risk Adjustment/HCC, knowledge of Medicare Advantage, and leadership experience. #J-18808-Ljbffr Hartford HealthCare
- ...management system, service recognition programs and other common practices across the... ...and Clinical Integration, the Risk Adjustment Program Team Lead serves as a coordinator and resource... ...and Hierarchical Condition Category (HCC) coding and documentation training programs...RiskWork experience placementWork at office
- ...Project Manager in Pharmacy Benefits at Blue Shield of CA leads end-to-end cross-functional programs spanning operations, technology, and vendor... ...initiatives with a focus on stakeholder alignment and risk management. You will translate business needs into technical...Risk
- ...You’ll Work WithThe Enterprise Delivery Lead develops and executes strategies to scale... ...leaders are set up to manage engagement risk, project financials, accounts receivable,... ...scale, complex software delivery projects/programs on client engagements.* Work with local teams...RiskTemporary workLocal area
- ...Connecticut seeks an Enterprise IT Data Governance and Information Management Lead to drive the program strategy, roadmap, and governance framework. You will partner with business leaders and manage risk, compliance, and data protection initiatives across the organization....Risk
$116.2k - $229.1k
...best practices, and managing risks and stakeholder communications... ...professional relationshipsAbility to lead projects or workstreamsAbility... ...-stakeholder public sector programs supporting 10,000+... ...disclosed range estimate has not been adjusted for the applicable geographic...RiskLocal area- ...comprehensive compensation and benefits program, employees are also eligible... ...into the National Practice Lead as a strategic leader over a... ...plans and sets annual plan, adjusting execution strategies on an... ...results of the most complex, at risk or hard to close deals as needed...RiskFull timeWork at officeLocal area
$144.2k - $288.4k
...family and one community at a time. Position Summary As a Lead Director, Technology Strategy and Program Governance, you will play a critical leadership role... ...initiatives by monitoring delivery performance, risks, dependencies, operational metrics, and portfolio health...RiskHourly payFull timeTemporary workWork experience placementLocal areaRemote work$84.5k - $140.9k
...Actuarial Analyst Sr - Insurtech Programs We are adding to our diverse... ...Specialty - North America, a leading specialty insurance provider... ...underwriting, claims, and risk management expertise to our partners... ...involving exposure adjustments, trend, loss development, exposure...RiskTemporary work- ...comprehensive compensation and benefits program, employees are also eligible... ...a Senior Director, Circle Lead / Team of Teams Lead to drive... ..., measuring performance and adjusting the overall roadmap of... ...interdependent team backlogs addressing risks and dependencies within and...RiskFull timeH1bLocal area
- ...comprehensive compensation and benefits program, employees are also eligible... ...best-in-class solutions.As a Lead Architect, you will... ...design• Help establish governance, risk, and control processes that... ...transformational change. Able to adjust plans, priorities and...RiskFull timeTemporary workWork experience placementLocal area
- Centene Corporation is seeking a Senior Actuarial Analyst to support risk adjustment programs through accurate capture, validation, and reporting of member health conditions. You will collaborate with clinical, operational, and coding teams to improve documentation and...RiskRemote job
- ...comprehensive compensation and benefits program, employees are also eligible... ...?Travelers is seeking a Lead Architect to join our... ...reference architectures that minimize risk and disruption while... ...transformational change. Able to adjust plans, priorities and strategies...RiskFull timeTemporary workWork experience placementLocal area
$51.9k - $95.5k
...31/2026. Work you'll do As a Services Associate, Risk & Compliance (Tracking & Trading/Broker Data Import Program) on the Independence & Conflicts Network team, you... ...needs. The disclosed range estimate has not been adjusted for the applicable geographic differential...RiskVisa sponsorship$100k - $231.54k
## Lead Director - Product Portfolio ManagementApplyremote type:... ...into differentiated product, program, and solution roadmaps* Driving... ...performance, monitoring key metrics and adjusting strategies to achieve business... ...deliverables while managing risks and dependencies* Driving...RiskHourly payFull timeTemporary workLocal areaRemote workWork from home$139.4k - $230k
...comprehensive compensation and benefits program, employees are also eligible... ...a Senior Director, Circle Lead / Team of Teams Lead to drive... ..., measuring performance and adjusting the overall roadmap of... ...interdependent team backlogs addressing risks and dependencies within and...RiskH1b$105.4k - $207.8k
...strategic business partners, manage risk, and unlock new levels of... ...and ServiceNow Platform Lead within our Finance Transformation... ...disclosed range estimate has not been adjusted for the applicable geographic... ...annual incentive program, subject to the rules governing...RiskLocal areaVisa sponsorship- ...associates within the MCE Academy, a learning program that develops technical capabilities for... ...on the job.Identify curriculum gaps and lead the continuous improvement of Academy content... ..., preferably in Business, Economics, Risk Management, or related field.Ten years of...RiskTemporary work
$97.5k - $209.5k
...milestones for each aspect of a technical program, aligning to the broader program... ...issues, bottlenecks and/or risks, escalating issues when appropriate. Leads technical program improvement,... ...providing technical oversight and adjusting plans to address shifts in resources...RiskTemporary workImmediate startFlexible hoursShift work- ...seeks a Construction Project Manager - Team Lead to guide a portfolio of projects and lead... .... The role emphasizes leadership, risk management, and governance with a focus on... ...business objectives across multiple construction programs. #J-18808-Ljbffr Cushman & WakefieldRisk
$27.02 per hour
...value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (... ...but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/...RiskFor contractorsWork at officeLocal areaRemote workFlexible hours$185k - $200k
...one of the world’s preeminent specialty risk underwriting organizations. Designed as a... ...centric strategies. Ascot offers clients leading financial security while delivering bespoke... ...and deliver AI governance training programs for business and technical teams Promote...RiskTemporary workWork at officeFlexible hours- ...comprehensive compensation and benefits program, employees are also eligible for performance... ...and partners. We're looking for a Senior Lead Experience Designer to join our Bond &... ...journey vision and strategy, mitigating risks, and informing organizational decision-making...RiskFull timeWork experience placementH1bLocal area
$24.5 per hour
...Lead Human Services Worker - Bilingual, Hartford Transitional Housing, Hartford, CT... ...those in and out of prison. Through our programs that include reentry and housing, youth initiatives... ...precautions and related issues including risk of communicable diseases. Remains...RiskHourly payFull timeTemporary workImmediate startAll shiftsShift workWeekend workDay shift- ...driving strategy execution and financial performance for assigned programs by coordinating internal teams and external partners, including... ...Abilities:Bachelor's degree in Finance, Economics, Business, Risk-management or a related field preferred.5 -10 years of property...RiskFull timeTemporary work
- ...Mindlance client is seeking a highly skilled MDM Lead Architect who serves as the primary... ...enterprise standards; identify design risks and required guardrails Possess strong hands... ...multi-domain or enterprise MDM programs and scaling governance practices across divisions...RiskRemote work
- ...As a Transversal Underwriting & Governance Lead in the Americas Office of the CUO, you... ...collaborate closely with underwriting teams, risk management, compliance, and other stakeholders... ...Employer. Total Rewards AXA XL’s Reward program is designed to take care of what matters...RiskWork at officeFlexible hours
- ...Lead Structured Cabling TechnicianThe Lead Structured Cabling Technician is responsible... ...issues.Collaborate with network engineers to adjust AP placement or configuration as needed.... ...Ensure adherence to ICRA (Infection Control Risk Assessment) protocols in relevant...RiskFor contractorsLocal area
- ...Actuarial Analyst Sr to provide pricing/rating support for Insurtech Programs. The role analyzes, evaluates, models and rates potential... ...actuarial pricing, modeling, and data insights, contributing to a dynamic risk management environment. #J-18808-Ljbffr Munich Re CareersRisk
$100k - $231.54k
...cadences, and initiative reviews Track decisions, action items, risks, and dependencies; ensure accountability and closure Escalate... ...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also...RiskHourly payFull timeTemporary workWork at officeLocal area2 days per week3 days per week$24 - $32 per hour
...providing information on membership types programs and benefits to current and prospective... ...curiosity and a desire to learn takes calculated risks and demonstrates courage and resilience... ..., there are no preferred qualifications. Leading a front-end team, Supervising experience...RiskHourly payMinimum wageFull timeTemporary workPart timeWork at office
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