Remote Risk Adjustment Manager, Medicare & RAF Strategy
INTRAcare
A healthcare provider is looking for a Risk Adjustment Manager in Texas to oversee the Medicare risk adjustment strategy. Responsibilities include implementation of coding workflows, provider education, and data reporting. Candidates should have a Bachelor's degree, over 5 years of experience in the field, and strong analytical skills. This role may be remote with travel required, offering an opportunity to make a significant impact on operational excellence and financial performance. #J-18808-Ljbffr
- ...Position Summary The Risk Adjustment Manager is responsible for designing... ...the organization’s Medicare and Medicare Advantage risk adjustment strategy. This role ensures... ...partners. Position may be remote with some travel... ...models Establish annual RAF targets, forecasts, and...Remote workContract work
- Village Center for Care, Inc. is seeking a Full-Time Medicare Risk Adjustment Coding Manager to work remotely from NY/NJ/CT. This pivotal position offers flexibility and the chance to impact patient care within the evolving healthcare sector. The ideal candidate will bring...Remote jobFull time
- A leading not-for-profit health insurer is seeking a Risk Adjustment Program Manager in New York City. You will develop strategies to ensure risk adjustment data accuracy, coordinate work among partners, and supervise a team to reconcile submissions. Ideal candidates will...Suggested
- ...HealthEdge is seeking a Director of Risk Adjustment Products to lead the strategy and execution for innovative risk... ...extensive experience in product management, leadership, and strategic development... ...stakeholders. The position is remote, but candidates should expect to travel...Remote work
- ...healthcare technology firm is seeking a Senior Product Manager to lead the strategy and execution of a risk adjustment product. The ideal candidate should have 5-7... ...enhance product offerings. The position is fully remote and offers a competitive salary and comprehensive...Remote work
- ...Supervisor Strategic Risk Adjustment and Quality at Highmark Health in... ...responsible for developing plans and managing activities in support of... .../operations and recommends strategies and tactics to satisfy... ...WORKING CONDITIONS Position Type Remote Teaches / trains others...Remote workWork at office
- The Alliance seeks a Risk Adjustment Director in California or hybrid. This role involves overseeing risk adjustment functions, managing the team, and providing expert advice on coding methodologies... ...care with substantial experience in Medicare risk adjustment. Offered benefits...Remote jobLocal area
- ...leader to oversee its Medicare Advantage team. This role... ...lifecyclesincluding strategy development, pricing,... ...analytics, enterprise risk adjustment, and provider networks... ...This individual will manage a team responsible for... ...are empowered to work remote. $152,900.00 - $210,...Remote workFor contractorsWork at office2 days per week
$200k - $225k
...Global Director, Head of Credit Risk Strategy & Policy Base pay range: $20... ...25,000.00/yr Office Status: Remote Overview Join a dynamic... ...supporting enterprise risk management initiatives and auditing programs... ...teams and recommend adjustments to optimize risk management....Remote workFull timeWork at office$102k - $115k
.../ year Department: Quality - Risk Adjustment Description Astrana Health is seeking Manager - Risk Adjustment to oversee risk... ...and ensures the appropriate strategy, tactics and data capture processes... ...Working Conditions This is a remote position. Travel to corporate...Remote workWork at office- ...Group is seeking a Director of Actuarial Pricing Strategy to lead pricing strategy for the Pharmacy Benefit Manager (PBM) business. This role involves engaging... ...and analytical skills. Enjoy flexibility to work remotely within the U.S. with opportunities for professional...Remote work
$170k - $225k
HealthEdge Software, Inc. is seeking a Director of Risk Adjustment Products to lead strategy, roadmap, and execution for risk adjustment solutions. In this remote full-time role, you will manage a team and drive innovation in product development while ensuring compliance...Remote jobFull time$73k - $125k
## Risk Adjustment Program ManagerApplylocations: Remote USAtime type: Full timeposted on: Posted Todayjob requisition id: R3183**Job Description****This role... ...oriented professional to join our team as a Program Manager. This role is for someone who thrives in fast-moving...Remote workFull timeContract workInternshipWork at officeShift work- ...hiring for a Customer Success Account Manager! Porter combines the power of analytics... ...quality measures, total cost of care, risk adjustment, and member experience. Ideal Porter Team... ...industry. Benefits of Working with Porter Remote work environment Medical, dental and...Remote work
- CINQCARE is seeking a Sr. Director of Risk Adjustment in Washington, D.C. This senior role focuses... ...and executing the risk adjustment strategy using advanced analytics, machine learning... .... The successful candidate will manage a multidisciplinary team and collaborate...Flexible hours
- ...health insurance company is hiring a Senior Manager, Actuarial in Dallas. The role involves leading a team for pricing strategies in ACA markets, ensuring sound actuarial practices... ...of quantitative analysis experience. This remote position offers a competitive salary and...Remote job
$176k - $220k
...combining proprietary risk intelligence with an expanding... ...team, we operate on a remote-first approach with... ...of Portfolio Risk & Strategy at Tala. The candidate... ...via effective risk management and Product roadmap influence... ...product roadmap Risk-Adjusted Growth & Opportunity...Remote workWork at office- ...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 job
$120k - $140k
...As the Workers' Compensation Risk Manager (Risk Prevention and Risk Management... ..., creating a unified risk strategy within a fast-scaling... ...professional office environment or remotely. This role routinely uses... ...perception and the ability to adjust focus. AAP/EEO Statement...Remote workTemporary workCasual workWork at officeLocal areaImmediate startWork from homeMonday to FridayFlexible hoursShift workNight shiftAfternoon shift- ...health technology company is seeking a Product Manager to lead Risk Adjustment product capabilities across Medicare Advantage, ACA Marketplace, and Medicaid. This role... ...with multiple teams, and driving product strategy. Ideal candidates will have over 5 years of experience...
- * Owns the annuity modeling strategy across AXIS and ALFA, ensuring... ...controlled, and aligned to NF’s risk appetite and financial... ...record, including performance management, coaching and development, and... ...products provide adequate risk adjusted return on capital and meet regulatory...Remote workTemporary workCasual work
- ...National Bank of Omaha is seeking a Director of Credit Risk responsible for creating and monitoring credit risk strategies for unsecured installment loans. This individual... ...and excellent communication skills. The role is remote-friendly, integrating teamwork through digital...Remote work
$120k - $140k
...As the Workers' Compensation Risk Manager (Risk Prevention and Risk Management... ..., creating a unified risk strategy within a fast-scaling... ...Compliance. This position is remote from Dallas, TX. Candidate must... ...and the ability to adjust focus. AAP/EEO Statement...Remote workTemporary workCasual workWork at officeLocal areaImmediate startMonday to FridayFlexible hoursShift workNight shiftAfternoon shift$165k - $220k
...documentation integrity program (risk adjustment and HEDIS/Stars... ...analytics, network management and physicians. Owns... ...provider education strategies and tools, monitors... ...adjustment and HEDIS/STARS (Medicare Advantage/commercial)... ....Knowledge within RAF markets (Medicare...Local area$54.3k - $119.34k
CVS Health is looking for a Manager, Risk Adjustment to handle risk adjustment for the Southeast Region, particularly in Georgia. The role entails leading initiatives to improve accuracy, collaborating with key providers, and managing various operational activities. Ideal...Full time$54.3k - $119.34k
Position Summary As the Manager, Risk Adjustment will be responsible for leading Risk Adjustment for the Southeast Region, specifically in GA/Gulf States. This role will have responsibility in maintaining and improving risk adjustment accuracy by partnering closely with...Full timeWork at officeLocal area- ...Overview The Sr. Director of Risk Adjustment is a senior leader... ...enterprise‑wide risk adjustment strategy. This data science‑... ...population health outcomes across Medicare Advantage, Medicaid Managed Care, and ACO REACH... ...closure prioritization, RAF trajectory forecasting) using...Live inWork at officeLocal areaFlexible hours
- ...Senior Risk and Control Project Manager Location: Irving, Texas Job Type: Contract... ...with virtual and remote teams, and able to work independently... ...based on corporate strategy. Processes/Procedures:... ...existing processes, making adjustments or recommending reengineering...Remote workContract work
$150k - $170k
Quantitative Enterprise Risk Manager page is loaded Quantitative Enterprise Risk Manager Apply remote type Hybrid locations NY-NYC (Ave... ...’s capital modeling and risk-adjusted return analytical processes.... ...Enterprise Risk Management (ERM) strategy. Ensure capital model...Remote workFull timeWork experience placementLocal area- A leading infrastructure solutions company is seeking an Information Security Manager to shape their security strategy and manage a team. This position is fully remote and oversees cybersecurity protocols, ensuring compliance and protecting data. The ideal candidate will...Remote work
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