Lead, Medicare Risk Adjustment Data & Analytics
Blue Cross and Blue Shield of Massachusetts Inc.
Blue Cross and Blue Shield of Massachusetts Inc. is looking for a Director of Risk Adjustment Data & Analytics to lead the analytics team and oversee all aspects of Medicare risk adjustment reporting. The role involves developing strategies for data analytics, ensuring compliance with regulations, and driving innovation. The ideal candidate has a Bachelor’s degree, extensive experience in Medicare, and strong skills in SAS, SQL, and project management. Comprehensive benefits are provided. #J-18808-Ljbffr Blue Cross and Blue Shield of Massachusetts Inc.
$151.2k - $184.8k
Director of Risk Adjustment Data & Analytics Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Director of Risk Adjustment Data & Analytics... ...CMS regulations. Responsibilities Directly lead the Risk Adjustment Performance and...RiskFull time- ## Senior Manager of Analytics & Insights Lead, US WealthApplyremote type: On Sitelocations... ...role.**Line of Business:**Risk Management**Job Description... ...objectives, identify data / information needs,... ...mitigation efforts to make adjustments as risk/department influences...RiskTemporary workWork at office
$117.6k - $161.7k
...of our caring community Lead, Enterprise Data Governance serves as a dedicated... ...issues, assess business and risk impacts, recommend solutions... ...across business, IT, analytics, operations, product, and vendor... ...quality of life for people with Medicare and Medicaid, families,...RiskBi-weekly payFull timeTemporary workWork at officeRemote workWork from homeHome office- ...Risk Adjustment Coding Specialist will play a pivotal role in supporting accurate and complete diagnosis documentation as part of Gather Health’s commitment to value-based care under Medicare Advantage and ACO REACH contracts. Embedded within a collaborative, interdisciplinary...RiskTemporary workLive inWork at officeLocal areaImmediate start
- Senior Manager of Analytics & Insights Work Location: Boston, Massachusetts... ...510 USD. Key Responsibilities Lead development, coordination,... ...business objectives, identify data needs, opportunities for... ...manage, monitor, and control risk of segments within TD Bank in...RiskWork at officeLocal area
$104k - $143k
...community The Procurement Lead generates and implements... ...expertise Develop risk- and probability-adjusted multi-year savings forecasts... ...Project Management · Spend analytics & reporting Additional... ...quality of life for people with Medicare and Medicaid, families,...RiskFull timeContract workTemporary workRemote work$90k - $180k
...tailored to the unique return and risk objectives of institutional... ...is seeking an experienced Lead Systems Analyst to join the Portfolio... ...teams to deliver portfolio analytics capabilities that support how... ...systems, including investment data, analytics, and user experience...RiskRemote workFlexible hours1 day per week- Lead System/Solution Architect page is loaded## Lead System/Solution... ..., cloud infrastructure, data platforms, AI/ML, and cybersecurity... ...‐off analysis, and technical risk management for mission‐... ...platforms that leverage data, analytics, and AI/ML to drive automation...RiskLocal area
- A leading healthcare provider in Boston seeks a Manager of Risk Adjustment Coding to oversee daily operations and ensure accurate coding practices. The role includes managing workflows, implementing quality initiatives, and collaborating with stakeholders to enhance patient...Risk
$169.4k - $279.6k
...way for best-in-class solutions. As a Lead Architect, you will collaborate with senior... ...AI design • Help establish governance, risk, and control processes that ensure safe, compliant... ...transformational change. Able to adjust plans, priorities and strategies in response...RiskTemporary workWork experience placementLocal area$196k - $269.5k
...Director, Global Indication Lead,... ...and externally, ensuring data-driven decision-making... ...inform brand strategy adjustments* Represent argenx’ at industry... ...trade-offs, balancing risk, and global value considerationsBasic... ...experience* Strong analytical skills with the ability...RiskTemporary work- ...Inc. is looking for a Vice President of Stars & Risk Adjustment Performance to guide strategic initiatives in Medicare programs. This role requires over 15 years of... ...experience in Medicare Advantage and a strong analytical approach. The successful candidate will oversee...Risk
$78k - $113k
...Position Summary The Manager of Risk Adjustment Coding manages the day-to-day... ...working to create a unique data and reporting model to... ...internal and external partners to lead volume and ensure adherence to... ...results Strong organization and analytical thinking skills - detail...RiskFixed term contractFlexible hours$151k - $208k
About This Role As the PO&T Risk Management Lead, you will establish and lead integrated risk management... ...implementation and recommend adjustments. Integrate risk management into... ...leadership and matrix influence; excellent analytical, problem‑solving, and communication...RiskTemporary work- Gather Health Gather Health Primary Care, Inc. in Boston is seeking a Risk Adjustment Coding Specialist to ensure accurate coding practices that align with Medicare Advantage regulations. This role involves collaborating with a clinical team to improve patient outcomes...Risk
$63.44k - $95.16k
...Category/Area of Expertise: Risk Management & Insurance Job... ...brands, which includes five leading omnichannel grocery brands -... ...Analyst II role is an experienced adjusting position responsible for... ...Abilities Strong negotiation, analytical, and problem-solving skills....RiskFull timeLocal areaRemote work- Gather Health is seeking a Risk Adjustment Coding Specialist to support accurate diagnosis documentation as part of its value-based care initiatives... ...with coding practices and enhancing quality outcomes under Medicare Advantage contracts. The ideal candidate has at least two...Risk
$175k
...Area of Expertise: Risk Management &... ...which includes five leading omnichannel grocery... ...is a senior-level adjusting position responsible... ...state laws, Medicare regulations, and company... .... Analyze data and claim outcomes... ...level negotiation, analytical, and strategic thinking...RiskFull timeLocal areaRemote workFlexible hours$108k - $216k
Lead Investment Data Analyst We are seeking an experienced, business‑savvy Lead Investment Data Analyst... ...combines hands‑on data engineering and analytics with leadership, stakeholder management... ...portfolio managers, OCIO operations, risk, performance, reporting, and client...RiskMinimum wageFlexible hours- ...within the Enterprise Data Management & Engineering... ...Projects. Reporting to PMO Lead, the Senior Project... ...progress. · Managing risks. · Ensuring alignment... ...project progress, making adjustments as necessary to ensure... ...data warehousing, data analytics, data quality, and data...RiskWork at office
- ...Lead Structured Cabling Technician The Lead Structured Cabling Technician is responsible... ...Collaborate with network engineers to adjust AP placement or configuration as needed.... ...Ensure adherence to ICRA (Infection Control Risk Assessment) protocols in relevant environments...RiskFor contractorsLocal area
- ...Description Job Description Lead Risk Manager, Payment Fraud... ...with hacker instincts and raw analytical horsepower — someone who can... ...commerce flows. • Own the data layer — Independently query... ...performance, and inform strategy adjustments. • Strategic liaison — Act...RiskFull timeWork at officeRelocationVisa sponsorship
$180k - $260k
...America is responsible for leading all digital and... ...platforms (e.g., CRM, Data, Omnichannel, MDM) within... ...into NA initiatives, risks, interdependencies, and... ...enhancements or adjustments.Technical & Functional... ...not limited to data &analytics and AI.* Strong understanding...RiskTemporary workLocal areaFlexible hours$60k - $80k
...legal standards into operational workflows, managing compliance readiness, and leading cross-functional programs. Candidates should have 3+ years of program management experience and strong risk management skills. The position offers a salary range of $60,000 - $80,000...Risk- Lead - Evaluation Team Lead (ELC) (SY26-27) Location: Chelsea Public... ...PLCs. Responsible for data and files of special education... ...regarding special education and at risk students Coordinate in-... ...days. Lead teacher salary lane adjustment per CTU contract. Position Type...RiskFull timeContract workImmediate startWork visa
$177k - $259.6k
Cookie NoticeStrategy and Value Lead GDIT R&D Medical page is loaded## Strategy and Value... ...planning, milestone tracking, and risk mitigation activities to ensure on-time,... ...applying for a role with us. If you require any adjustments or support during the application process...RiskTemporary workFlexible hours$145k - $210k
...Enterprise Architecture Lead Company: Ipsen Pharma (... ...chain, regulatory and analytics platforms. Lead architecture... ...architecture, data flows, security standards... ...plans, budgets, resources, risks and milestones. Oversee... ...opportunities. If adjustments or support are needed during...RiskContract workTemporary workFlexible hours$17.24 per hour
...Lead Cashier At L.L.Bean, we believe the outdoors brings out the best in all of us.... ...team members and customers. Recommends adjustment to staffing levels/schedules to meet work... ...procedures, reporting unsafe conditions or at-risk behaviors to leadership, and conducting...RiskHourly payPart time$17.24 per hour
Lead Cashier - Dedham, MA page is loaded## Lead Cashier - Dedham, MAlocations: Dedham,... ...team members and customers.* Recommends adjustment to staffing levels/schedules to meet work... ...procedures, reporting unsafe conditions or at-risk behaviors to leadership, and conducting...RiskHourly payPart timeLocal areaEarly shift$276.93k - $338.47k
...Vice President of Stars & Risk Adjustment Performance serves as a strategic and analytical senior leader... ...both programs, leveraging data and analytics to improve... ...results and advocate for Medicare business interests in cross... ...Adjustment programs. Lead provider network...RiskFull time
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