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.
- ...Shield of Massachusetts is seeking a Director of Risk Adjustment Data and Analytics in Boston. This role involves leading analytic teams, ensuring compliance with CMS... ...ideal candidate will have extensive experience in Medicare risk adjustment, proficiency in data analysis...Risk
$151.2k - $184.8k
Director of Risk Adjustment Data and Analytics Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Director of Risk Adjustment Data and Analytics... ...adjustment internally and externally, and leads the strategy, execution, and performance of...RiskFull time- ...Massachusetts, Inc. is seeking a Director of Risk Adjustment Data and Analytics in Hingham, MA. This leadership role... ...and executing an analytic plan for Medicare and Merged Market segments,... ...degree, and a proven track record in leading analytics teams. A comprehensive benefits...Risk
- Blue Cross Blue Shield of Massachusetts is searching for a Director of Risk Adjustment Data and Analytics in Hingham. You will develop and execute the analytic plan for Medicare risk adjustment and oversee reporting and analytics to meet business objectives. This role...Risk
$88k - $145k
Seeking a Senior Construction Defect Adjuster with deep expertise managing complex, multi‑party construction defect claims, including sophisticated additional insured and contractual risk transfer issues. This role requires demonstrated capability in coverage analysis...RiskFull timeFor contractorsLocal areaRelocation package$99k - $167k
...This position provides analytics services to the business... ...frameworks, and data-driven recommendations... ...initiatives. You will lead analytics efforts across... ...there is business value in adjusting the models. Ensures analysis... ...outcomes), and flag risks/opportunities. Establish...RiskWork at officeRelocation package- Jobtailor in the United States (New Hampshire) seeks a senior data analytics professional to lead fraud detection insights, build real-time risk signals, and drive product improvements. You will leverage Python, SQL, and analytics platforms to analyze large datasets, collaborate...Risk
$90k - $180k
...Management is seeking an experienced Lead Systems Analyst to join the... ...teams to deliver portfolio analytics capabilities that support how... ...analyze portfolios, evaluate risk, and make investment decisions... ...systems, including investment data, analytics, and user experience...RiskRemote workFlexible hours1 day per week$124.4k - $207.4k
...expertise, or investigating ways to close data gaps, your work will be pivotal in ensuring... ...projects within the Global Business Unit Lead and allocate people, technology, and... ...resources for innovation, taking appropriate risks to implement new ideas Develop solutions...RiskPermanent employmentContract workH1bLocal areaWorldwideVisa sponsorshipWork visaRelocation package- 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
- ...Governance and Administration (IGA) Lead Engineer / Architect to... ...seasoned IAM, cybersecurity, data, and systems engineering professional... ...outcomes to identify risks and improve accuracy. Support... ...Strong data architecture and analytical skills, including identity data...RiskFlexible hours
$132.5k - $338.3k
...some of today’s latest technologies in AI, data analytics, and automation. Our team of over 975... ...and scale business growth. Integration Lead Architect This role requires a blend of... ...the requirements. Proactively identify risks related to integration dependencies and...RiskWork experience placementLive inWork at officeLocal area$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$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$175k - $425k
...leadership responsibilities as a Lead Dentist — helping guide... ...and earn a tiered percentage of adjusted production, with: Associate... ...clinical findings and honest risk assessment, driving both oral... ...clinical decisions grounded in data, evidence, and patient needs....RiskDaily paidFull timePart timePrivate practiceLocal areaShift work2 days per week3 days per week$108k - $216k
# Lead Investment Data Analyst### Job summaryBostonEngineering### Work modelHybrid · 2 days home3 days... ...combines hands-on data engineering and analytics with leadership, stakeholder management... ...portfolio managers, OCIO operations, risk, performance, reporting, and client...RiskMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week$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- ...relocate. WHAT’S THE ROLE? We’re looking for a Lead Artist to help shape and deliver the... ...estimates, track progress, and identify risks early. Supporting your team day‑to‑day by... ...potential. If you therefore need any reasonable adjustments to support you during the recruitment...RiskWorldwideRelocationRelocation package3 days per week
$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$145.6k - $270.4k
Role Overview The Lead, Decision Data & Intelligence Enablement plays a critical... ..., automation, and advanced analytics use cases, ensuring trusted... ...clear communication of risks, confidence levels, and systemic... ...Novartis. Novartis may adjust the published salary range based...RiskLocal area$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- ...transformation, where AI, advanced analytics, and Condition-Based... ...driving innovation in data center environments,... ...and competitive offers Lead technical qualification... ...validation, and risk assessment prior to tendering... .... Adaptability : Adjusts to evolving customer requirements...RiskRemote work
$129.3k - $177.8k
...of our caring community The Lead Network Architect designs and... ...Network fabric for the internal Data Centers / Private Cloud... ...cybersecurity and resiliency risks. Support the management of... ...quality of life for people with Medicare and Medicaid, families, individuals...RiskFull timeTemporary workFor contractorsWork at officeRemote workWork from homeHome office- ...for all. We transform diverse data into a unified fabric for health... ...Certification Engage with leading customers, participating in the... ...managing project status, handling risks and issues, and coordinating... ...utilization, and improve risk adjustment accuracy Establishing...RiskRemote jobContract workFlexible hours
- Lead - Evaluation Team Lead (CHS) (SY26-27) Chelsea Public Schools... ...promote high expectations and risk taking. We are a district of... ...Education PLCs. Responsible for data and files of special education... .... Lead teacher salary lane adjustment per CTU contract. Equal Opportunity...RiskFull timeContract workImmediate startWork visa
$161.5k - $190k
...Title Director, Operations SME – Data Centers & Critical Env Job... ...operational readiness, identifying risks, and ensuring compliance with... ...with industry best practices. Lead technical assessments, audits,... ...tools, DCIM, CMMS, and data analytics platforms. Key Competencies...RiskContract workLocal areaFlexible hours- ...Lead Systems Analyst - Portfolio Analysis Technology Location... ...teams to deliver portfolio analytics capabilities that support how... ...analyze portfolios, evaluate risk, and make investment decisions... ...systems, including investment data, analytics, and user experience...RiskLocal area
- ...needs, and recommends staffing or assignment adjustments to ensure appropriate coverage and timely... ..., and other downstream processes. Leads or performs unit, integrated, and specialty... ...milestones to stakeholders and escalates risks or barriers as appropriate. 7. Communications...RiskFlexible hours
$78.9k - $123.3k
...Plan of Action and Milestones (POA&Ms) Risk Assessments Continuous Monitoring documentation... ...staff, compensation is proportionally adjusted based on hours worked. Desired... ...or equivalent. Strong written, verbal, analytical, and interpersonal communication skills,...RiskPermanent employmentFull timePart timeWork at officeLocal areaRemote work$158.6k - $193.8k
...Governance to operationalize AI strategy. In this role, you will lead AI governance operations, ensuring compliance and risk management for AI solutions. The ideal candidate has over 10 years of experience in AI or data science, with strong leadership skills. This full-time...RiskFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Lead, Medicare Risk Adjustment Data & Analytics. Be the first to apply!

