Remote Director: Risk Adjustment Audit Strategy
Humana
- Remote job
Humana Inc. is seeking a Director of Risk Adjustment Regulatory Audits to lead the strategy and execution of external regulatory audits nationwide. This remote role emphasizes strong operational processes, analytics, and cross-functional collaboration with Humana’s teams and regulators. You will drive audit workflow efficiency through technology and data insights, manage resources and partnerships, and report to the Associate VP, Risk Adjustment Compliance. Strong leadership is essential. #J-18808-Ljbffr Humana
$150k - $206.3k
...part of our caring community The Director, Risk Management identifies and analyzes... ...function or segment. This is a remote position. The Director of Risk Adjustment Regulatory Audits will be responsible for developing strategy and execution of Humana’s external...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome office$196.73k - $286.9k
...Oscar. We're hiring a Senior Director, Actuarial - Risk Adjustment to join our Actuarial team... ...to inform business strategy and financial disclosures.... ...: This position is fully remote and open to candidates residing... ...monthly close, external audits, regulatory reviews, and other...Remote workFull timeWork from homeHome office$157.3k - $262.7k
## Director, Risk AdjustmentApply: California-Remote: Full time: Posted 2 Days Ago: JR100164Come Grow With Us At Gold... ...**• Develop and execute a risk adjustment strategy aligned to organization goals,... ...Oversee medical record review and audit process to ensure adherence to...Remote workFull time- ...Humana Inc. is seeking a Director of Risk Adjustment Regulatory Audits to lead strategy and execution of external audits, ensuring strong operational processes and... ...Associate VP, Risk Adjustment Compliance and works in a remote capacity with occasional travel to Humana offices....Remote job
$87.7k - $157.8k
...for facilitation and leading external audits related to Risk Adjustment processes. Ensures visibility by way... ...job have the flexibility to work remote from home anywhere in the Continental... ...performance and progress. Supports strategy development to enhance risk...Remote workFull timePart timeWork at officeWork from homeFlexible hours- ...Description: Summary The Supervisor, Risk Adjustment Quality Assurance and Auditing, is responsible for oversight of... ...with leadership on developing strategies to enhance efficiency and quality... ...note: There may be opportunity for remote work within all jobs posted by the...Remote workContract workWork from homeHome office
$118.6k - $157.14k
...experience!Reporting to the Director of Risk Adjustment Prospective Programs, the... ...compliance, this role executes strategies and transforms them into... ...compliance, and maintaining audit readiness. Commitment to... ...schedule. (Monday & Friday - remote, Tuesday - Thursday onsite...Remote workTemporary workWork experience placementLocal areaMonday to Friday- ...hiring a Program Manager Risk Adjustment Coding and this... ...incumbent ensures program strategies and operations meet evolving... ...closely with the Director this position supports... ...role leads coding and audits review activities... ...is working full time remote. Hybrid is a minimum...Remote workFull timeFor contractorsWork at office2 days per week
$83.99k - $119.97k
...POSITION: The Program Manager, Risk Adjustment & Stars, serves as the... ...Coordinates Alpine's Star Ratings strategy across HEDIS, CAHPS, HOS, and... .... ~ Supports RADV audit readiness and health plan data... ...that is HIPAA compliant for all remote or telecommuting positions as...Remote workFull timeHome office- ...Figma is seeking a Governance, Risk and Compliance Director to lead the GRC program end-to-end, setting strategy for certification, risk... ...scalable controls and drive audit readiness in a rapidly evolving... ...role possible from US hubs or remote within the United States. #J...Remote jobFull time
- Description Director, Risk Management SIG SAUER, Inc.... ...airguns, suppressors, remote controlled weapons stations... .... Conduct regular audits to ensure risk... ...implement risk mitigation strategies. Manage, monitor and... ...claims. Work with adjusters and legal teams to resolve...Remote workWork at office
$134.6k - $230.8k
...together. Job Description - Executive Director of Risk Adjustment (2381661) Executive Director of Risk Adjustment... ...maintaining regulatory compliance and audit readiness. Primary Responsibilities: Lead enterprise risk adjustment strategy for Medicare Advantage, Medicaid, and...Minimum wageFull timeWork experience placementLocal areaWork from homeMonday to Friday- ...Astrana Health seeks a Sr. Director of Risk Adjustment to lead risk adjustment, clinical documentation... ...provider engagement, and population health strategies. This leader will guide Senior... ...integrity, and performance across markets. Remote work with travel in the US is...Remote work
$160k - $195k
Sr. Director - Risk Adjustment Department: Quality - Risk Adjustment Employment... ...engagement, and population health strategies. This role will lead... ...Oversee internal monitoring, audits, and regulatory review... ...Working Conditions This is a remote position. Travel is required...Remote workFull timeContract work$147.55k - $215.18k
...re hiring a Senior Manager, Actuarial - Risk Adjustment to join our Actuarial team. Oscar is the... ...Work Location: This position is fully remote and open to candidates residing in the U... ...adjustment performance. Lead quarterly audit deliverables and maintain internal...Remote workFull timeWork from homeHome office- ...UnitedHealth Group is seeking a Director of Product for the Retrieval product... ...will lead the full lifecycle, strategy, and cross-functional execution for risk adjustment retrieval and interoperability,... ...providers. The role supports remote work from anywhere in the U.S.,...Remote jobWork at office
- ...We are looking for a Manager of Risk Managment to oversee Mass Advantages's full suite of Risk Adjustment activities. This position is responsible for the strategy, execution and performance of Medicare... ...with Providers, regulatory audits, and compliance with CMS...Work at office
$127k - $160k
...Summary The Senior Manager, Risk Adjustment Operations and Performance Improvement... ..., HEDIS, RADV, and internal audit activities. Provider... ...Support provider engagement strategies, including provider... ...an office environment and/or remotely. The role involves frequent...Remote workFull timeWork at office$125k - $255k
...Consumer Card Product Director has responsibility... ...including strategy development, program... ...identifying trends, risks, and opportunities... ...management, compliance and audit performance for... ..., salary adjustments and/or disciplinary... ...their best work. Remote roles will also have...Remote workWork at officeWork from homeFlexible hours$197k - $270k
...firm can be found at .Role:The Director of Risk is a senior role within the... ...or would consider remote. Reports to: Assistant General... ...Maintain a complete and defensible audit trail of client risk... ...according to business and team strategy effectively; multitasks effectively...Remote workFull timeContract workFor contractorsWork experience placementFor subcontractorWork at officeLocal area- ...Director Of Risk Management This position is listed on behalf of a partner... ...evaluate complex investment strategies, assess counterparties and... ...finance in a fully remote, international environment at... ...Coordinate compliance and audit activities: Collaborate with...Remote workContract work
- ...Director Of Risk Management Rootstock Capital is building a BTC capital... ...a mixed portfolio of strategies, bridging traditional institutional... ...on regulatory obligations, audits and reporting. Product... ...growth and well-being. ~100% Remote Work from Europe & Latin...Remote workContract work
$157.98k - $252.77k
...Director, Enterprise Risk Management Blue Cross NC is hiring a Director, Enterprise... ...bodies, including the Audit Committee and Enterprise... ...achieve business objectives and strategies. Proactively promotes... ...giving you flexibility to work remotely with intentional in-person...Remote workWork at officeLocal areaFlexible hours2 days per week- ...Director, Risk Management At Regency Centers, our people are our greatest... ...office and 2 days working remotely after the training period.... ...three. Insurance Program Strategy and Management Develop... ...for insured claims, and auditing procedures Strong analytical...Remote workContract workTemporary workFor contractorsWork at office
$85.5k - $185k
...Address:33 Dundas Street WestJob Family Group:Audit, Risk & ComplianceJoin a purpose‑driven team... .... As the Senior Manager, Credit Risk Strategy Oversight, you will provide independent,... ...portfolio quality, enhance risk‑adjusted returns, and improve decision effectiveness...Full timeContract workPart time- ...committed Senior Manager, Live Risk Strategy to own and scale the end-to-... ...exposure.Reporting to the Director of Live Risk, you will be... ...and making proactive policy adjustments to keep losses within acceptable... ..., and market factors.Remote roles are not eligible for U...Remote workImmediate startVisa sponsorship
$157.98k - $252.77k
...Director, Risk Management Blue Cross NC is hiring a Director, Risk... ...governance bodies, including the Audit Committee and Enterprise... ...achieve business objectives and strategies. Proactively promotes... ...giving you flexibility to work remotely with intentional in-person...Remote workWork at officeLocal areaFlexible hours2 days per week- ...is seeking an experienced Director of Contracts & Risk Management to lead federal... ...Executive Leadership on contract strategy, liability, funding,... ...mentor-protégé activities, and audit support. Cybersecurity... ..., whether it be populated, remote, austere or contingency....Remote workContract workTemporary workFor subcontractorLocal areaOverseasRelocation package
$120k - $145k
...Manager, Risk and Insurance Job Type:... ...(office onsite) | Remote United States Reports To: Director, Finance Department... ...risk mitigation strategies are in place. Success... ...insurance brokers, adjusters, and other third... ...records. Conduct audit of existing...Remote workFull timeLocal area- Managing business processes related to risk adjustment and quality improvement, the full-time Remote New York Risk Adjustment Manager will develop action plans, implement operational workflows, and evaluate strategies across various departments for assigned products and...Remote workFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Director: Risk Adjustment Audit Strategy. Be the first to apply!
- director credit risk New York, NY
- risk management associate New York, NY
- enterprise risk manager New York, NY
- head of risk management New York, NY
- risk management specialist New York, NY
- operational risk manager New York, NY
- senior risk manager New York, NY
- director of risk management New York, NY
- security risk manager New York, NY
- risk management manager New York, NY




