Director of Risk Adjustment

Risk Adjustment – Risk Management Lead page is loaded## Risk Adjustment – Risk Management Leadlocations: Remote Nationwidetime type: Full timeposted on: Posted Todayjob requisition id: R- # **Become a part of our caring community and help us put health first**The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs...

A healthcare organization located in California is seeking a Documentation Integrity Manager to ensure comprehensive and compliant documentation integrity programs related to risk adjustment and HEDIS/Stars Quality measures. The ideal candidate will have over 10 years of experience, particularly in Managed Care, and will be responsible for developing...

Responsible for ensuring the organization has a comprehensive, efficient and compliant documentation integrity program (risk adjustment and HEDIS/Stars Quality measure documentation). Works directly with clinicians, certified coders, IT, enterprise analytics, network management and physicians. Owns accountability for ensuring our members’ medical record is...

Location: 600 City Parkway West 10th Floor, Orange, CA 92868Compensation: $80,000 - $90,000 / yearDepartment: Quality - Risk AdjustmentAstrana Health is seeking an experienced Risk Adjustment QA Specialist to join our team. In this role, you will ensure accurate and compliant documentation through chart audits, provider education, and ongoing monitoring. You...

A leading healthcare organization in California is seeking an Actuarial Analyst, Consultant to join their Risk Adjustment Retrospective Analytics team. This role involves developing chart targeting lists, quantifying financial impacts, and ensuring accurate data submissions for key healthcare programs. The ideal candidate will have at least 6 years of...

Nurse Director of Risk Management Compensation Range: $146,880.00/yr – $181,270.00/yr The Nurse Director of Risk Management will lead a high‑impact patient safety and quality strategy at a progressive Southern California hospital, elevating outcomes, protecting patients, and strengthening regulatory excellence. This role partners with the Chief Quality...

Join to apply for the Director of Credit Risk role at DataAnnotation. We are looking for a Director of Credit Risk to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. In this role you will need to hold an expert level of financial reasoning....

Director Credit Risk Officer - Loss Mitigation Join to apply for the Director Credit Risk Officer - Loss Mitigation role at BECU. BECU is an equal opportunity employer and values people, not just profits. Our “people helping people” philosophy has guided us since 1935, a deep commitment to serving members, communities and each other. Bring your expertise...

A national healthcare company is seeking a Risk Management Lead to oversee risk management and compliance in California. This role involves evaluating business processes, conducting audits, and collaborating with teams to drive improvement initiatives. Ideal candidates will have 3+ years of project leadership and 2+ years of audit experience. The position...

A leading healthcare provider is seeking a Director of Risk Management to oversee operations at multiple facilities. This role involves directing risk management and accreditation programs, ensuring compliance, and providing leadership within an acute care environment. Candidates should possess a Master’s degree and strong experience in healthcare risk...