Highmark Inc. is seeking a senior manager to develop and oversee Risk Adjustment and Quality/HEDIS programs. The role directs daily activities, drives process improvements, and ensures compliance with audits and accreditation standards across all product lines. The position requires a bachelor’s degree in a health-related field or RN/LPN license and at least 6 years of combined experience in risk adjustment, HCC coding, or healthcare management, with strong leadership and communication skills. #J-18808-Ljbffr
Strategic Risk & Quality Leader Risk Adjustment • Sacramento, CA, United States
Sacramento, California, United States.We're seeking a Risk Specialist to support large, heavy-civil infrastructure programs, including highways, roads, bridges, transit (both rail and bus), interna... Show more
Performs multiple, varying and complex assignments under the minimal direction of a manager, relating to compliance, risk management, auditing, or regulatory matters.Acts as principal technical spe... Show more
BPM where caring and community is in our company DNA; we are always striving to be our best selves; and we're compelled to ask the questions that lead to innovation.As Assurance Senior, you will e... Show more
Location: Sacramento, CA Duration: Long Term Client: State of CA.Activities and Tasks Performed:.Work closely with Senior PM, Project Director, and Project Team.Team Building with all internal and ... Show more
Position Title: Risk Specialist.Location: Sacramento, CA or Fresno, CA.Salary Range: $110,000$200,000.For over 30 years, our client's organization has been an industry leader providing Project Mana... Show more
Director, Qi/Rm/Pi (Quality Improvement/Risk Management/Performance Improvement).Position Title: Director, Qi/Rm/Pi (Quality Improvement/Risk Management/Performance Improvement).Reports To: Chief E... Show more
Senior Director Of Clinical Quality & Policy.The Senior Director of Clinical Quality & Policy provides enterprise clinical leadership for a transforming dental health plan, ensuring that clinical p... Show more
Risk Specialist (Rail/Transit Projects).This position is part of the Project Controls and Project Financial Office and is responsible for supporting risk management initiatives across programs.Key ... Show more
Quality Assurance Practice Director.In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected.As one of the worlds' largest insurance brokers, our foc... Show more
Managing Director, Forensics & Fraud.A nationally recognized accounting and advisory firm with a strong valuation and financial modeling practice.The Company is in search of a Managing Director for... Show more
The Claims Training Specialist is responsible for developing curricula to ensure adherence to CorVel's best practice guidelines, special customer handling requirements, improve quality of audit met... Show more
Food Safety And Quality Assistant Director.At Chick-fil-A, we are committed to serving our community with passion and love.As the Food Safety and Quality Assistant Director, you will play a crucial... Show more
Position Summary Do you thrive in a fast-paced environment? Are you looking to make an impact across a large organization? Deloitte's US Ethics Office is currently seeking a Specialist Lead to sup... Show more
Risk Manager Job Duties: Leads the identification, communication, measurement, and manag... Show more
Cordoba Corporation is a leading engineering and design firm based in California.We are seeking a Risk Specialist to join our Transportation Sector.This position sites within the Project Controls a... Show more
Global Operations Risk And Controls Consultant.At Franklin Templeton, we believe success is built through powerful partnerships.As a forward thinking asset manager, we build dynamic relationships w... Show more
Regulatory Compliance Specialist (Team Lead).This position is in the Flight Program Operations (AJF) service unit.Serves as Regulatory Compliance Specialist (Team Lead) responsible for reviewing an... Show more
CommonSpirit Health is building a healthier future for all through its integrated health services.As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health del... Show more
Senior Manager, Technology Risk & Assurance.Our Internal Audit team plays a strategic role in helping the business navigate risk while enabling growth and innovation.Working across global operation... Show more
At GHD, we don't just believe in the power of commitment, we live and breathe it every day! That's why we pledge to support and empower all our people to make a positive impact when working hand in... Show more
