• Associate Director , Risk

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …your true colors to blue. Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Associate Director of Risk ... plan for the Medicare and Merged Market segments. The Associate Director of Risk Adjustment Data and Analytics will oversee the reporting, analytics and… more
    Blue Cross Blue Shield of Massachusetts (06/27/25)
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  • Risk Adjustment Consultant

    Tufts Medicine (Burlington, MA)
    …as other technical requirements. 4. Summarizes and interprets audit findings for Director Risk Adjustment Operations/NEQCA Leadership; tracks audit results ... over time, identifies trends, and recommends corrective actions. 5. Collaborates with Director Risk Adjustment Operations/NEQCA staff and vendors to identify… more
    Tufts Medicine (07/14/25)
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  • Medicare Risk Adjustment Strategy…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and Analytics. This role will manage ... the process of developing and maintaining the risk adjustment strategic plan. This position will...and that work/life balance is a key part of associate wellbeing. For more information on how we work… more
    Blue Cross Blue Shield of Massachusetts (06/27/25)
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  • Associate Director , Environmental…

    Bristol Myers Squibb (Devens, MA)
    …approach to perform GLP environmental fate/effects studies and environmental risk assessments according to appropriate international regulatory guidelines. This role ... teams to deliver on-time and on-budget GLP studies and environmental risk assessments necessary to support successful clinical trials and drug registrations… more
    Bristol Myers Squibb (08/03/25)
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  • Associate Director , Clinical Data…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …help us transform healthcare? Bring your true colors to blue. What we need The Associate Director of Clinical Data Management will be a key leader in executing ... trustable clinical data to support key initiatives around quality, risk adjustment , medicare stars, and interoperability. This...and that work/life balance is a key part of associate wellbeing. For more information on how we work… more
    Blue Cross Blue Shield of Massachusetts (05/29/25)
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  • Associate Director , Statistical…

    Bristol Myers Squibb (Cambridge, MA)
    …at work and in their personal lives. Read more: careers.bms.com/working-with-us . ** Associate Director , Statistical Genetics** At Bristol Myers Squibb, we are ... following: + Coordinate cross-biobank analyses focused on identifying human genetic risk factors for neuropsychiatric diseases (eg GWAS meta-analysis, rare variant… more
    Bristol Myers Squibb (07/29/25)
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  • Associate Director , Manufacturing…

    Bristol Myers Squibb (Devens, MA)
    …Cell Therapy team. Bristol Myers Squibb is seeking a driven and experienced ** Associate Director , Manufacturing and Process Support Innovation Lead** to lead the ... + Support execution of improvement projects, changes, validations, and process risk evaluations. **Knowledge & Skills:** + Thorough understanding of process support,… more
    Bristol Myers Squibb (08/03/25)
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  • Director , Data & AI Architecture

    NASCO (Boston, MA)
    …deployment of AI/ML (Machine Learning) and agentic models for payer analytics, risk adjustment , fraud detection, and personalized member engagement + ... **Overview** Under general direction, the Director of Data and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance… more
    NASCO (07/24/25)
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  • RN Program Manager Lowell General…

    Tufts Medicine (Lowell, MA)
    Associate Chief Medical Officer for Quality, the Melrose Wakefield Hospital Senior Director Quality, Risk Management & Patient Safety and the Lowell General ... **Job Overview** Reporting to the Director of Network Performance at Tufts Medicine Integrated Network, you will be responsible for implementing, evaluating and… more
    Tufts Medicine (07/12/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Boston, MA)
    …analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align… more
    Humana (07/29/25)
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