• 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 (08/26/25)
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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 (08/28/25)
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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 , Process…

    Bristol Myers Squibb (Devens, MA)
    …no better place than here at BMS with our Cell Therapy team. The ** Associate Director ,** **Process Implementation Lead l** eads the transition of hybrid ... and business process improvement. + Support CAPEX/resource and budget planning, risk analysis, and mitigation strategies. + Ensure compliance with cGMPs, internal… more
    Bristol Myers Squibb (08/28/25)
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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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  • 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 (08/23/25)
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