• Associate Director , Risk

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …transform healthcare? Bring your true colors to blue. Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Associate ... Director of Risk Adjustment Data and Analytics is responsible for developing and executing the analytic plan for the Medicare and Merged Market segments. The… more
    Blue Cross Blue Shield of Massachusetts (06/27/25)
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  • Director , Prospective + Concurrent…

    Datavant (Boston, MA)
    …for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution ... on identifying and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review).… more
    Datavant (08/08/25)
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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 track and monitor the key performance indicators of multi-year… more
    Blue Cross Blue Shield of Massachusetts (06/27/25)
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  • Director of Client Success, Payer…

    Datavant (Boston, MA)
    …strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a ... professional, educational and life experiences to realize our bold vision for healthcare. The Director of Client Success will report to the VP of Client Success and… more
    Datavant (07/18/25)
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  • Database Developer (Healthcare / Risk

    Commonwealth Care Alliance (Boston, MA)
    Director of Encounter Data Management within the Revenue Cycle Department, the Risk Adjustment Data Developer is responsible for the design, development, and ... of data systems and tools that support Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition Category (HCC) revenue programs. This… more
    Commonwealth Care Alliance (06/25/25)
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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 (08/09/25)
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  • Associate Director Clinical Operations

    Actalent (Boston, MA)
    Job Title: Associate Director , Clinical OperationsJob Description The Associate Director , Clinical Operations will align with the Head of Clinical Development ... Operations or Senior Director , Clinical Operations to successfully implement studies and manage...aligns with the agreed project plan. + Complete study risk assessments and ensure mitigation and contingency measures are… more
    Actalent (08/10/25)
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  • Associate Director , Clinical Data…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …delivery of high-quality, trustable clinical data to support key initiatives around quality, risk adjustment , medicare stars, and interoperability. This is a key ... true colors to blue. What we need The Associate Director of Clinical Data Management will be a key...with cross-functional teams, including clinical operations, performance measurement, and risk adjustment , to execute on data procurement… more
    Blue Cross Blue Shield of Massachusetts (05/29/25)
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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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