• Risk Adjustment Manager

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Operations Manager plays a critical role in the development and execution of the corporate risk ... the end to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products.… more
    CareFirst (09/12/25)
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  • Program Manager - Provider…

    Molina Healthcare (St. Petersburg, FL)
    …engagement or payer-provider program management. + Familiarity with clinical, quality, or risk adjustment program workflows. + Proficiency with Power BI ... **JOB DESCRIPTION** **Job Summary** The ** Program Manager - Provider Engagement** plays...plays a key role in driving risk adjustment and quality performance outcomes through effective program more
    Molina Healthcare (08/31/25)
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  • Enterprise Risk Adjustment Analyst…

    LA Care Health Plan (Los Angeles, CA)
    Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, ... to support the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides a key leadership role in the Risk more
    LA Care Health Plan (07/11/25)
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  • Risk Adjustment Actuarial Analyst II…

    Elevance Health (FL)
    ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II - Advanced...Performs data mining and data-driven analyses to evaluate historical program performance and to inform current operating decisions. +… more
    Elevance Health (09/30/25)
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  • Program Manager - Population Health…

    Henry Ford Health System (Troy, MI)
    …to the Director, Risk Adjustment and Value-Based Payment, the Program Manager is responsible for complex program management, strategic planning, ... The Program Manager - Population Health & Value-Based Payment has an important role in a high-profile group tasked with implementing system-wide improvements… more
    Henry Ford Health System (09/23/25)
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  • Manager , Quality and Risk

    OhioHealth (Columbus, OH)
    …achieve more - in our careers and in our communities. **Job Description Summary:** The Manager , Quality & Risk Adjustment is responsible for the strategic ... coordination of quality and risk adjustment programs supporting OhioHealth's Population Health...limited to Clinically Integrated Network (CIN), Medicare Shared Savings Program , etc. This position will: * Support a high… more
    OhioHealth (09/27/25)
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  • Sr Program Manager , Buyer…

    Amazon (Seattle, WA)
    risk and maximize trust in Amazon.com. Key job responsibilities As a Sr. Program Manager in BRP, you will be responsible for creating and managing roadmaps ... like to innovate and simplify? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest...seasoned individual who has excellent experience as a Sr. Program Manager and comes from a similar… more
    Amazon (09/15/25)
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  • Risk & Quality Performance Manager

    Molina Healthcare (Kearney, NE)
    …& ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position will...activity, risk adjustment targeting and reporting systems * 2+… more
    Molina Healthcare (09/19/25)
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  • Sr. Program Manager , Fraud…

    Amazon (Seattle, WA)
    …to deliver for our customers. Be part of a team where your actions as a Program Manager could enhance systems and processes that minimize risk and maximize ... the company to determine how we can minimize the risk associated with new initiatives. We are seeking a...associated with new initiatives. We are seeking a Sr. Program Manager who can provide leadership to… more
    Amazon (09/15/25)
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  • Program Manager , Buyer Risk

    Amazon (Seattle, WA)
    …and systems would you build to maximize customer satisfaction? Amazon is seeking a Program Manager who is passionate, has strong bias for action, and has ... thought about what it takes to detect and mitigate risk among hundreds of millions of customer transactions and...experience leading multi-organizational projects. We are seeking a Program Manager who can drive process improvement… more
    Amazon (07/09/25)
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