- CareFirst (Baltimore, MD)
- … across the organization within Medicare Advantage, Medicaid & ACA markets. The Risk Adjustment Director is responsible for strategic direction, leadership, ... **Resp & Qualifications** **PURPOSE:** The Director , Risk Adjustment oversees...who is willing and able to work in a hybrid model. The incumbent will be expected to work… more
- NASCO (Annapolis, MD)
- …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...and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance our… more
- Humana (Annapolis, MD)
- …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
- Actalent (Odenton, MD)
- …Manufacturing Engineering, Electrical Engineering specializations. Reporting to our tenured Director of Financial Operations, the Sr. Financial Operations Manager ... to leadership. + Partner with executive leadership to support risk management and risk mitigation strategies. +...and employee assistance programs Workplace Type This is a hybrid position in Odenton,MD. Application Deadline This position is… more