• Strategy Consultant - Risk…

    Highmark Health (Harrisburg, PA)
    …with a range of strategic initiatives, specifically focusing on the evolution of Risk Adjustment Accuracy Management (RAAM) and Highmark's clinical data ... to stakeholders and own the outcome. + Manage major strategy projects with the help of internal or external...of Health Insurance and/or Provider operations, especially related to Risk Adjustment . + Experience in operational improvement… more
    Highmark Health (01/09/26)
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  • SVP Government Business Segment President

    Highmark Health (Pittsburgh, PA)
    …**Quality & Risk Management** : Strategically develop STARS/Quality and Risk Adjustment initiatives across the Government Business segment, driving ... health outcomes, optimizing Stars ratings, and ensuring the accuracy and completeness of risk adjustment data to maximize revenue and resource allocation. +… more
    Highmark Health (01/07/26)
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  • Healthcare Clinical Documentation Specialist

    Deloitte (Philadelphia, PA)
    …reimbursement, MS-DRG, APR-DRG, PSIs, HACs, POA, Vizient, Elixhauser, public profiling, and risk adjustment + Has strong interpersonal skills to collaborate with ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted … more
    Deloitte (11/21/25)
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