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Risk Adjustment Compliance Leader – Strategy & Governance

Job in Hartford, Hartford County, Connecticut, 06112, USA
Listing for: Blue Shield of CA
Full Time position
Listed on 2026-02-01
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
  • Management
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 100000 - 125000 USD Yearly USD 100000.00 125000.00 YEAR
Job Description & How to Apply Below
A leading healthcare organization in Hartford, CT is seeking a Director of Risk Adjustment Compliance to oversee compliance with regulations across Marketplace, Medicaid, and Medicare lines of business. The successful candidate will lead compliance efforts, requiring a bachelor's degree, 10+ years of related experience, and management experience. Ideal candidates will have knowledge in risk adjustment coding, CMS regulations, and relevant certifications.

This role is crucial for maintaining effective compliance strategies within the organization.
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