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Senior Risk Adjustment QA & Auditing Leader

Job in City of Albany, Albany, Albany County, New York, 12201, USA
Listing for: Excellus BCBS
Full Time position
Listed on 2026-10-16
Job specializations:
  • Quality Assurance - QA/QC
    Regulatory Compliance Specialist
  • Management
    Regulatory Compliance Specialist
Salary/Wage Range or Industry Benchmark: 72000 - 129000 USD Yearly USD 72000.00 129000.00 YEAR
Job Description & How to Apply Below
Location: City of Albany

Excellus BCBS seeks a Supervisor for Risk Adjustment Quality Assurance and Auditing to oversee a team of auditors. You will ensure accuracy, compliance, and quality of risk adjustment coding and documentation audits in line with CMS and state requirements.

You will lead training, conduct evaluations, and drive process improvements. Collaboration with leadership will prioritize IPM, RADV, and HRADV audits and ensure timely delivery.

We invite applications for the Senior Risk Adjustment QA & Auditing Leader position located in City of Albany, NY, United States.

We are seeking a motivated Senior Risk Adjustment QA & Auditing Leader to join Excellus BCBS in City of Albany, NY, United States.

Consider building your career as a Senior Risk Adjustment QA & Auditing Leader at Excellus BCBS.

The Senior Risk Adjustment QA & Auditing Leader position in the Finance, Management & Operations field is open for applications.

Position Requirements
10+ Years work experience
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