More jobs:
Strategic Risk Adjustment & Quality Lead; HEDIS
Job in
Dover, Kent County, Delaware, 19904, USA
Listed on 2026-07-18
Listing for:
Highmark Health
Full Time
position Listed on 2026-07-18
Job specializations:
-
Healthcare
Healthcare Compliance, Healthcare Management
Job Description & How to Apply Below
Highmark Inc. is seeking a strategic leader to manage Risk Adjustment coding and Quality/HEDIS programs. You will oversee daily activities, drive improvements, and coordinate with compliance, audits, and education initiatives to enhance medical record documentation and coding accuracy.
Ideal candidates have a health-related bachelor’s degree or RN/LPN licensure, plus 6+ years of combined experience in risk adjustment or HEDIS settings. Strong communication and data analysis skills are essential.
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