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Remote- Risk Adjustment QA & Auditing Lead

Remote / Online - Candidates ideally in
City of Utica, Oneida County, New York, USA
Listing for: Excellus BCBS
Remote/Work from Home position
Listed on 2026-10-15
Job specializations:
  • Quality Assurance - QA/QC
    Regulatory Compliance Specialist, QA Specialist - Analyst/Manager
Salary/Wage Range or Industry Benchmark: 90000 - 140000 USD Yearly USD 90000.00 140000.00 YEAR
Job Description & How to Apply Below
Position: Remote-Ready Risk Adjustment QA & Auditing Lead
Location: City of Utica

Excellus BCBS in New York seeks a Supervisor of Risk Adjustment Quality Assurance and Auditing to oversee a team of QA auditors, ensuring coding accuracy and regulatory compliance across CMS, ICD-10-CM, and internal guidelines.

The role leads training, performance management, and process improvements, partners with leadership to drive efficiency and quality in IPM, CON RADV, and HRADV audits, and supports a strong privacy and ethics framework within the organization.

The Remote-Ready Risk Adjustment QA & Auditing Lead position in the Human Resources, Management & Operations field is open for applications.

We aim to respond to suitable candidates as soon as possible.

Full responsibilities and requirements are described in the listing above.

Learn more about the Remote-Ready Risk Adjustment QA & Auditing Lead role in the description above.

We appreciate your interest in this position.

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