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Lead Risk Adjustment QA & Auditing

Job in City of Rochester, Rochester, Monroe County, New York, 14602, USA
Listing for: Excellus BCBS
Full Time position
Listed on 2026-10-26
Job specializations:
  • Quality Assurance - QA/QC
  • Healthcare
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 Rochester

Excellus BCBS seeks a Supervisor, Risk Adjustment Quality Assurance and Auditing to lead the QA Auditor team, ensuring accuracy, compliance with CMS ICD-10-CM guidelines, and timely audits. This role provides coaching, training, and performance management while driving process improvements.

You will supervise daily QA activities, ensure coding accuracy, and oversee RADV and HRADV audits, partnering with leadership to enhance efficiency and maintain member privacy.

This Full Time position is for the Lead Risk Adjustment QA & Auditing role at Excellus BCBS.

This Full Time opportunity is for the Lead Risk Adjustment QA & Auditing role at Excellus BCBS.

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

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

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