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Medicare Stars & Risk Performance Leader

Job in Columbia, Lexington County, South Carolina, 29228, USA
Listing for: PGBA,
Full Time position
Listed on 2026-10-17
Job specializations:
  • Business
    Risk Manager/Analyst
Salary/Wage Range or Industry Benchmark: 150000 - 260000 USD Yearly USD 150000.00 260000.00 YEAR
Job Description & How to Apply Below
Location: Columbia

Blue Cross Blue Shield of South Carolina is seeking a Medicare Advantage Quality and Risk Performance Officer to oversee Stars rating initiatives and risk adjustment programs. You will diagnose performance gaps, define strategy, and translate data insights into actionable plans for executive audiences.

The role requires deep Stars, RAF score optimization, and CMS regulatory knowledge, with responsibilities spanning audit readiness, coder education, and value-based arrangements.

We have an opening for a Medicare Stars & Risk Performance Leader in Columbia, SC, United States within Finance.

Step into the Medicare Stars & Risk Performance Leader role at PGBA, in Columbia, SC, United States and grow with us.

Please review the full job details above before applying.

If your experience matches this role, we encourage you to apply.

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