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Medicare Advantage Stars Quality & Risk Lead

Job in Columbia, Lexington County, South Carolina, 29228, USA
Listing for: Southcarolinablues
Full Time position
Listed on 2026-10-07
Job specializations:
  • Healthcare
    Healthcare Management, Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 140000 - 180000 USD Yearly USD 140000.00 180000.00 YEAR
Job Description & How to Apply Below
Location: Columbia

Blue Cross Blue Shield of South Carolina is seeking an AVP of Quality and Risk Performance to lead Stars rating improvement, risk adjustment, and value-based programs for Medicare Advantage. Based onsite in Columbia, SC, you will diagnose performance gaps, craft strategic plans, and translate data insights into actionable initiatives.

Strong leadership and CMS regulatory knowledge are required. You will oversee risk adjustment initiatives, RADV readiness, and coding capture optimization while

As a Medicare Advantage Stars Quality & Risk Lead, you will play an important part at Southcarolinablues in Columbia, SC, United States.

We are seeking a motivated Medicare Advantage Stars Quality & Risk Lead to join Southcarolinablues in Columbia, SC, United States.

Consider building your career as a Medicare Advantage Stars Quality & Risk Lead at Southcarolinablues.

The Medicare Advantage Stars Quality & Risk Lead position in the Finance field is open for applications.

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