Strategic Risk Adjustment & Quality Lead
Job in
Trenton, Mercer County, New Jersey, 08628, USA
Listed on 2026-07-27
Listing for:
Highmark Health
Full Time
position Listed on 2026-07-27
Job specializations:
-
Quality Assurance - QA/QC
Job Description & How to Apply Below
Highmark Inc. is seeking an experienced leader to develop and manage Risk Adjustment and Quality/HEDIS initiatives.
You will direct daily activities of staff supporting coding and QA, drive process improvements, and coordinate audits to ensure compliant, high‑quality documentation and reporting across all product lines. The role requires a bachelor’s degree in a health field (RN/LPN license or equivalent allowed) and extensive experience in risk adjustment, HEDIS, and healthcare management.
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