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Risk Adjustment Compliance Leader – Strategy & Governance

Job in Virginia Beach, Virginia, 23450, USA
Listing for: Blue Shield of CA
Full Time position
Listed on 2026-01-02
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
  • Management
    Healthcare Management
Job Description & How to Apply Below
A healthcare insurance provider is seeking a Director for Risk Adjustment Compliance in Virginia Beach. This leadership role involves ensuring compliance with federal and state regulations across Marketplace, Medicaid, and Medicare. The ideal candidate will have extensive experience in compliance, risk adjustment coding, and managing a team. Candidates should possess a relevant bachelor's degree, with a master's or equivalent preferred, along with necessary coding certifications.

This position offers a strategic opportunity for impactful leadership within a major health plan.
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