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Risk Adjustment Supervisor (Hybrid)

CareFirst

Baltimore, MD, United States Full-time June 06, 2026
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Opportunity Description

**Resp & Qualifications**

**PURPOSE:**
The Risk Adjustment Supervisor supports the execution of the corporate risk adjustment strategy across Medicare Advantage, Medicaid, and ACA markets. This role ensures operational compliance by supervising day-to-day activities, monitoring performance metrics, and facilitating cross-functional collaboration to drive cost-effective risk adjustment actions and optimize health plan performance to achieve equitable resource allocation based on population health risk profiles. This role is also responsible for overseeing the accurate collection, submission, and validation of risk adjustment data, ensuring compliance with regulatory standards and optimizing organizational performance under various risk adjustment programs.

We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their wee...
Full-time other-general

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