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PGBA,

Medicare Stars & Risk Performance Leader

columbia, SC

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About this opportunity

PGBA, lists this Medicare Stars & Risk Performance Leader opportunity in columbia, South Carolina. Review the employer’s description below for duties, qualifications and application requirements.

Job description

BlueCross BlueShield 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.

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Worksite address

columbia, SC, 29228, US

Who can apply

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