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Supervisor, Strategic Risk Adjustment and Quality
Highmark HealthSupervisor managing Risk Adjustment and Quality/HEDIS processes for Highmark Health. Leading teams and implementing improvements in healthcare coding and compliance.
Posted 7/14/2026full-timeLouisiana, Maryland, North Carolina, Pennsylvania, Washington • 🇺🇸 United StatesMid-LevelSenior💰 $86,400 - $138,600 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Risk Adjustment and Quality/HEDIS processes, with a strong focus on compliance, coding guidelines, and strategic management. Proven ability to lead teams and implement improvements in healthcare operations.
Highest-signal resume keywords
Risk Adjustment CodingHEDISMedical Coding/BillingLeadership ExperienceCertified Professional Coder (CPC)
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Risk AdjustmentHCC CodingHealthcare ManagementCompliance GuidelinesStrategic PlanningTactical ImprovementsProject Management
Soft Skills
Team LeadershipCommunicationStrategic Thinking
Certifications & Qualifications
Certified Professional Coder (CPC)Certified Coding Specialist (CCS)Registered Health Information Administrator (RHIA)Clinical Research Coordinator (CRC)
Industry Keywords
HealthcareGovernment MarketsQuality ImprovementCoding Guidelines
About the role
Key responsibilities & impact- Develop plans and manage activities in support of Risk Adjustment and Quality/HEDIS
- Direct daily activities of direct reports supporting Risk Adjustment Coding and Quality/HEDIS
- Assess viability of current direction/projects/operations and recommend strategies
- Implement strategic and tactical improvements to Risk Adjustment Coding and Quality/HEDIS processes
- Manage information to ensure accurate and efficient projects
Requirements
What you’ll need- Bachelor's Degree in a Health related field or current state RN/LPN license
- 6 years of combined experience with RN/LPN, Risk Adjustment, HCC coding, medical coding/billing HEDIS and/or healthcare related management
- 3 years with government markets and working within all Compliance and Coding guidelines
- 1 year in a management or leadership role
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Registered Health Information Administrator (RHIA) or Clinical Research Coordinator (CRC)
Benefits
Comp & perks- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Remote work options