Hybrid Risk Adjustment Program Manager – Defined Term

at Central California Alliance for Health

• Job title: Risk Adjustment Program Manager – Defined Term
• Job type: Full Time
• Experience level: Senior, Lead
• Salary: $100,246 - $176,259 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Mariposa, United States

About the role

• Risk Adjustment Program Manager developing and managing risk adjustment programs in healthcare settings. Overseeing projects and collaborating with teams to enhance performance and compliance.

Responsibilities

• Develops, manages, implements, and supports Risk Adjustment programs and manages Risk Adjustment Department activities
• Manages small- to large-scale projects that advance business outcomes to achieve strategic objectives
• Acts as a risk adjustment subject matter expert and resource

Requirements

• Bachelor’s Degree in Finance, Business, Healthcare Administration, Mathematics, Statistics, or a related field
• A minimum of eight years of progressively responsible experience in healthcare finance or analytics, which included a minimum of three years of experience managing or supporting risk adjustment programs (a Master’s degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying
• Knowledge of:
• • Research, analysis, and reporting methods
• • Principles and practices of risk adjustment program management
• • Healthcare industry specific terms and healthcare related data types and structures, including member, claims, clinical, and provider types
• • Application and utilization of data and analytics to drive critical financial decisions
• • Principles and practices of project management
• Ability to:
• • Analyze and evaluate data and trends and apply the results to the development of risk adjustment strategies and tactics
• • Act as a subject matter expert and provide guidance regarding the most complex risk adjustment activities to all levels of staff across the organization
• • Manage the development and implementation of projects, systems, programs, policies, procedures, and workflows
• • Manage multiple projects simultaneously, organize work, and achieve goals and timelines
• • Provide leadership and facilitate meetings

Benefits

• Medical, Dental and Vision Plans
• Ample Paid Time Off
• 12 Paid Holidays per year
• 401(a) Retirement Plan
• 457 Deferred Compensation Plan
• Robust Health and Wellness Program
• Onsite EV Charging Stations