Risk Adjustment Program Manager – Defined Term
Central California Alliance for Health
full-time
Posted on:
Location Type: Hybrid
Location: Mariposa • California • 🇺🇸 United States
Visit company websiteSalary
💰 $100,246 - $176,259 per year
Job Level
SeniorLead
About the role
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
risk adjustment program managementdata analysisreporting methodsproject managementfinancial decision makinghealthcare analyticsdata utilizationstatistical analysisprogram implementationworkflow development
Soft skills
leadershiporganizational skillscommunicationanalytical thinkingproblem solvingproject coordinationguidance provisionstrategic planningteam collaborationtime management