Risk Adjustment Program Manager – Defined Term
Central California Alliance for Health
full-time
Posted on:
Location Type: Hybrid
Location: Mariposa • California • United States
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Salary
💰 $100,246 - $176,259 per year
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 & Tools
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