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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing risk adjustment programs, ensuring compliance with regulations, and providing analytical insights to leadership. Proficient in financial analysis and operational strategy development within the healthcare sector.
Highest-signal resume keywords
Risk Adjustment Program ManagementFinancial AnalysisGovernment Programs ComplianceHealth Insurance KnowledgeSupervisory Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
AccountingFinanceHealth AdministrationStatistical PrinciplesRisk Adjustment Models
Soft Skills
Attention to DetailEffective CommunicationDecision-MakingRelationship BuildingSelf-Starter
Tools & Technologies
Personal ComputersComputerized Programs
Industry Keywords
Risk Adjustment RegulationsManaged CarePublic HealthHealth Related FieldCompliance Standards
About the role
Key responsibilities & impact- Manage and coordinate the risk adjustment programs for Cox HealthPlans (CHP).
- Work with other staff and leaders within CHP to ensure risk-adjusted revenue matches members actual health status.
- Understand financial side of risk adjustment models to analyze the program and provide meaningful analytics to leadership and others.
- Develop, design, and execute risk adjustment operational strategies and processes.
- Ensure compliance with all policies and risk adjustment regulations.
Requirements
What you’ll need- Required: Bachelor’s degree in Accounting / Finance / Business
- Required: at least 5 years of experience in accounting/finance, public health, health administration, health insurance or health related field.
- Preferred: Experience with risk adjustment program, government programs compliance, managed care.
- Attention to detail and self-starter
- Previous supervisory experience preferred.
- Knowledge of governmental & other regulatory standards, requirements, & guidelines related to risk adjustment and compliance.
- Knowledge of personal computers and software.
- Knowledge of computerized programs.
- Knowledge of principles of statistics, preferred.
- Ability to maintain accurate records.
- Ability to communicate effectively, both orally and in writing.
- Ability to establish and maintain effective and cooperative working relationships with staff and network providers.
- Ability to assume responsibility and exercise good judgment in making decisions within the scope of authority of the position.
- Ability to think and work effectively under pressure and accurately complete tasks within established times. Ability to prioritize tasks and meet deadlines.
- Ability to maintain confidentiality.
Benefits
Comp & perks- Medical
- Vision
- Dental
- Retirement with Employer Match and more (20+ hrs/week)