Risk Adjustment Business Development Manager

Elevance Health

Leader in business development for Government Business Risk Adjustment initiatives at Elevance Health. Responsible for strategy development, competitor analysis, and project management.

Posted 6/17/2026full-timeIndianapolis • Florida, Kentucky, Montana, Ohio, Texas • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Responsible for leading the development of new business plans/strategies for Government Business Risk Adjustment initiatives.
Responsibilities will include Medicaid specific risk adjustment and specialty revenue assignments; Medicare Advantage [Duals] vendor interaction; risk adjustment program enhancement; and all Revenue initiatives.
Leads the analysis of current and projected product lines to determine optimal business strategy
Oversees research, analysis and the development of recommendations on the external environment as part of the development of strategic business plans
Analyzes major competitor strategies.
Identifies and monitors changing patterns of competition and recommends response
Acquires and maintains data/information on market, industry, economic, consumer and competitive conditions and trends pertaining to health insurance/managed care and related services
Consolidates data, analyses and recommendations into concise business plans
Develops and implements project plans and oversees project resources
Leads the activities of lower level staff performing related functions

Requirements

What you’ll need

Requires a BA/BS degree and a minimum of 5 years of related experience; or any combination of education and experience, which would provide an equivalent background.
Medicaid and Medicare Experience is a must have
Healthcare Risk Adjustment experience strongly preferred
Vendor Management experience preferred
Strong communication skills with various levels of organization preferred

Benefits

Comp & perks

Health insurance
401(k) + match
Paid holidays
Paid Time Off
Incentive bonus programs
Short and long term disability benefits
Stock purchase plan
Life insurance
Wellness programs
Financial education resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

business strategy developmentrisk adjustmentdata analysisproject managementmarket research

Soft Skills

leadershipcommunicationanalytical thinkingstrategic thinking

Certifications

BA/BS degree