Product Manager, Risk Adjustment Solutions
Vatica Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $80,000 - $100,000 per year
About the role
- Own development and management of core Risk Adjustment capabilities including:
- - HCC model updates and configuration
- - Risk score computation across supported models
- - Suspect generation and accuracy management
- - Encounter data reconciliation
- - Risk adjustment reporting and analytics
- Ensure platform support for:
- - Medicare Advantage (CMS-HCC)
- - ACA Marketplace (HHS-HCC)
- - Medicaid risk adjustment models
- Track CMS announcements and regulatory updates
- Ensure timely platform updates aligned with HCC model changes
- Monitor LOB-specific submission timelines and program requirements
- Identify and define new feature enhancements
- Design product workflows and requirements
- Maintain and prioritize product backlog
- Work with engineering teams and TPMs to track development progress
- Validate completed features prior to release
- Work closely with Customer Success teams to understand client workflows and challenges
- Translate client feedback into product improvements and roadmap priorities
- Work in close collaboration with the Head of Platform to align Risk Adjustment capabilities with overall platform strategy
Requirements
- 5+ years Product Management experience
- 5+ years experience with Risk Adjustment or Population Health technology
- Strong understanding of Medicare Advantage, ACA, or Medicaid risk programs
- Familiarity with HCC models and coding workflows
- Experience collaborating with engineering teams on healthcare platforms
Benefits
- Competitive salary based on your experience and skills – we believe the top talent deserves the top dollar
- Bonus Potential (based on role and is discretionary) – if you go above and beyond, you should be rewarded
- 401k plans– we want to empower you to prepare for your future
- Room for growth and advancement- we love our employees and want to develop within
- Comprehensive Medical, Dental, and Vision insurance plans
- Tax-free Dependent Care Account
- Life insurance, short-term, and long-term disability
- Excellent PTO policy (everyone deserves a vacation now and then)
- Great work-life balance environment- We believe family comes first!
- Strong supportive teams- There is always a helping hand when you need it
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
HCC model updatesRisk score computationEncounter data reconciliationRisk adjustment reportingAnalyticsProduct workflows designProduct backlog managementFeature enhancementsHealthcare platform collaborationPopulation health technology
Soft Skills
Product managementCollaborationClient feedback translationPrioritizationCommunicationProblem-solvingLeadershipOrganizational skillsAnalytical thinkingAdaptability