Risk Adjustment Manager
virtual vocationsDenver (CO)
Risk Adjustment Manager
Posted today
virtual vocationsDenver (CO)
Financial Risk SpecialistsPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
SENIORITY
Manager
About the role
Managing business processes related to risk adjustment and quality improvement, the full-time Risk Adjustment Manager will develop action plans, implement operational workflows, and evaluate risk adjustment strategies while working remotely with occasional travel, preferably from Arizona.
Key responsibilities:
Develop and implement action plans to address issues identified by business units for assigned products and plans
Evaluate and manage the risk adjustment strategy across all functional areas impacting assigned products
Prepare dashboards for senior management and identify improvement opportunities
Required qualifications:
Bachelor's degree in a related field or equivalent experience
4+ years of project management, operations, quality improvement, or data analysis/reporting experience in the healthcare industry
One of the following certifications at the time of hire: CPC, CPC-H, CPC-P, CRC, CCS, CCS-P, RHIT, RHIA, or CPMA
Experience leading a team of direct reports
Strong understanding of coding and risk adjustment programming
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
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Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.