Compliance Risk Adjustment Manager

Job Summary

Managing a team responsible for external audits, the full-time Compliance Risk Adjustment Manager will ensure compliance and reporting accuracy while working remotely from anywhere in the Continental United States.

Key responsibilities

• Serve as the point of contact for external audits and manage deliverables submission to state and federal regulatory agencies
• Conduct quality reviews of audit deliverables for completeness and accuracy before submission
• Prepare and present reports on risk adjustment audit performance and collaborate with internal partners on identified risks

Required qualifications

• Bachelor's Degree in Audit, Compliance, Legal, or related field, or equivalent experience
• 5+ years of experience in audit, risk adjustment, and/or compliance
• Demonstrated understanding of the risk adjustment regulatory landscape
• Active Coding Credential from AHIMA or AAPC preferred
• Medicare experience preferred