Risk Adjustment Manager

Job Summary

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