Risk Adjustment Operations Manager

Job Summary

A company is looking for a Risk Adjustment, Operations Manager who is process-oriented and thrives in fast-paced environments.

Key Responsibilities

• Manage a multi-step medical document evaluation process with tight turnaround times
• Oversee and coordinate production work with offshore teams, ensuring quality standards
• Identify and implement process improvements to enhance scalability and quality

Required Qualifications

• 4+ years of experience managing processes with tight turnaround times
• Ability to pull and analyze data using SQL to identify trends and insights
• Experience with AI and emerging tools
• Experience in healthcare operations or quality assurance is desired