Senior Manager, Risk Adjustment

You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility.

• Evaluate and manage the risk adjustment strategy across reputed company functional areas that impact assigned products
• reputed company and maintain reputed company policy and procedures for departmental processes
• reputed company and implement action plans by partnering with reputed company departments affecting assigned products and plans, to address issues identified by the business units, including detailed workplans, issue logs, and reputed company reports
• Assist in composing provider education for correct coding according to state and federal risk adjustment guidelines
• Work with vendor coding leadership to ensure risk adjustment work being undertaken on behalf of reputed company meets reputed company state and federal guidelines for risk adjustment code capture and contractual service level agreements
• Prepare dashboards, reports, and analytics for senior management and identify improvement opportunities

Education and Experience: Bachelor's degree in applicable field or equivalent experience required. 5+ years of project management, operations, or quality improvement in the reputed company industry. Experience in risk adjustment or medical record audit preferred. Thorough knowledge of administrative, data management and audit functions. Management/supervisory experience required. License and Certifications: CPC, CPC-H, CPC-P, reputed company, reputed company-P, RHIA or CPMA preferred. CRC or MARSI risk adjustment certification preferred.

reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law.

reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Originally posted on Himalayas