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Risk Adjustment Program Manager

Company: VirtualVocations
Location: Vista
Posted on: May 20, 2025

Job Description:

A company is looking for a Risk Adjustment Program Manager to lead risk adjustment-related projects from conception to implementation.
Key Responsibilities

Lead all internal and external risk-adjusted projects
Manage vendor relationships and negotiate contracts
Develop and present complex analytics to communicate ongoing financial performance

Required Qualifications

Bachelor's degree required; Master's degree preferred
3-5 years of Risk Adjustment experience; 1-2 years of leadership experience preferred
Experience leading complex projects and presenting analytics to executive levels required
Knowledge of HHS Commercial Risk Adjustment, CMS Risk Adjustment, and MassHealth risk adjustment required
Medical coding certification or equivalent experience preferred

Keywords: VirtualVocations, Lake Forest , Risk Adjustment Program Manager, Executive , Vista, California

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