Manager, Risk Adjustment
Centene Corporation•Remote-PA, PA
•$87,700 - $157,800•Hybrid
About The Position
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
Requirements
- Bachelor’s degree in related field or equivalent experience.
- 4+ years of project management, operations, quality improvement or data analysis/reporting experience in the healthcare industry.
- Clinical or Social work experience preferred.
- Previous managed care or Medicare experience preferred.
- MLTSS experience is plus.
Responsibilities
- Develop and implement action plans, across all departments affecting assigned products and plans, to address issues identified by the business units, including detailed workplans, issue logs, and progress reports
- Identify and partner with various departments to implement assigned products business requirements
- Develop and execute operational workflows specific to each product business requirements, competitive landscapes, and local market dynamics
- Evaluate and manage the risk adjustment strategy across all functional areas that impact assigned products
- Identify and support health plan initiatives related to assigned products
- Prepare dashboards for senior management and identify improvement opportunities
Benefits
- competitive pay
- health insurance
- 401K
- stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- a flexible approach to work with remote, hybrid, field or office work schedules
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Manager
