Manager, Risk Adjustment

Position Purpose: Manage the business processes related to risk adjustment and quality improvement across Centene’s for assigned products and plans. Key Details: Ideal candidate to live in the state of PA. 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 Education/Experience: 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…