Manager, Risk Adjustment, MLTC-MAP

This is a fully remote position, open to applicants in New York.

📋 Description

• Oversee business processes linked to risk adjustment and quality enhancement for designated products and plans.

• Formulate and execute action plans across various departments to resolve business-unit challenges.

• Generate comprehensive work plans, issue logs, and progress updates.

• Collaborate with departments to implement business requirements for assigned products.

• Design and carry out operational workflows tailored to product business requirements, competitive environments, and local market conditions.

• Assess and manage the risk adjustment strategy across functional domains affecting assigned products.

• Identify and assist health plan initiatives concerning assigned products.

• Create dashboards for senior leadership and pinpoint areas for improvement.

⛳️ Requirements

• Must possess authorization to work in the U.S. without requiring employment-based visa sponsorship now or in the future.

• Preferred experience in managed care, Medicaid, Medicare, Marketplace, or long-term care settings.

• Strong preference for candidates with New York MLTC experience.

• Bachelor’s degree in a related field or equivalent professional experience.

• A minimum of 4 years of experience in project management, operations, quality improvement, or data analysis/reporting within the healthcare sector.

• Prior experience in managed care or Medicare is preferred.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement programs.

• Paid time off in addition to holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.

• Additional forms of incentives may be included in total compensation.