Hybrid Risk Management Lead - Data & Compliance

Cambia Health; Salt Lake City (UT); Ibrido; USD 111.000 - 171.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health benefits

Retirement plan

Paid time off

Parental leave

Wellness programs

Employee assistance

Parking

Descrizione del lavoro

Cambia Health in Salt Lake City is seeking a Manager, Risk Management Business Team to lead the risk adjustment data submission, auditing, and translation workflows. You will collaborate with IT, compliance, revenue management, claims, enrollment, and product teams to ensure accurate data delivery.

The role requires a Bachelor's degree and a decade of experience in data analysis or process modeling, strong leadership, and the ability to mentor staff.

Competenze

• Bachelor's degree in Business, Data Analysis or related field and 10 years' data analysis or process modeling experience.
• Strong analytical, problem solving, and communication skills.
• Knowledge of risk adjustment systems and CMS processes.

Mansioni

• Oversee risk adjustment data submission and validation processes.
• Lead cross-functional teams across IT, compliance, enrollment, and product teams.
• Develop and monitor audit processes for data accuracy.
• Create training materials and staff development plans.
• Prepare executive reports and maintain submission benchmarks.

Conoscenze

Strong analytical skills

Communication

Project management

Data analysis

AI tools knowledge

Formazione

Bachelor's degree in Business, Data Analysis or related field

Descrizione del lavoro

Cambia Health in Salt Lake City is seeking a Manager, Risk Management Business Team to lead the risk adjustment data submission, auditing, and translation workflows. You will collaborate with IT, compliance, revenue management, claims, enrollment, and product teams to ensure accurate data delivery.

The role requires a Bachelor's degree and a decade of experience in data analysis or process modeling, strong leadership, and the ability to mentor staff.