Remote Risk Adjustment Lead and Strategy

Centene Corp.; Arizona; Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible remote/hybrid/work schedules

Job summary

Centene Corp. is seeking a Risk Adjustment & Quality Improvement lead to manage business processes for assigned products and plans.

You will collaborate across departments to implement requirements, develop workflows, and monitor risk adjustment strategies while supporting health plan initiatives. The role is remote with preferred AZ location and periodic travel; you will prepare dashboards for senior management and lead a team of 7 in AZ/NV, requiring strong analytical and leadership

Qualifications

• Bachelor's degree or equivalent in a related field.
• 4+ years of project management, operations, quality improvement or data analysis in healthcare.
• Managed care or Medicare experience is preferred.

Responsibilities

• Develop and implement action plans across departments for assigned products.
• Partner with departments to implement business requirements for products.
• Design and run operational workflows aligned with product needs and market dynamics.
• Evaluate and manage risk adjustment strategies across functions.
• Support health plan initiatives related to assigned products.
• Prepare dashboards for senior management and identify improvement opportunities.

Skills

Analytical skills

Multi-tasking

RA programming knowledge

Presentation & leadership

Education

Bachelor's degree

Job description

Centene Corp. is seeking a Risk Adjustment & Quality Improvement lead to manage business processes for assigned products and plans.

You will collaborate across departments to implement requirements, develop workflows, and monitor risk adjustment strategies while supporting health plan initiatives. The role is remote with preferred AZ location and periodic travel; you will prepare dashboards for senior management and lead a team of 7 in AZ/NV, requiring strong analytical and leadership