Remote Risk Adjustment Leader | Healthcare Analytics

Centene Management Company LLC; Arizona; Híbrido; USD 88.000 - 158.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible work arrangements (remote/hyb

Flexible work arrangements (remote/hyb

Descripción de la vacante

Centene Management Company LLC is seeking a senior professional to lead risk adjustment and quality improvement initiatives across assigned products and plans in a primarily remote role with a preference for Arizona. This position requires strong analytical abilities and leadership to drive cross-department collaboration.

You will develop action plans, monitor progress with detailed logs and reports, and partner with departments to implement product requirements while guiding RA programming and

Formación

• 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.
• Previous managed care or Medicare experience preferred.

Responsabilidades

• Manage risk adjustment and quality improvement processes across assigned products and plans.
• Develop and implement action plans, issue logs, and progress reports across departments.
• Identify and partner with departments to implement product business requirements.
• Develop and execute operational workflows tailored to product requirements and market dynamics.
• Evaluate and manage risk adjustment strategy across functional areas.
• Identify and support health plan initiatives for assigned products.
• Prepare dashboards for senior management and identify improvement opportunities.

Conocimientos

Analytical skills

Leadership

Presentation skills

Multi-tasking

Adaptability

Communication

Educación

Bachelor’s degree

Descripción del empleo

Centene Management Company LLC is seeking a senior professional to lead risk adjustment and quality improvement initiatives across assigned products and plans in a primarily remote role with a preference for Arizona. This position requires strong analytical abilities and leadership to drive cross-department collaboration.

You will develop action plans, monitor progress with detailed logs and reports, and partner with departments to implement product requirements while guiding RA programming and