Remote Risk Adjustment Manager: Analytics & Quality

Arizona Complete Health; Arizona; Remote; USD 88,000 - 158,000; Full time

Job summary

Centene is seeking a senior professional to manage risk adjustment and quality improvement processes across assigned products and plans in a remote role with a preference for Arizona. The role involves coordinating cross-functional teams, developing workflows, and delivering dashboards for senior leadership.

Applicants should have a Bachelor’s degree and 4+ years in project management, operations, quality improvement, or data analysis within healthcare.

Qualifications

• 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.

Responsibilities

• 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

Skills

Leadership

Analytics

Risk adjustment

Quality improvement

Project management

Education

Bachelor’s degree or equivalent

Job description

Centene is seeking a senior professional to manage risk adjustment and quality improvement processes across assigned products and plans in a remote role with a preference for Arizona. The role involves coordinating cross-functional teams, developing workflows, and delivering dashboards for senior leadership.

Applicants should have a Bachelor’s degree and 4+ years in project management, operations, quality improvement, or data analysis within healthcare.