Remote Risk Adjustment Manager & Insights Lead

Centene Corp.; California; Remote; USD 88,000 - 158,000; Full time

Job summary

Centene Corp. seeks a Manager, Risk Adjustment to oversee risk adjustment and quality improvement across assigned Centene products. This remote role prefers an AZ location with occasional travel for essential collaboration with teams in AZ and NV.

You will develop action plans, manage issue logs, and lead a team while partnering with departments to implement business requirements and compliance. A Bachelor's degree and 4+ years healthcare PM/QA experience are required.

Qualifications

• Bachelor's degree or equivalent in a related field.
• 4+ years of project management, operations, quality improvement or data analysis/reporting in healthcare.

Responsibilities

• Manage risk adjustment and quality improvement business processes for assigned products/plans across Centene.
• Develop and implement action plans with cross-department teams, including detailed workplans and progress reports.
• Develop operational workflows, evaluate risk adjustment strategies, and prepare dashboards for senior management.

Skills

Analytical skills

Multi-tasking

Leadership/presenter

PM/QA/data analysis

Education

Bachelor's degree or equivalent

4+ years healthcare PM/QA experience

Job description

Centene Corp. seeks a Manager, Risk Adjustment to oversee risk adjustment and quality improvement across assigned Centene products. This remote role prefers an AZ location with occasional travel for essential collaboration with teams in AZ and NV.

You will develop action plans, manage issue logs, and lead a team while partnering with departments to implement business requirements and compliance. A Bachelor's degree and 4+ years healthcare PM/QA experience are required.