Remote Risk Adjustment Manager - Lead Quality & Coding

Centene Corporation; Phoenix (AZ); Remote; USD 88,000 - 158,000; Full time

Benefits offered by this job

Remote work

Flexible work schedules

401K and stock purchase plans

Tuition reimbursement

Job summary

Centene Corporation is seeking an experienced risk adjustment and quality improvement leader to oversee business processes for assigned products and plans. This remote role offers preference for in-state AZ applicants with occasional travel and the opportunity to drive performance across care programs.

The ideal candidate has strong certifications, at least 4 years in healthcare analytics or project management, and a proven track record leading a team of seven direct reports in AZ/NV.

Qualifications

• Requires bachelor’s degree or equivalent experience in a related field.
• Certification in CPC/CPC-H/CPMA or similar preferred; CRC required within first year.
• 4+ years of project management/operations/quality improvement or data analysis experience in healthcare.
• Experience in managed care or Medicare preferred.

Responsibilities

• Manage business processes related to risk adjustment and quality improvement for assigned products and plans.
• Lead a team of 7 direct reports in AZ and NV.
• Collaborate with cross-functional teams to optimize coding and RA programs.

Skills

Risk adjustment

Quality improvement

Team leadership

Healthcare analytics

Coding knowledge

Presentation

Multi-tasking

Education

Bachelor’s degree or equivalent experience

Tools

RA programming

Job description

Centene Corporation is seeking an experienced risk adjustment and quality improvement leader to oversee business processes for assigned products and plans. This remote role offers preference for in-state AZ applicants with occasional travel and the opportunity to drive performance across care programs.

The ideal candidate has strong certifications, at least 4 years in healthcare analytics or project management, and a proven track record leading a team of seven direct reports in AZ/NV.