Risk Adjustment Coding PM at Datavant | $75K–$90K

Datavant; EE. UU.; A distancia; USD 75.000 - 90.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health, dental, vision insurance

PTO + holidays

Retirement plan

Career growth opportunities

Wellness programs

Descripción de la vacante

Datavant is seeking a Client Coding Project Manager to audit risk adjustment coding efforts and manage daily auditing operations. You will educate teams internally and externally on improvements and work with management to set benchmarks and QA programs.

The role emphasizes cross-functional collaboration, vendor coordination, and leadership in quality assurance to ensure coding accuracy and compliance across services.

Formación

• Bachelor's degree in relevant field preferred or 3–5 years of coding experience in risk adjustment (ACA/MA)
• Expert knowledge of Risk Adjustment
• 1+ years experience in project management
• Strong research and problem resolution skills
• Proficient in Microsoft and G-Suite applications; Excel skills are a must
• Exceptional interpersonal relationship skills
• Commitment to quality, customer focus, productivity, and process improvement
• Strong communication with all levels of the organization

Responsabilidades

• Monitor performance of Risk Adjustment Operations internally and with coding vendors.
• Provide expertise on coding compliance for new and existing services, ensuring regulatory compliance.
• Communicate information through presentations, reports, and 교육 programs to QA specialists and staff.
• Report findings to Leadership in a timely and actionable manner.
• Support audit processes and document workflows; identify process improvements.
• Assist in developing an effective training program for correct coding techniques.
• Train new auditors and staff as needed.
• Share information on the program, quality, and initiatives with Management monthly.
• Maintain a robust quality assurance program.
• Play a key role in ensuring coding compliance and accuracy.
• Perform other duties as assigned.

Conocimientos

Risk Adjustment coding

Auditing

Project management

Communication

Vendor management

Training & education

Quality assurance

Microsoft Excel

G-Suite

Educación

Bachelor's degree in relevant field

Herramientas

Microsoft Excel

G-Suite

Descripción del empleo

This Client Coding Project Manager role at Datavant sits at a compelling intersection of healthcare data, compliance, and project management - a niche with strong and growing demand driven by value-based care, risk adjustment programs (ACA and Medicare Advantage), and AI-driven health data initiatives.

Compensation context: The $75K-$90K range is competitive for mid-level risk adjustment coding roles in lower-to-mid cost-of-living US markets, but may be below market in high-cost metros (New York, San Francisco) where similar roles command $95K-$115K. If you hold CRC, CPC, or CCS-P certifications, you may be able to negotiate toward the top of the range.

• Risk adjustment auditing expertise (ACA and MA) - high demand in managed care and health plan sectors
• QA program design and training - transferable to compliance and operations leadership roles
• Cross-functional communication and vendor management - critical for advancement into senior PM or director roles

Green flags: Datavant is a well-funded, growth-stage health tech company with a broad client base. The role offers exposure to both internal operations and external client relationships, which builds a well-rounded career profile. Career growth opportunities are listed explicitly as a benefit.

Watch for: The 'other duties as assigned' language and broad scope suggest a generalist workload. Clarify during interviews whether there is a defined path to Senior PM or Director of Coding Compliance.

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.

By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.

What We’re Looking For:

The Client Coding Project Manager will provide superior quality by performing audits pertaining to risk adjustment coding efforts. They will be responsible for daily operations pertaining to auditing functions as assigned. The CCPM will provide superior customer experience by educating internally and externally on opportunities for improvement discovered during auditing. This individual will work closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs.

What You Will Do:

• Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors.
• Provide expertise as it relates to coding compliance for new and existing services, while ensuring compliance with organizational, federal, state, and third-party requirements.
• Assist in the methods to effectively communicate information through presentations, reports, educational programs, memoranda, etc. by providing formal and informal education to QA specialists, coding vendors and staff.
• Report findings to Leadership in a timely, consistent and effective manner ensuring that appropriate changes are implemented.
• Support audit processes ensuring work flows and results are properly documented and maintained. Identify process improvements as needed.
• Assist in the development of an effective training program regarding correct coding techniques/practices.
• Assist with training new auditors and training of other staff as needed.
• Create methods to share information on the program, quality, and initiatives with Management on a monthly cadence at minimum.
• Maintain a quality assurance program.
• Play a key role in ensuring coding compliance and accuracy.
• Perform other duties as assigned.

What You Need to Succeed:

• Bachelor's degree in relevant field of study preferred, or 3-5 years related work experience as a coder with a minimum of 5 years' coding experience in risk adjustment (both ACA and MA).
• Expert knowledge of Risk Adjustment.
• 1+ years experience in project management.
• Research and problem resolution skills.
• Proficient in Microsoft and G-Suite applications; Excel skills are a must.
• Exceptional interpersonal relationship skills.
• Consistent demonstration of commitment to quality, customer focus, productivity, and process improvement.
• Strong communication skills to effectively interact with all levels of the organization, business unit leaders, and staff in a tactful and positive manner.
• Proven success in complex and ambiguous environments.
• Ability to work independently, with high productivity, and regularly meet deadlines.
• Excellent written and verbal communication skills conforming to all rules of punctuation, grammar, diction, and professional style.
• Experience in initiating, developing, and monitoring policies, internal control procedures, and operating standards.

What We Offer:

• Comprehensive health, dental, and vision insurance
• Paid time off (PTO) plan, plus holidays
• Retirement savings plan
• Opportunities for career growth and development
• Employee wellness programs
• Additional benefits based on location and role

Physical Requirements:

• Sitting or standing for duration of work shift (or alternating between the two)

Compensation:

The estimated total cash compensation range for this role is: $75,000-$90,000 USD. Individual rates may differ based on level, responsibilities, skills, and experience.

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

This job is not eligible for employment sponsorship.

Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement . Know Your Rights - explore the resources available through the EEOC for more information regarding your legal rights and protections.

Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.

Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request; you can find instructions for locating it here .

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Is this position fully remote or is it office-based? The posting does not explicitly state remote or on-site, but includes physical requirements language (sitting/standing for work shift duration), which may indicate an on-site or hybrid arrangement. Candidates should clarify the work location policy during the application process. What is the salary range for this role? The estimated total cash compensation for this role is $75,000-$90,000 USD annually. Individual pay may vary based on level, experience, skills, and responsibilities. What coding certifications or experience are required? The role requires a minimum of 5 years of coding experience specifically in risk adjustment (both ACA and Medicare Advantage). A bachelor's degree in a relevant field is preferred, or equivalent work experience of 3-5 years. Is employment sponsorship available for this position? No - the posting explicitly states that this job is not eligible for employment sponsorship. Are there vaccination requirements for this role? Many of Datavant's clients require post-offer health screenings and proof of vaccinations (e.g., flu shot, Tdap, COVID-19). Exemption requests are reviewed case-by-case by Datavant HR, with availability depending on state and individual circumstances.

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