Risk Adjustment Lead, MLTC-MAP

Centene Corporation; New York (NY); Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible work schedules

Job summary

Centene Corporation in New York is seeking a professional to manage business processes related to risk adjustment and quality improvement for assigned products and plans. The role requires coordination across departments to meet product requirements and improve performance.

Experience in managed care, Medicaid, Medicare or marketplace settings is preferred, with strong emphasis on data analysis and dashboard creation for leadership.

Qualifications

• Bachelor's degree or equivalent in related field.
• 4+ years in project management, operations, quality improvement or data analysis/reporting in healthcare.
• Managed care or Medicare experience preferred.

Responsibilities

• Develop and implement action plans across departments to address issues with detailed workplans, logs and progress reports.
• Identify and partner with departments to implement product business requirements.
• Develop and execute workflows for each product's requirements, landscapes and markets.
• Evaluate and manage risk adjustment strategy across functional areas.
• Identify and support health plan initiatives related to assigned products.
• Prepare dashboards for senior management and identify improvement opportunities.

Skills

Project management

Operations leadership

Data analysis

Quality improvement

Education

Bachelor's degree or equivalent

Tools

Dashboards

Job description

Centene Corporation in New York is seeking a professional to manage business processes related to risk adjustment and quality improvement for assigned products and plans. The role requires coordination across departments to meet product requirements and improve performance.

Experience in managed care, Medicaid, Medicare or marketplace settings is preferred, with strong emphasis on data analysis and dashboard creation for leadership.