Risk Adjustment Manager - CoxHealth Plans

L.E. Cox Medical Centers; United States; Presencial; USD 95.000 - 130.000; Tempo integral

Benefícios oferecidos por esta vaga

Medical benefits

Vision benefits

Dental benefits

Retirement with employer match

Resumo da vaga

CoxHealth is seeking a manager to oversee risk adjustment programs for Cox HealthPlans (CHP). The role ensures risk-adjusted revenue matches members health status, and requires deep financial knowledge to design and execute operational strategies while ensuring regulatory compliance.

The ideal candidate has 5+ years in accounting/finance within health-related fields and experience with risk adjustment. This position is based in Missouri, with standard business hours.

Qualificações

• Bachelor’s degree or 8 years of relevant experience required.
• Minimum 5 years of experience in accounting/finance or related healthcare field.
• Experience with risk adjustment programs and government program compliance preferred.

Responsabilidades

• Manage and coordinate risk adjustment programs for CHP.
• Collaborate with staff and leaders to align risk-adjusted revenue with health status.
• Analyze financial aspects of risk adjustment models and provide analytics to leadership.
• Develop and execute risk adjustment operational strategies and processes.
• Ensure compliance with policies and risk adjustment regulations.

Conhecimentos

Attention to detail

Supervisory experience

Regulatory knowledge

Communication skills

Analytical capabilities

Formação

Bachelor’s degree in Accounting, Finance, Business, or related field

8 years of relevant experience

Ferramentas

General software proficiency

Descrição da vaga

Facility: CoxHealth Plans: 3200 S National Ave, Springfield, Missouri, United States of America, 65807 Department: 1749 CHP Accounting Scheduled Weekly Hours: 40 Hours: 8:00-4:30 Work Shift: Day Shift (United States of America) CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence: Named one of Modern Healthcare’s Best Places to work five times. Named one of America’s Greatest Workplaces, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group. Acknowledged by Forbes as one of the Best Employers for New Grads. Healthcare Innovation's Top Companies to Work for in Healthcare (2025). Benefits Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week).

Job Description

This professional position is assigned the responsibility and accountability to manage and coordinate the risk adjustment programs for Cox HealthPlans (CHP). This manager will work with other staff and leaders within CHP to ensure risk-adjusted revenue matches members actual health status. Comprehensively understands financial side of risk adjustment models to analyze the program and provide meaningful analytics to leadership and others. From the financial knowledge obtained develops, designs and executes risk adjustment operational strategies and processes. Ensures compliance with all policies and risk adjustment regulations.

Education

• Required: Bachelor’s degree in Accounting, Finance, Business, or related field OR 8 years of relevant experience

Experience

• Required: at least 5 years of experience in accounting/finance, public health, health administration, health insurance or health related field.
• Preferred: Experience with risk adjustment program, government programs compliance, managed care.

Skills

• Attention to detail and self-starter
• Previous supervisory experience preferred.
• Knowledge of governmental & other regulatory standards, requirements, & guidelines related to risk adjustment and compliance.
• Knowledge of personal computers and software.
• Knowledge of computerized programs.
• Knowledge of principles of statistics, preferred.
• Ability to maintain accurate records.
• Ability to communicate effectively, both orally and in writing.
• Ability to establish and maintain effective and cooperative working relationships with staff and network providers.
• Ability to assume responsibility and exercise good judgment in making decisions within the scope of authority of the position.
• Ability to think and work effectively under pressure and accurately complete tasks within established times.
• Ability to prioritize tasks and meet deadlines.
• Ability to maintain confidentiality.

Licensure/Certification/Registration

• N/A

Are you ready to make a meaningful impact in your community? At CoxHealth, we don’t just provide medical services; we've created an atmosphere where innovation, collaboration, values, and excellence come together to transform lives. Whether you desire to work in a clinical or non-clinical capacity, CoxHealth has the perfect position for you! CoxHealth is the region’s employer of choice because we keep our mission, vision, and values in mind with every decision for our employees and our patients.

Our Mission

To improve the health of the communities we serve.

Our Vision

To be the best for those who need us.

Our Values

Safety, compassion, respect, and integrity.

CoxHealth is the area leader in health care and community involvement, with six hospitals, more than 80 clinics, five ERs and more than 14,000 employees throughout southwest Missouri. We offer a wide range of treatments and services to help with whatever health needs you might have. Whether you're about to become a parent, have an illness or need medical information, we’re here for you. And if your goal is to live a healthy, balanced life with the best tools available, we can help with that, too. We know that your health and the health of your loved ones are some of the most personal, important parts of your life. That's why we keep our Mission, Vision and Values at the center of everything we do, every day. Thank you for choosing CoxHealth.