Risk Adjustment Program & Analytics Manager

Jobtailor; Town of Springfield (WI); On-site; USD 70,000 - 100,000; Full time

Job summary

Cox HealthPlans seeks a seasoned professional to manage and coordinate risk adjustment programs, ensuring revenue aligns with members’ health status and regulatory standards.

You will analyze financial aspects of risk models, develop operational strategies, and collaborate with leadership to deliver actionable insights. Strong detail orientation and communication skills are essential, with supervision experience preferred.

Qualifications

• Bachelor’s degree in Accounting, Finance, or Business required.
• At least 5 years of experience in accounting/finance, public health, health administration, health insurance or health-related field.
• Experience with risk adjustment programs and government program compliance preferred.
• Attention to detail and self-starting mindset required.
• Previous supervisory experience preferred.
• Knowledge of regulatory standards related to risk adjustment and compliance.

Responsibilities

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

Skills

Attention to detail

Self-starter

Communication skills

Analytical thinking

Relationship building

Education

Bachelor’s degree in Accounting/Finance/Business

Tools

General accounting software

Office software

Job description

Cox HealthPlans seeks a seasoned professional to manage and coordinate risk adjustment programs, ensuring revenue aligns with members’ health status and regulatory standards.

You will analyze financial aspects of risk models, develop operational strategies, and collaborate with leadership to deliver actionable insights. Strong detail orientation and communication skills are essential, with supervision experience preferred.