Risk Adjustment Program Manager (Remote) - 244010 jobs in United States
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Medix™ · 3 days ago

Risk Adjustment Program Manager (Remote) - 244010

positionUnited States
timeFull-time
remoteRemote
senioritySenior Level, Lead/Staff
money$110K/yr - $176K/yr
date8+ years exp

Medix™ is seeking a Risk Adjustment Program Manager to join their Risk Adjustment team. This role involves designing, implementing, and managing programs that drive accurate coding, compliant reimbursement, and data-driven decision-making within the healthcare sector.

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Hiring Manager
Alli Cravens
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Responsibilities

Designing, implementing, and managing Risk Adjustment programs and overseeing related departmental initiatives
Leading small to large-scale projects that support organizational goals and measurable business outcomes
Serving as a Risk Adjustment subject matter expert, providing guidance and expertise across the organization

Qualification

Risk adjustment program managementHealthcare data structuresProject management frameworksProvider educationEngagementResearchAnalysis methodologiesMedicareMedi-Cal experiencePresentation skillsCommunication skillsCollaboration skillsSelf-motivated

Required

Proven experience building, scaling, and managing risk adjustment programs in healthcare settings
Strength in provider education and engagement, including training development, facilitation, and addressing documentation challenges
Ability to partner effectively with clinical, operational, and technical teams to achieve shared objectives
Self-motivated and proactive, with strong project ownership and prioritization skills
Excellent presentation and communication abilities, able to deliver clear updates and training to diverse audiences
Deep commitment to compliance, clinical integrity, and ethical risk capture practices
Knowledge of research, analysis, and reporting methodologies
Knowledge of risk adjustment program management principles and best practices
Knowledge of healthcare data structures, including member, claims, clinical, and provider data
Knowledge of applying analytics and insights to support financial and strategic decisions
Knowledge of project management frameworks and methodologies
Ability to analyze trends and data to inform risk adjustment strategies and tactical decisions
Ability to serve as a subject matter expert for complex risk adjustment initiatives
Ability to lead the development and execution of programs, workflows, policies, and systems
Ability to manage multiple initiatives simultaneously while meeting timelines and deliverables
Ability to provide leadership, facilitate meetings, and guide cross-functional collaboration
Bachelor's degree in Finance, Business, Healthcare Administration, Mathematics, Statistics, or a related field
Minimum of eight years of progressively responsible experience in healthcare finance or analytics
Includes at least three years supporting or managing risk adjustment programs
A Master's degree may substitute for two years of required experience
Equivalent combinations of education and experience will be considered

Preferred

Medicare and Medi-Cal experience strongly preferred

Benefits

Full-benefits

Company

Medix™

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Glassdoor3.3
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Medix provides workforce solutions to clients and creates opportunity for contract employees.
dateFounded in 2001
location
Chicago, Illinois, USA
people-size501-1000 employees
web-link
http://www.medixteam.com/

Funding

Current Stage
Late Stage
Total Funding
unknown
2022-09-16Acquired

Leadership Team

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Andrew Limouris
Founder, President and CEO
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Brian Anstiss
Chief Financial Officer
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Recent News

Business Wire
Medix Staffing Solutions, Along With Its Medix Technology Division, Joins the Workday Partner Program to Deliver HCM and Financial Services to Healthcare Customers
2025-10-21
Company data provided by crunchbase