Remote Risk Adjustment Operations Manager | WFH

Job Overview

We are seeking a dedicated and experienced Risk Adjustment Operations Manager who is eager to drive substantial change within the healthcare sector. In this pivotal remote role, you will be responsible for overseeing and supporting both new and established Risk Adjustment Programs, ensuring that initiatives align with the needs of health plans and their beneficiaries in Risk Adjusted government programs. Your extensive knowledge in capability analysis, operating models, incentive design, governance, process engineering, and metrics design will be essential in delivering impactful results.

Key Responsibilities

• Spearhead the daily execution of Strategic Risk Adjustment Program engagements, ensuring ownership of deliverables, resource allocation, and successful outcomes.
• Design comprehensive business cases, define project scopes, develop staffing plans, and create incentive models for healthcare provider engagements.
• Lead project teams and collaborate with external consultants to meet established goals, making adjustments as necessary to ensure success.
• Maintain open communication with executive sponsors and stakeholders to ensure project alignment with organizational objectives.
• Provide regular updates to senior leadership regarding program status, strategic direction, timelines, risks, and challenges.
• Assess potential risks and opportunities associated with program goals, elevating concerns when necessary.
• Stay informed on industry best practices, continuously enhancing methodologies and tools to optimize program performance.
• Undertake leadership tasks, including recruitment, coaching, performance management, and fostering team development.
• Supervise daily departmental operations, implement relevant policies, and manage budgets as required.
  
  

Required Skills

• Strong project and program management competencies.
• Deep understanding of Risk Adjustment programs.
• Proven leadership and team development skills.
• Exceptional communication and stakeholder management abilities.
• Proficient in analyzing and developing business cases, project scopes, and incentive models.
• Awareness of industry best practices and emerging trends.
  
  

Qualifications

• Bachelor's Degree in Business Administration, Management, or Computer/Information Science, or 6+ years of relevant experience in lieu of a degree.
• 7-10 years of Project/Program Management experience, including 3-5 years in leadership capacities.
• 3-5 years of experience working with Risk Adjustment programs.
• 1-3 years of experience in Strategic Planning.
  
  

Career Growth Opportunities

This role offers significant opportunities for professional growth through mentorship and leadership development. The organization is dedicated to fostering your career advancement while equipping you with the necessary resources and support to excel in the healthcare field.

Company Culture And Values

Our organization values diversity and inclusivity, actively working to create an environment where all employees can thrive. We pride ourselves on maintaining a collaborative and creative workplace that emphasizes professional development and teamwork.

Networking And Professional Opportunities

As a part of our team, you will have the chance to expand your professional network, engage in skill development, and collaborate with leading experts in the healthcare domain.

Compensation And Benefits

We offer competitive compensation along with a robust benefits package that emphasizes employee well-being and work-life balance. Highlights include:

• Flexible work schedules and remote work options.
• Comprehensive health, dental, and vision insurance coverage.
• Generous paid time off including 21 days in your first year, plus paid volunteer days and holidays.
• Parental leave and sabbatical opportunities.
• Educational assistance programs and 401(K) matching.
• Stock options and more!
  
  

Employment Type: Full-Time