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Risk Adjustment Manager

8/6/2025

Remote

Job Summary

A company is looking for a Risk Adjustment Data Submissions Manager to support data submissions through analysis and operational improvement.

Key Responsibilities
  • Analyze and monitor data submissions for accuracy and completeness, identifying discrepancies and areas for improvement
  • Collaborate with cross-functional teams to implement and monitor corrective actions
  • Develop and maintain documentation of submission processes and educate stakeholders on best practices
Required Qualifications
  • Bachelor's degree in healthcare, data analytics, or a related field; advanced degree preferred
  • Minimum of five years of substantive healthcare experience or operational experience
  • Strong analytical skills with the ability to interpret complex data sets
  • Ability to establish and improve operational processes
  • Strong command of SQL; experience with Snowflake database preferred

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