Risk Adjustment Program Manager (Defined Term)
Central California Alliance for Health(1 month ago)
About this role
The Risk Adjustment Program Manager is a defined-term, fully benefited role within the Risk Adjustment Department focused on supporting accurate coding, appropriate reimbursement, and data-driven insights for Medicare and Medi-Cal programs. The position works cross-functionally with internal and external partners to support regulatory alignment and the organization’s financial and quality objectives. The appointment is limited in duration (not to exceed December 31, 2026).
Required Skills
- Risk Adjustment
- Program Management
- Project Management
- Data Analysis
- Analytics
- Provider Education
- Stakeholder Management
- Communication
- Compliance
- Clinical Integrity
+2 more
Qualifications
- Bachelor’s Degree in Finance, Business, Healthcare Administration, Mathematics, or Statistics
- Master’s Degree (may substitute two years of required experience)
About Central California Alliance for Health
thealliance.healthCentral California Alliance for Health is a state‑funded Medi‑Cal managed care plan that provides health coverage to residents of Mariposa, Merced, Monterey, San Benito, and Santa Cruz counties. The Alliance coordinates and finances medical, behavioral health, and preventive services through a network of local providers to improve access and health outcomes for its members. It also partners with community organizations and programs to support enrollment, member education, and efforts addressing social determinants of health.
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