Central California Alliance for Health

Risk Adjustment Program Manager (Defined Term)

Central California Alliance for Health(1 month ago)

HybridTemporarySenior$100,246 - $176,259Risk Adjustment
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About this role

The Risk Adjustment Program Manager at Central California Alliance for Health is a defined-term, fully benefited role that supports and advances risk adjustment programs to ensure accurate coding, appropriate reimbursement, and data-driven insights for Medi‑Cal and future Medicare programs. Reporting to the Risk Adjustment Director, the role partners across clinical, operational, and technical teams and supports strategic projects that improve member outcomes and regulatory alignment. The position is limited in duration (through December 31, 2026) and involves contributing to organizational goals around provider engagement and program performance.

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Required Skills

  • Risk Adjustment
  • Program Management
  • Project Management
  • Provider Education
  • Stakeholder Engagement
  • Data Analytics
  • Reporting
  • Compliance
  • Clinical Documentation
  • Presentation Skills

+2 more

Qualifications

  • Bachelor’s Degree in Finance, Business, Healthcare Administration, Mathematics, Statistics, or a related field
  • Master’s Degree (may substitute for two years of required experience)
Central California Alliance for Health

About Central California Alliance for Health

thealliance.health

Central 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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