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 supporting the health plan's Medicare and Medi-Cal programs. The position contributes to data-driven efforts to ensure accurate coding, appropriate reimbursement, and regulatory alignment while partnering across clinical, operational, and technical teams. The role is time-limited through December 31, 2026 and focuses on advancing organizational goals related to member outcomes and provider partnerships.
Required Skills
- Risk Adjustment
- Program Management
- Project Management
- Provider Education
- Stakeholder Engagement
- Data Analysis
- Reporting
- Presentation
- Communication
- Compliance
+7 more
Qualifications
- Bachelor's Degree in Finance, Business, Healthcare Administration, Mathematics, or Statistics
- Master's Degree (may substitute for 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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