Manager, Risk Adjustment MLTC-MAP
Core
Manage business processes for risk adjustment and quality improvement across assigned healthcare products and plans.
Role type
Manager, Risk Adjustment & Quality Improvement
Builds
Operational workflows, action plans, and dashboards for senior management
Domain
Healthcare / Managed Care / Medicare / Medicaid / MLTC
Deliverable
dashboards & analysis
Required skills
Project management, operations management, quality improvement, data analysis, reporting, risk strategy evaluation
Preferred skills
Managed care experience, Medicaid/Medicare/Marketplace/Long-term care experience, New York MLTC experience
Responsibilities
Develop and implement action plans to address business unit issues, partner with departments to implement business requirements, execute operational workflows, evaluate and manage risk adjustment strategy, support health plan initiatives, prepare dashboards for senior management


