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Risk Adjustment Program Manager

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At a Glance

Location
United States
Employment
Full time
Experience
4+ years
Compensation
lity assurance Salary range: ​$73,000 - $125,000 / year The pay range listed f
Posted
2026-07-21

Key Requirements

Certifications

  • SAFe

Domain Knowledge

  • Clinical
  • Education
  • Healthcare

Requirements

4+ years experience managing processes with tight turnaround times.

Ability to pull and analyze data using database query tools and

appetite to use emerging AI technology to form independent insights and identify trends. Spreadsheets (e.g.

Google Sheets) are a favorite tool in your toolkit

Curiosity and comfort experimenting with AI (including LLMs) or other emerging tools

$100 monthly mobile or internet stipend

Responsibilities

Support the Associate Director in managing the day-to-day operations of the External Audit Program, ensuring all workstreams are aligned with program goals and regulatory timelines.

Serve as a versatile operational resource, pivoting across workstreams (Retrieval, Evaluation, Submission) to address shifting priorities and volume during the audit cycle

Partner closely with workstream leads to identify opportunities for process improvement and implement changes that enhance scalability, transparency, and quality

Support the Associate Director in building out AI-native monitoring of program-wide KPIs that support regular operational updates and reporting to leadership

Support special projects that require structured thinking, thoroughness, and cross-team collaboration