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Senior Manager, Risk Adjustment

Imperial Health Holdings • US • published 2026-10-06 07:33:52.820171

Description

**JOB DESCRIPTION****JOB TITLE:** Sr. Manager, Risk Adjustment **FLSA STATUS:** Exempt**DEPARTMENT:** Quality Improvement and Risk Adjustment**REPORTS TO:** Sr. Director, Quality Improvement, Risk Adjustment, and Health Analytics**AUTHORITY:** **JOB SUMMARY:** The Sr. Risk Adjustment Manager is responsible for leading and optimizing risk adjustment operations across all lines of business and entities, including Medicare Advantage, Marketplace, and other affiliated health plans, medical groups, and MSO functions. This role serves as a subject matter expert on federal risk adjustment regulations, policies, and methodologies. The position involves close collaboration with internal teams, providers, and external partners to improve risk score accuracy, provider engagement, and regulatory compliance. The Sr. Manager will also lead the development and operationalization of reporting tools, analytics, and workflows to support risk adjustment performance and data integrity across programs. This role plays a key part in aligning cross\-functional teams, driving RADV audit readiness, and informing enterprise\-level decisions related to financial forecasting, coding accuracy, and population h...

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