Job Discription
To protect the health and well-being of our members, employees and community, CareOregon requires all employees to be fully vaccinated against COVID-19 or have an approved medical or religious exception as a qualification of employment.
Candidates who receive an offer of employment by CareOregon, must provide proof of COVID-19 vaccination or submit a medical or religious exception request, which will be evaluated in accordance with CareOregon’s standard accommodation process.
Job Title | Risk Adjustment Manager |
Exemption Status | Exempt |
Department | Finance |
Manager Title | Director, Financial Planning and Risk Revenue |
Direct Reports |
|
Requisition # | 22609 |
Job Summary
The Risk Adjustment Manager is responsible for the development, execution and management of the risk adjustment programs for the Medicare Advantage and Medicaid product lines. This function is highly visible, matrixed to multiple departments including IS, Compliance, Finance, and Network and Clinical Services, and is responsible for ensuring a high degree of quality, coordination, and collaboration across the entire risk adjustment process.
Essential Responsibilities
Employee Supervision
Organizational Responsibilities
Experience and/or Education
Required
Preferred
Knowledge, Skills and Abilities Required
Knowledge
Skills and Abilities
Working Conditions
Indoor/Office Community Facilities/Security Outdoor Exposure
Member/Patient Facing: No Telephonic In Person
Hazards: May include, but not limited to, physical and ergonomic hazards.
Equipment: General office equipment
Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used.
Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment
Veterans are strongly encouraged to apply.
Equal opportunity employer. This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
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We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics. The EEO is the Law poster is available here.
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