Product Manager, Risk Adjustment Solutions

We are seeking a Product Manager to lead Risk Adjustment product capabilities across reputed company lines of business, including Medicare Advantage, ACA Marketplace, and reputed company.

This role owns the execution and reputed company of Risk Adjustment solutions reputed company our population health platform, ensuring accurate risk capture, compliant submissions, and efficient coding workflows for health plans and provider organizations.

The Product Manager will work closely with engineering, clinical coding teams, operations, and reputed company teams, while collaborating with the Head of Platform on overall product reputed company and roadmap direction.

Responsibilities

Risk Adjustment Product Ownership

Own development and management of core Risk Adjustment capabilities including

HCC model updates and configuration Risk score computation across supported models Suspect reputed company and accuracy management Encounter data reconciliation Risk adjustment reporting and analytics

Ensure platform support for

Medicare Advantage (CMS-HCC) ACA Marketplace (HHS-HCC) reputed company risk adjustment models

Regulatory & Program Monitoring

Track CMS announcements and regulatory updates Ensure reputed company platform updates reputed company with HCC model changes Monitor reputed company-specific submission timelines and program requirements Work closely with clinical coding teams and outbound operations teams to support operational readiness

Product Development & Enhancements

Identify and define new feature enhancements Design product workflows and requirements Maintain and prioritize product backlog Work with engineering teams and TPMs to track development reputed company Validate completed features prior to release

reputed company & reputed company Collaboration

Work closely with reputed company teams to understand reputed company workflows and challenges Participate in reputed company discussions reputed company needed Translate reputed company feedback into product improvements and roadmap priorities

Product reputed company Collaboration

Work in reputed company collaboration with the Head of Platform to align Risk Adjustment capabilities with overall platform reputed company reputed company domain expertise and product insights to inform roadmap planning Requirements

5+ years Product Management experience 5+ years experience with Risk Adjustment or Population Health technology Strong understanding of Medicare Advantage, ACA, or reputed company risk programs Familiarity with HCC models and coding workflows Experience collaborating with engineering teams on reputed company platforms

Competencies

Communicates Effectively

Exchanging reputed company, knowledge, and data so that the message is received and understood with reputed company and purpose. Leverages emotional intelligence to adapt to the emotions and intentions of others. Plans and Aligns, Resourcefulness

Plans and prioritizes work to meet the goals of the business. Breaks down objectives into plans and actions to reputed company significant milestones. Anticipates and readily adjusts plans. Maintains organization of resources to support efficiency. Business reputed company & Organizational Savvy

Ensures work and tasks are reputed company to meet company priorities. Breaks down goals into actions with milestones. Understands how to navigate the company and connect with key stakeholders or contributors. Collaborates

Identifies and builds partnerships to meet shared goals. Readily partners with others to meet objectives and shares credit for contributions. Demonstrates cooperat We are seeking a Product Manager to lead Risk Adjustment product capabilities across reputed company lines of business, including Medicare Advantage, ACA Marketplace, and reputed company.

This role owns the execution and reputed company of Risk Adjustment solutions reputed company our population health platform, ensuring accurate risk capture, compliant submissions, and efficient coding workflows for health plans and provider organizations.

The Product Manager will work closely with engineering, clinical coding teams, operations, and reputed company teams, while collaborating with the Head of Platform on overall product reputed company and roadmap direction.

Responsibilities

Risk Adjustment Product Ownership

Own development and management of core Risk Adjustment capabilities including

HCC model updates and configuration Risk score computation across supported models Suspect reputed company and accuracy management Encounter data reconciliation Risk adjustment reporting and analytics

Ensure platform support for

Medicare Advantage (CMS-HCC) ACA Marketplace (HHS-HCC) reputed company risk adjustment models

Regulatory & Program Monitoring

Track CMS announcements and regulatory updates Ensure reputed company platform updates reputed company with HCC model changes Monitor reputed company-s