Manager, Compliance Risk Adjustment

About the role

Lead a team that handles external audits of risk adjustment processes, report on audit deliverables and risk, and work with business areas to prevent, detect and correct compliance issues.

What you will do

• Manage submission of audit deliverables and respond to state and federal regulators on time
• Quality review all deliverables for completeness and accuracy before submission
• Enter corrective action intake and support corrective action plan development and review
• Maintain audit documentation including minutes, action items, issues and risk plans
• Present reports on audit performance and progress and support strategy to improve accuracy

What they look for

• Bachelor's degree in audit, compliance, legal or a related field, or equivalent experience
• Five or more years in audit, risk adjustment or compliance
• Demonstrated understanding of the risk adjustment regulatory landscape
• Risk adjustment regulatory audit experience
• Medicare experience

Nice to have

• Previous risk adjustment oversight or coding planning experience
• Active coding credential from AHIMA or AAPC
• CPMA, RHIA, RHIT or a risk adjustment credential

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays and flexible work schedules

Pay

USD 87,700 to 157,800 per year