Risk Adjustment Client Coding Project Manager at Jobgether – United States
Jobgether
United States, United States
Posted on
NewJob Function:Executive/Management
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About This Position
Risk Adjustment Client Coding Project Manager
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Risk Adjustment Client Coding Project Manager in United States.
This role is central to ensuring coding accuracy, compliance, and quality across risk adjustment projects. You will manage auditing operations, monitor performance metrics, and implement effective quality assurance programs while collaborating closely with internal teams and coding vendors. The position involves educating stakeholders on best practices, identifying opportunities for improvement, and reporting findings to leadership. You will play a key role in developing training programs, maintaining compliance with federal and state regulations, and driving continuous process improvements. This position requires strong analytical skills, attention to detail, and the ability to manage multiple priorities in a remote-first environment. Success in this role directly impacts operational excellence and client satisfaction.
Accountabilities:- Lead quality assurance initiatives for risk adjustment coding, ensuring compliance and accuracy across projects.
- Monitor and evaluate the performance of coding teams and external vendors, identifying opportunities for improvement.
- Provide expertise on coding compliance for new and existing services while adhering to organizational, federal, and state regulations.
- Communicate findings and recommendations through presentations, reports, and educational programs for internal and external stakeholders.
- Support audit processes, ensuring proper documentation of workflows and results, and identify process enhancements as needed.
- Assist in developing and delivering training programs for coders and auditors, including onboarding new team members.
- Provide regular reporting to leadership on program performance, quality metrics, and improvement initiatives.
Requirements:
- Bachelors degree in a relevant field preferred or equivalent 35 years of related experience with a minimum of 5 years in risk adjustment coding (ACA and MA).
- Expert knowledge of risk adjustment methodologies, coding standards, and compliance requirements.
- Strong research, analytical, and problem-solving skills with a focus on operational excellence.
- Exceptional interpersonal skills and the ability to collaborate effectively across all organizational levels.
- Experience managing remote operations and coordinating with distributed teams.
- Proven ability to work independently, meet deadlines, and prioritize multiple tasks in a fast-paced environment.
- Strong written and verbal communication skills, including the ability to create reports, presentations, and training materials.
- Experience developing, implementing, and monitoring policies, procedures, and internal controls.
- Commitment to quality, productivity, customer focus, and continuous process improvement.
Benefits:
- Competitive salary range: $81,000$95,000 USD.
- Healthcare, dental, and vision coverage, plus disability and life insurance.
- Retirement savings plan with company contribution.
- Paid time off, including vacation, sick leave, and wellness leave.
- Remote work flexibility with occasional requirements for in-person meetings.
- Professional development opportunities and access to training programs.
- Supportive and collaborative team environment emphasizing high performance and quality.
Why Apply Through Jobgether?
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
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Job Location
United States, United States
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