Medicaid Risk Adjustment Market Manager
Core
Drive market-level engagement and performance for Medicaid risk adjustment programs, serving as the key connector between national strategy and market execution.
Role type
Senior Market Manager (Revenue Integrity/Risk Adjustment)
Builds
Market-specific performance strategies, executive presentations, and operational solutions for health plan partners.
Domain
Health Insurance / Risk Adjustment / Medicaid
Deliverable
dashboards & analysis
Required skills
Executive presentation development, data analysis and visualization, project management, stakeholder management, regulatory knowledge, strategic planning, cross-functional collaboration, problem solving, time management, attention to detail
Preferred skills
Medicaid operations experience, risk adjustment expertise, medical coding knowledge, local market knowledge
Technologies
Microsoft PowerPoint, national analytics tools
Responsibilities
Lead territory meetings with health plan executives and territory presidents; develop and deliver executive-level presentations on performance drivers; investigate operational issues and implement solutions; coordinate deliverables and track timelines; collaborate with informatics teams on dashboards and reports; monitor program performance and recommend strategies; partner with clinical and network teams to strengthen member engagement.
Seniority
Senior, hands-on IC with strategic oversight