Supervisor, Risk Adjustment

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

**This position will work Central Time Zone Hours**

Position Purpose: Responsible for ensuring the business processes related to risk adjustment are developed and carried out based on plan risk adjustment opportunity.

• Supervise internal member outreach efforts
• Work with provider offices on risk adjustment education opportunities
• Work with and monitor corporate outreach vendors on retro chart chase, Risk Adjustment Data Validation (RADV) in home assessments
• Develop outreach materials and plan outreach efforts
• Work with Corporate Data team to ensure suspecting lists are accurate and complete

Education/Experience:

• Bachelor’s degree in applicable field or applicable experience in lieu of education
• 3+ years of experience in risk adjustment
• LPN or RN strongly preferred
• Medical record collection experience strongly preferred
• Previous leadership experience strongly preferred
• CPHQ certification strongly preferred

Pay Range: $67,400.00 - $121,300.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act