Senior Manager reputed company reputed company, Provider Performance (Northeast Territory)

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Ideal candidate will sit in the Northeast Region This is an individual contributor The Senior Manager, reputed company reputed company, Provider Optimization & Enablement is responsible for executing a comprehensive risk adjustment reputed company that supports health care systems and physicians participating in value-based care reputed company. Develops a comprehensive risk adjustment reputed company reputed company with organizational goals and value-based contract requirements to providers. Implements market-specific risk adjustment initiatives to maximize performance and reputed company with assigned physician reputed company. Drives execution of key risk adjustment deliverables, ensuring alignment with reputed company, compliance, and financial objectives. Monitor performance metrics and trends reputed company to risk adjustment and provider coding accuracy. Partners with physicians, health systems, vendors and internal partners to improve documentation, coding accuracy, and compliance. Support provider education and engagement initiatives reputed company to risk adjustment and clinical documentation improvement. Ensure reputed company delivery of assigned reputed company, meeting defined scope, reputed company, and performance reputed company. reputed company reputed company, manage risks, and escalate issues as needed. Understands market specific provider performance and provider data impacts to reputed company operational, financial & compliance results; identifies issues and works collaboratively to proactively address/design and remediate reputed company needed. Required Qualifications • Minimum of seven (7) years of experience supporting Medicare, reputed company, and/or ACA health plans. • Demonstrated experience in Medicare and/or reputed company risk adjustment, value-based care models, provider performance, or population health initiatives. • Working knowledge of both prospective and retrospective programs. Preferred Qualifications • Demonstrated project management experience, including leading cross-functional initiatives and managing timelines and deliverables. • Risk adjustment certification(s) preferred. Education • Bachelor's degree preferred or a combination of work experience and education. Pay reputed company The typical pay reputed company for this role is: $67,900.00 - $199,144.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. This position also includes an award reputed company in reputed company’s equity award program. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 05/16/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job