Remote VP of Retrospective Risk Adjustment Operations
Centene Management Company LLC
- Remote job
Centene Management Company LLC is seeking an experienced executive to lead retrospective risk adjustment programs across Medicare, Marketplace, and Medicaid. You will drive an enterprise operating model, oversee chart retrieval, coding quality, vendor oversight, and analytics partnerships to deliver accurate, timely outcomes. The role demands 10+ years in healthcare leadership, strong strategic and communication skills, and the ability to align cross-functional teams and external partners for #J-18808-Ljbffr Centene Management Company LLC
- Centene Corporation is seeking a Vice President, Retrospective Programs to lead enterprise retrospective risk adjustment operations across Medicare, Marketplace, and Medicaid markets. This executive role oversees chart retrieval, coding quality, vendor governance, analytics...Remote jobOperationsRisk
- Role Description The Vice President, Retrospective Programs leads the enterprise retrospective risk adjustment operations team, with direct responsibility for functions including... ...holidays ~Flexible approach to work with remote, hybrid, field or office work schedules...Remote workOperationsRiskFull timePart timeWork at officeFlexible hours
- ...visionary leader to serve as VP of Advanced Analytics. This... ...will lead National Health Plan Risk Adjustment analytics, benchmarking,... ...to support risk adjustment operations across multiple lines of business... ...strengthen prospective and retrospective risk adjustment programs,...OperationsRisk
- ...Leading the enterprise retrospective risk adjustment operations team, the full-time remote Vice President of Retrospective Programs will manage chart retrieval, coding operations, and analytics strategy while ensuring operational excellence and compliance across Medicare...Remote workOperationsRiskFull time
- ...market. The Vice President (VP) leads the oversight of... ...drive revenue growth, operational scalability, client... ...contact insurance agents to adjust coverage to acceptable... ..., Insurance, Finance, Risk Management, or related... ...Experience leading remote and geographically dispersed...Remote workOperationsRiskWork at office
$142.2k - $189.7k
...opportunity for a National VP, Estate Settlement in... ...’s estate settlement operation. Provides strategic leadership... ...legal and fiduciary risk, ensuring operational... ...performance of the (remote) Bequest Administration... ...value of jobs and make adjustments, as needed.Performance...Remote workOperationsRiskFull timeWork at officeLocal areaNight shift2 days per week3 days per week$319.3k - $403.94k
...leadership on emerging policy risks, opportunities, and... ...affairs engagements and recommend adjustments to maximize return on investment... ...Communications, Business Development, and Operations.QualificationsRequired... ...ProgramWhile this is a remote opportunity, at this time G.E...Remote workOperationsRiskTemporary workWork experience placementWork at officeLocal areaWork from homeHome office$175k - $225k
...accountability for overall underwriting operations, profitable growth, and... ..., Technical Leadership & Risk GovernanceLead execution of... ...portfolio and in coordination with remote underwriting resources.Serve... ...pay range estimate may be adjusted for the applicable geographic...Remote workOperationsRiskLocal areaHome office$213k - $250k
...currently looking to hire a VP of Partner Product... ...product capabilities, credit/risk requirements,... ...marketing messaging, and operational readiness.This role is... ...Company-issued equipment + remote accessRole... ...disclosed range has not been adjusted for the applicable geographic...Remote workOperationsRiskCurrently hiringLocal areaHome office$229k - $297.5k
...VP, Pricing & Packaging Location: Remote, USA Employment Type: Full-Time Benefits... ...ambitions. This leader operates at the intersection of... ...into actionable pricing adjustments. Partner with Product... ...scenarios, quantifying ARR risk and upside, and driving...Remote workOperationsRiskFull timeTemporary work$150k - $170k
.... Set the vision, goals, and operating cadence for individual fundraising... ...shifts in donor activity and adjusting plans accordingly. Team... ...comfort with working on a fully‑remote team, and the ability to... ...identify opportunities, anticipate risks, and make clear trade‑offs,...Remote workOperationsRiskFull timeFor contractorsSeasonal workShift work$170k - $200k
Role Description As a Product Manager, Risk Adjustment Coding Data Integration, you will own... ...strategy and execution for Datavant’s Retrospective Risk Adjustment Coding products, driving... ..., data integration, engineering, and operations. What You Will Do ~Roadmap &...OperationsRiskFull time$188.9k - $359.8k
...members. Position Purpose: The Vice President, Retrospective Programs leads the enterprise retrospective risk adjustment operations team, with direct responsibility for... ...plus holidays a flexible approach to work with remote, hybrid, field or office work schedules Actual...Remote workOperationsRiskFull timeContract workPart timeWork at officeLocal areaFlexible hours- ...Our partner is looking for a VP, Regional CMO, Primary Care based... ..., strategic planning, operational partnership, and measurable improvement... ...with HEDIS/STARS, medical risk adjustment, clinical programming,... ...teams. Benefits Fully remote position with the expectation...Remote workOperationsRiskFull timeWork from home
$110 per hour
...assign HCC codes and recommend risk adjustment actions, ensuring clinical... ...adjustment and HCC coding operations for Medicare Advantage,... ...documentation. Conduct and oversee retrospective and prospective chart... ...Work Terms Location: Remote. Engagement type: Hourly...Remote workOperationsRiskHourly pay- VP of Credit Risk & Analytics - US (Remote) Why This Role Matters At Greenbox Capital, we help small businesses... ...performance, and drive risk-adjusted revenue. You’ll own the full credit... ...scalability. This role reports to the Chief Operating Officer and leads the Risk &...Remote workOperationsRiskFlexible hoursShift work
$102k - $115k
...year Department: Quality - Risk Adjustment Description Astrana Health... ...clinical chart review programs, retrospective reviews, encounter... ...Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence... ...Conditions This is a remote position. Travel to corporate...Remote workOperationsRiskWork at office$130k
...driven institution. We operate a sound dynamic institution... ...practices to manage risk and assure compliance... .... JOB SUMMARY: The VP, First Line Risk and Compliance... ...may allow for remote work through the use of... ...most attractive, risk-adjusted returns. We work to make...Remote workOperationsRiskWork at office$110 per hour
...Jack Dorsey . Position: Risk-adjustment / HCC coding leader Type... ...$110/hour Location: Remote Role Responsibilities... ...adjustment and HCC coding operations across Medicare Advantage... ...documentation. Conduct and oversee retrospective and prospective chart...Remote workOperationsRiskContract workSummer work- ...and Altai Ventures and began operations in May 2022. We are focused on... ...technology providers, and adjusters alike. We have ambitious (but... ...and contracts with emphasis on risk transfer Ability to synthesize... ...Claims professionals (in a remote environment preferred) Experience...Remote workOperationsRisk
$225k - $275k
...Description IPSY is seeking a VP, TPM to act as a... ...mindset of a Digital Operational Excellence leader —... ...Officer and can be fully remote from any U.S. state... ...manage budget, and flag risk before it becomes a problem... ...improvement rituals (retrospectives, postmortems, tooling...Remote workOperationsRiskFull timeWork from home- ...SUMMARY The position of VP Treasury Management is... ..., wire transfer, remote deposit capture, Positive... ...procedures to promote operational efficiency to provide high... .... Participate in risk assessments, internal and... ..., depth perception and adjusted focus), sitting, pulling...Remote workOperationsRiskFull timeContract workTemporary workWork at office
$180k - $200k
...partner is looking for a VP, Global Compensation... ...leadership role will own the operational excellence, governance,... ..., promotions, market adjustments, and other compensation... ...trends, and compliance risks and develop appropriate... ...time off. ~ Fully remote position available anywhere...Remote workOperationsRiskFull time- Job Summary The VP of Employee Experience (HR) Technology... ...across data, operations, and the business to align... ...of work. Location Remote & Hybrid-Remote Options... ...governance standards, and risk management expectations... ...operational efficiency, adjusting strategy as needed. Perform...Remote workOperationsRiskFull timeWork at office
$225k - $265k
...intersection of Customer Success and Operations - owning the performance and... ...goals. Although we are a remote-first company, this role... ...of value-based care and risk sharing arrangements between... ...periodically reviewed and may be adjusted in response to market trends...Remote workOperationsRiskFlexible hours$250k - $275k
...apply. Position Overview As VP of Credit Risk, you'll own the credit... ...underwriting techniques. You'll operate hands‑on in the models and data... ...logic — to optimize risk‑adjusted returns Lead collections strategy... ...00 - $275,000 Scratch is a remote‑first company, giving...Remote workOperationsRiskWork experience placementWork at officeShift workDay shift- ...VP/SVP of Business Operations zerohash is looking for a VP/SVP of Business Operations to bring rigor, speed, and cross... ...decisions — proactively surface trends, risks, and opportunities to leadership, not just retrospective reporting. AI Operational Rollout...Remote workOperationsRiskContract workWork from home
- ...Description The Director, Risk Adjustment Products will lead the strategy... ...portfolio focused on retrospective risk adjustment solutions.... ...stakeholders (Sales, Clinical, Operations, Client Success) and external... ...~Comfortable in a fully remote environment that relies heavily...Remote workOperationsRiskFull time
$82.72k - $108.57k
...Auditor, Risk Adjustment Georgia, United States Hi, we're Oscar... ...Work Location: This is a remote position, open to candidates... ...Responsible for daily operations pertaining to Risk Adjustment... ...coder (CPC) ~3+ year(s) retrospective risk adjustment coding experience...Remote workOperationsRiskFull timeWork experience placementWork from homeHome office- ...Sharp HealthCare is seeking a Risk Adjustment Reporting Specialist to support the SCMG Finance team in preserving accurate reporting across... ...and settlements. Collaborating with Coding Auditors and IT/Operations, you will help optimize risk adjustment processes, develop...Remote workOperationsRisk
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote VP of Retrospective Risk Adjustment Operations. Be the first to apply!
- vice president hotel operations Kansas City, MO
- vp Kansas City, MO
- vp technology Kansas City, MO
- vice president of application development Kansas City, MO
- vice president strategic partnerships Kansas City, MO
- vice president media Kansas City, MO
- vice president business development Kansas City, MO
- vice president quality assurance Kansas City, MO
- vice president design Kansas City, MO
- vp infrastructure Kansas City, MO





