Risk Adjustment & Population Health Program Governance Manager | Remote | Contract
Walker Healthforce
Risk Adjustment & Population Health Program Governance Manager | 7+ years' experience | Remote | Contract
Walker Healthforce is seeking a Risk Adjustment & Population Health Program Governance Manager with 7+ years' experience to support a healthcare client based. This is a 7-month contract opportunity. START DATE: ASAPHOURS/SCHEDULE: Monday-Friday, 40 hours
WORKER TYPE: W2 CORE REQUIREMENTS:
- 7+ years of experience in risk adjustment, population health management, or healthcare program governance
- 2-5 years of Revenue Cycle Management experience; deep knowledge of HCC, RAF, and RADV models
ADDITIONAL REQUIREMENTS:
- Advanced proficiency in Risk Adjustment, Clinical Process Improvement, and Population Health Management
- TMO/PMO leadership experience on complex, multi-workstream healthcare programs
- Executive presence and demonstrated experience presenting to SVP/VP-level clinical and business stakeholders
- Expert knowledge of CMS-HCC risk adjustment models (V24/V28), ICD-10-CM, and Medicare Advantage frameworks
WE CONSIDER IT A BONUS IF YOU ALSO HAVE:
- Provider-payor integration experience in an integrated delivery network
- CRC, CPMA, or equivalent risk adjustment coding or audit credential
- Clinical documentation fluency across ambient listening, CDI, and acuity capture program workstreams
JOB RESPONSIBILITIES:
- Manage day-to-day operations of a multi-workstream risk adjustment and acuity capture program as TMO/PMO lead
- Develop and maintain the integrated program plan, risk register, and workstream status reporting cadence
- Prepare and present materials for senior stakeholders at VP and SVP levels, including steering committee decks and board-level updates
- Integrate across In-Visit Ambient, Post-Visit CDI, CO & NV E2E, and Risk Adjustment workstream threads
- Lead risk adjustment performance oversight including HCC, RAF, and RADV compliance monitoring
- Partner with clinical, coding, health plan, and IS leadership to align on program strategy and execution priorities
- Drive provider-payor integration initiatives and manage cross-functional workstream interdependencies
WHAT WE OFFER:
- Competitive compensation package
- Weekly pay via Direct Deposit
- Medical, Dental & Vision available
- 401k options
- Access to our top ranked team of recruiting and placement specialists
- Continuous, one-on-one support from a dedicated engagement manager
- Professional resume development and interview preparation
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!
We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status. #IND2
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Risk Adjustment & Population Health Program Governance Manager | Remote | Contract in United States vacancy
- ...Clinical Program Manager, Specialty Population Health Join to apply for the Clinical Program Manager... ...Hours... This is a 100% remote position that must be... ...relapse prevention and reduce risk. Encourage members to... ...Senior Manager, Clinical Contract Management United States...Contract workRemote workRiskFull timeFor contractorsWork at officeLocal areaMonday to Friday
$47.23 - $70.85 per hour
...Our Trinity Health Culture: Knows... ...Oversee Vendor / Contract Labor Management including... ...strategies & governance over financials... ...& Compliance Program & Code of... ...Monitor emerging risk areas and... ...ability to vary / adjust physical... ...serve diverse populations, our colleagues...Contract workRemote workRiskHourly payFull timeWork experience placementLocal areaShift work- ...Contra Costa Health Services Behavioral... ...Mental Health Program Managers Behavioral... ...to the client population; supervise staff... ...include contract management for... ...will need to adjust quickly during... ...addressing health risks and safety hazards... ...100%) Remote Exam/Evaluation...Contract workRemote workRiskFull timeFor contractorsWork at officeLocal areaImmediate startFlexible hours
- ...Program Manager TekSynap is seeking a Program... ...at Defense Health Agency to provide... ...packages, and risk assessment execution... ...supporting government agencies, customers, or contracts within federal... ...NIWC Atlantic). Remote/telework may be... ...and ability to adjust focus. OTHER...Contract workRemote workRiskFor contractorsFor subcontractorWork at officeMonday to Friday
- ...Information Avail Health Reports to :... ...Health care programs. FLSA Status :1099,(Contract)/ Part Time... ...:Fully remote/work from homesupporting... ...senior populations. Role... ...CDAs), Health Risk Assessments... ...Risk Adjustment & Coding Expert... ...Physicians, RN Care Managers, and...Contract workRemote workRiskPart timeFor contractorsWork from homeFlexible hours
$75.3k - $135.4k
...transforming the health of our... ...designs the population health strategy... ...and programs to improve care... ...improvement to manage costs and to... ...identify high risk member... ...mandates, and/or government contract requirements... ...work with remote, hybrid, field... ...pay will be adjusted based on an...Contract workRemote workRiskFull timePart timeH1bWork at officeFlexible hours$89.17k - $142.68k
...the design of population health strategy initiatives and programs to improve care... ...to manage costs and to comply... ...Assesses project risks, develops mitigation... ...,selectionand contract negotiations... ..., and/or government contract requirements... ...to work remotely with intentional...Contract workRemote workRiskWork at officeLocal areaFlexible hours2 days per week$87.76k - $108.4k
...the world’s leading health and science... ...Job Overview The Program Manager is an individual contributor... ..., support contract and resource management... ...(timeline, risk, dependencies, resource... ...diverse team with remote members. Strong writer... ..., and course-adjusting in the moment. Demonstrated...Contract workRemote workRiskFull timeWork at officeWorldwide$73k - $125k
...This role is fully remote and must be located within... ...join our team as a Program Manager. This role is for... ...supporting cross-functional risk adjustment data audit responses,... ...~ Employer sponsored health, dental and vision... ...only. Intern and Contract positions are not eligible...Contract workRemote workRiskFull timeInternshipWork at officeShift work- ...to improving the health and well-being of populations... ...Clinical Community Programs, which deliver high... ...Senior Program Manager for Clinical Community... ...operational and clinical risk, and ensures... ...both in-person and remotely. Principal... ...ensuring performance, contract compliance, and...Contract workRemote workRiskWork at office
$87.7k - $157.8k
...transforming the health of our communities... ...Purpose: The Program Manager is responsible for... ...Authorization (PA) governance ensuring... ...including action items, risk and issue logs, mitigation... ...to work with remote, hybrid, field or... ...pay will be adjusted based on an individual...Remote workRiskFull timePart timeWork at officeFlexible hours$82.5k
...Forster’s Accident & Health division (A&H) has... ...both special risk and medical solutions... ..., including contract strategy, development... ...tracking, litigation management, and any other... ...as assigned by VP, Program Reinsurance Contracting... ...reviewed and adjusted in accordance with...Contract workRemote workRiskWork at office$65 - $75 per hour
...corporation and health plan provider, seeks... ...Payer Project / Program Manager . *** Candidate... ...CA or Oakland CA (Remote Acceptable) ***... ...Duration: 6 months contract w/ possibility of... ..., cost, urgency, risk, and stakeholder... ...support should budget adjustments be warranted....Contract workRemote workRiskTemporary workLocal area- ...Strategic Procurement Program Manager Remote, USA Omada Health is on a mission to... ...experience, and risk profile. The role operates... ...performance, and adjusting plans to achieve... ...refines program governance for both operational... ...RFPs, negotiating contracts, and operationalizing...Contract workRemote workRiskLocal areaWork from homeFlexible hours
- ...Description Job Summary: The Population Health Nurse will work in... ...Effectively coordinate & manage high-risk chronically ill patients through... ...Chronic Care Management & Remote Patient Monitoring... ...participate in all Value Based Contract meetings, trainings & patient...Contract workRemote workRiskLocal area
- ...Senior Technical Program Manager – Fire Investigation... ...science, wildfire risk, ignition... ...negotiations and contract strategy. Establishes governance structures and ensures... ...scope or schedule adjustments with stakeholders.... ...CFEI) FAA Part 107 Remote Pilot Certificate...Contract workRemote workRiskFull timeWork at officeLocal areaLong distanceShift workNight shift1 day per week
- IntraCare Health Center (DFW Healthcare MSO) proudly... ...Position Summary The Risk Adjustment Manager is responsible for... ...partners. Position may be remote with some travel... ...chart review programs, vendor partnerships,... ...and IT teams Support contract strategy and value‑based...Contract workRemote workRisk
$80 - $85 per hour
...Population Health Data Engineer We are seeking a skilled Population... ...quality measures, risk stratification, and care management analysis. Support... ...Ensure data quality, governance, and compliance with healthcare... ...note that this is a contract role and benefits may...Contract workRemote workRiskFull time- ...Job Title Program Manager for Clinical Quality... ...EST Location: Contracted personnel performing... ...to the Defense Health Headquarters (DHHQ... ...'s facility or remotely Benefits: PTO,... ...performance to manage risk and ensure... ...on providing our government customers with quality...Contract workRemote workRiskTemporary workFor contractorsWork at officeMonday to Friday
- ...About the job Data Analyst Population Health - Remote Summary The position supports... ...the customer and account management to control the scope of the... ...management, such as delays or risks of delays as early as... ...provider networks and MCO contract details, auditing and reporting...Contract workRemote workRisk
$120k - $150k
...in care delivery and health outcomes Driving order... ...highly motivated Strategic Program Manager to join our Program... ..., Prioritization, and Risk Management Facilitate... ...seamless transition from contract signature to active... ...alignment Location This is a remote position open to...Contract workRemote workRiskWork at officeImmediate startShift work- ...Position : Program Manager III Location : Remote Department... ...accuracy will improve health outcomes that... .../Leads program governance model Oversees... ...and escalates risks across projects... ...targets adjusting forecasts or project... ...spend. Manages contract process in...Contract workRemote workRiskFull timeWork at officeDay shift
- ...Organizational Change Manager (Health Data Modernization Program) Job Type: Contract (Full-Time) Location: Remote/Hybrid (U.S.-... ...with technical, governance, and leadership... ...roadmaps, and risk mitigation strategies... ..., and security adjustments....Contract workRemote workRiskFull timeWork at office
$112.26k - $151.88k
...Pierce County Health Department,... ...Prevention & Management Program: DPM - General... ..., and contract management while... ...regulations governing public health... ...underserved populations to advance community... ..., safety, risk management and... ...cost-of-living adjustment that...Contract workRiskTemporary workFor contractorsWork experience placementWork at officeLocal areaFlexible hours$97.1k - $145.7k
...applicants. Approval of remote and hybrid work is not... ...seeks an Insurance Program Manager to design and... ...University and Penn State Health. The Insurance Program... ...Health and University Risk Managers in risk... ...insurance requirements in contract reviews; and ensure the...Contract workRemote workRiskFull timeFor contractorsWork experience placementWork at office$145k - $180k
...Technical Program Manager Auria is looking to... ...Force. This role is remote but with a... ...contact for the Government customer, leading... ...(as applicable), risk and opportunity management... ...managing contracts with milestone-based... ...grow it. Health & Peace of Mind...Contract workRemote workRiskFor subcontractorWork at officeFlexible hours- ...a member of the Population Health Service Organization... ...responsible for contract performance with... ...with the internal Program Development team... ...basic principles of risk capture, clearly... ...in place for the remote work Pilots... ...program in self-management support concepts...Contract workRemote workRiskFull timeWork experience placementWork at officeShift work
- ...understand and improve their health by providing daily... ...Senior Materials Program Manager to join Oura's Supply... ...working closely with Contract Manufacturers (CMs), suppliers... ...inventory levels, and risk assessments and... ...recruiters, especially for remote roles. Please note:...Contract workRemote workRiskWork at officeLocal areaFlexible hours3 days per week
- ...Job Title: Alternate Contract Program Manager Zeiders is an industry... ...in behavioral health, military family resiliency... ...reporting, staffing, risk management, quality... ...interface with the government (COR/Army HQ TAP).... .... implementation and remote workforce oversight....Contract workRemote workRiskFor contractorsFor subcontractorWork at officeWorldwide
- ...transformation, elevating health outcomes and... ...process to program and patient... ...Requirements The Program Manager serves as the... ...to the Contracting Officer Representative... ...reviews, governance forums, and... ...executive‑level risk identification,... ...This is an office/remote position. While...Contract workRemote workRiskFull timeFor contractorsWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Risk Adjustment & Population Health Program Governance Manager | Remote | Contract. Be the first to apply!
Related searches
- senior manager clinical operations United States
- medical director utilization management United States
- general manager health club United States
- medical assistant manager United States
- clinical resource director United States
- clinical director United States
- medical director neurology United States
- medical device manager United States
- healthcare office manager United States
- clinical supervisor lmft lcsw United States

