{"id":1966037,"url":"https://alion.io/job/centene-corporation-manager-risk-adjustment","title":"Manager, Risk Adjustment","company":{"id":647,"name":"Centene Corporation","domain":"centene.com","url":"https://alion.io/company/centene-corporation","size_band":"201-500","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"A","score":100,"open_postings":11,"ghost_share":0,"stale_share":0,"repost_share":0.091,"time_to_fill_p50_days":15,"computed_at":"2026-10-27T05:46:45Z"}},"role":"Field & Service","role_family":"Field & Service","seniority":"middle","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":87700,"max":157800,"currency":"USD","period":"year","gross":null,"usd_annual":157800},"salary_estimate":null,"experience_years_min":4,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-06T17:29:50Z","employer_posted_date":"2026-10-06","last_verified_at":"2026-10-27T17:07:17Z","board_verified":true,"closed_at":null,"days_open":21,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":21},"description":"Position Purpose: Manage the business processes related to risk adjustment and quality improvement across Centene’s for assigned products and plans.\nKey Details: Ideal candidate to live in the state of PA.\nDevelop and implement action plans, across all departments affecting assigned products and plans, to address issues identified by the business units, including detailed workplans, issue logs, and progress reports\nIdentify and partner with various departments to implement assigned products business requirements\nDevelop and execute operational workflows specific to each product business requirements, competitive landscapes, and local market dynamics\nEvaluate and manage the risk adjustment strategy across all functional areas that impact assigned products\nIdentify and support health plan initiatives related to assigned products\nPrepare dashboards for senior management and identify improvement opportunities\nEducation/Experience: Bachelor’s degree in related field or equivalent experience. 4+ years of project management, operations, quality improvement or data analysis/reporting experience in the healthcare industry. Clinical or Social work experience preferred. Previous managed care or Medicare experience preferred. MLTSS experience is plus.\nPay Range: $87,700.00 - $157,800.00 per yearAt Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.\nCentene 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.\nCentene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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