Product Manager- Risk Adjustment
Product Manager- Risk Adjustment
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Job Description
About the Role:
We are actively seeking a Product Manager Risk Adjustment to lead the design delivery and ongoing enhancement of our Risk Adjustment Analytics platform. This role is ideal for a proactive data-driven leader with a strong grasp of Medicare Advantage and risk adjustment methodologies. Youll partner across engineering data science operations and client-facing teams to drive meaningful impact on coding accuracy regulatory compliance and value delivery.
Key Responsibilities:
Own and manage the product roadmap and backlog for the Risk Adjustment platform.
Collaborate with cross-functional teams and clients to gather business requirements and convert them into detailed user stories and functional specifications.
Define monitor and optimize key product KPIs (e.g. RAF accuracy coding yield audit pass rates).
Prioritize enhancements and new features based on compliance client impact and business value.
Partner with engineering and analytics to oversee development cycles and ensure timely high-quality product delivery.
Conduct ongoing market research to keep products aligned with industry trends competitor capabilities and regulatory shifts.
Lead User Acceptance Testing (UAT) and iterate based on client and internal feedback.
Develop and maintain clear product documentation release notes and training materials.
What Success Looks Like:
Strong ability to interpret Medicare Advantage regulations and apply them to real-world product use cases.
Excellent collaboration with both technical and non-technical stakeholders.
Effective Agile project management and backlog grooming in fast-paced settings.
Clear communication and ownership throughout the product lifecycle.
Ability to align product initiatives with user needs and strategic objectives.
Qualifications:
3 years of experience in product management preferably in healthcare or health tech.
Deep understanding of risk adjustment frameworks (e.g. HCC Medicare Advantage ACA).
Familiarity with coding workflows audit processes and risk adjustment vendors.
Experience building or managing data platforms or analytics tools.
Strong written and verbal communication skills with a talent for stakeholder management.
Proficiency with tools like Jira Confluence and Agile/Scrum methodologies.
Required Experience:
IC
Employment Type
Full-Time
