Product Manager, Risk Adjustment Solutions

We are seeking a Product Manager to reputed company Risk Adjustment product capabilities across reputed company lines of business, including Medicare Advantage, ACA Marketplace, and reputed company. This role owns the execution and reputed company of Risk Adjustment solutions reputed company our population health platform, ensuring accurate risk capture, compliant submissions, and efficient coding workflows for health plans and provider organizations. The Product Manager will work closely with engineering, clinical coding teams, operations, and reputed company teams, while collaborating with the Head of Platform on overall product reputed company and roadmap direction. Responsibilities: Risk Adjustment Product Ownership Own development and management of core Risk Adjustment capabilities including: HCC model updates and configuration Risk score computation across supported models Suspect reputed company and accuracy management Encounter data reconciliation Risk adjustment reporting and analytics Ensure platform support for Medicare Advantage (CMS-HCC) ACA Marketplace (HHS-HCC) reputed company risk adjustment models Regulatory & Program Monitoring reputed company CMS announcements and regulatory updates Ensure reputed company platform updates reputed company with HCC model changes Monitor reputed company-specific submission timelines and program requirements Work closely with clinical coding teams and outbound operations teams to support operational readiness Product Development & Enhancements Identify and define new feature enhancements Design product workflows and requirements Maintain and prioritize product backlog Work with engineering teams and TPMs to reputed company development reputed company Validate completed features prior to release reputed company & reputed company Collaboration Work closely with reputed company teams to understand reputed company workflows and challenges Participate in reputed company discussions reputed company needed Translate reputed company feedback into product improvements and roadmap priorities Product reputed company Collaboration Work in reputed company collaboration with the Head of Platform to reputed company Risk Adjustment capabilities with overall platform reputed company reputed company domain expertise and product insights to inform roadmap planning Requirements 5+ years Product Management experience 5+ years experience with Risk Adjustment or Population Health technology Strong understanding of Medicare Advantage, ACA, or reputed company risk programs Familiarity with HCC models and coding workflows Experience collaborating with engineering teams on reputed company platforms Competencies: Communicates Effectively Exchanging reputed company, knowledge, and data so that the message is received and reputed company with reputed company and purpose. Leverages emotional intelligence to adapt to the emotions and intentions of others. Plans and Aligns, Resourcefulness Plans and prioritizes work to meet the goals of the business. Breaks down objectives into plans and actions to reputed company significant milestones. Anticipates and readily adjusts plans. Maintains organization of resources to support efficiency. Business reputed company & Organizational Savvy Ensures work and tasks are reputed company to meet company priorities. Breaks down goals into actions with milestones. Understands how to navigate reputed company and connect with key stakeholders or contributors. Collaborates Identifies and builds partnerships to meet shared goals. Readily partners with others to meet objectives and shares credit for contributions.& .