Discover rewarding Manager, Risk Score Accuracy jobs, a critical leadership role at the intersection of data science, finance, and strategic operations, primarily within the healthcare and financial services sectors. Professionals in this position are the guardians of data integrity for risk-adjusted payment models and financial forecasting. Their core mission is to ensure the precision, reliability, and strategic application of risk scores, which are pivotal for accurate revenue capture, regulatory compliance, and organizational financial health. A Manager, Risk Score Accuracy typically oversees the entire lifecycle of risk score analytics. This involves developing, validating, and maintaining sophisticated statistical models and forecasting algorithms that predict financial risk and utilization. They manage a team or cross-functional projects aimed at continuous monitoring and improvement of score accuracy. Common responsibilities include conducting deep-dive analyses to identify trends, variances, and opportunities for optimization; leading audits and quality assurance processes to ensure coding and data submission adhere to regulatory standards (like CMS or HHS methodologies); and presenting actionable insights to executive leadership, actuarial teams, and product managers. They serve as a vital bridge, translating complex data into strategic business recommendations. To excel in Manager, Risk Score Accuracy jobs, a specific blend of technical and leadership skills is required. Typically, employers seek candidates with a strong quantitative background, often holding a bachelor’s or master’s degree in Finance, Statistics, Mathematics, Actuarial Science, or a related field. Several years of progressive experience in risk adjustment, predictive modeling, or healthcare analytics is essential. Technical proficiency is a must, including advanced skills in SQL for data querying and manipulation, statistical programming languages (such as SAS, R, or Python), and advanced Excel. Experience with data visualization tools like Tableau or Power BI is highly valued to communicate findings effectively. Beyond technical acumen, successful managers possess exceptional project management abilities, capable of steering multiple initiatives in a fast-paced environment. They are adept communicators and collaborators, with the interpersonal skills to influence stakeholders and explain complex concepts to non-technical audiences. A keen eye for detail, a problem-solving mindset, and a thorough understanding of the regulatory landscape governing risk adjustment are fundamental. For analytical leaders passionate about data-driven decision-making and financial integrity, Manager, Risk Score Accuracy jobs offer a challenging and impactful career path. These roles are central to ensuring organizations navigate financial risk with confidence and precision.
