Senior Manager, Revenue Integrity Medicare Strategic Programs

Reporting to the Lead Director of Medicare Revenue Integrity (RI), the Sr. Manager, will work closely with various RI Lead Directors and subject matter experts across the Medicare business to establish and champion market level revenue integrity excellence. This position is responsible for supporting all assigned market level risk adjustment activities and processes related to complete and accurate diagnosis capture through provider and member engagement. In support of the RI Medicare Performance Management Office (PMO) this position will lead the work and deliverables of multiple complex projects, focusing on process improvement, production, and data analysis. Individual should have proven project management of multiple complex projects simultaneously and demonstrate understanding of root cause analysis. This position may act as a liaison with other key business areas, internally and externally. The Medicare Risk Adjustment Sr. Manager will play a critical role in extracting, analyzing, and interpreting healthcare and financial data from multiple sources to address business opportunities regarding population health management, health and economic outcomes, and other business needs.