Risk Adjustment Manager

CoxHealth

. Manage and coordinate the risk adjustment programs for Cox HealthPlans .

Posted 10/6/2026full-timeSpringfield • Missouri • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing risk adjustment programs, ensuring compliance with regulations, and providing analytics to support decision-making. Proficient in financial analysis and operational strategy development within the healthcare sector.

Highest-signal resume keywords

Risk Adjustment Program ManagementFinancial AnalysisRegulatory Compliance KnowledgeEffective CommunicationSupervisory Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

AccountingFinanceHealth AdministrationHealth InsuranceStatistical Principles

Soft Skills

Effective CommunicationRelationship BuildingJudgment and Decision-MakingTask PrioritizationConfidentiality Maintenance

Tools & Technologies

Personal ComputersComputerized Programs

Industry Keywords

Risk AdjustmentGovernment Programs ComplianceManaged CareHealthcare Regulations

About the role

Key responsibilities & impact

Manage and coordinate the risk adjustment programs for Cox HealthPlans
Work with staff and leaders within Cox HealthPlans to ensure risk-adjusted revenue matches members’ actual health status
Analyze the financial side of risk adjustment models
Provide meaningful analytics to leadership and other stakeholders
Develop, design, and execute risk adjustment operational strategies and processes
Ensure compliance with all policies and risk adjustment regulations

Requirements

What you’ll need

Bachelor’s degree in Accounting, Finance, Business, or related field OR 8 years of relevant experience
At least 5 years of experience in accounting/finance, public health, health administration, health insurance or health related field
Knowledge of governmental and other regulatory standards, requirements, and guidelines related to risk adjustment and compliance
Knowledge of personal computers and software
Knowledge of computerized programs
Knowledge of principles of statistics (preferred)
Ability to maintain accurate records
Ability to communicate effectively, both orally and in writing
Ability to establish and maintain effective and cooperative working relationships with staff and network providers
Ability to assume responsibility and exercise good judgment in making decisions within the scope of authority of the position
Ability to think and work effectively under pressure and accurately complete tasks within established times
Ability to prioritize tasks and meet deadlines
Ability to maintain confidentiality
Previous supervisory experience (preferred)
Experience with risk adjustment programs, government programs compliance, and managed care (preferred)

Benefits

Comp & perks

Medical, Vision, Dental
Retirement with Employer Match
Benefits eligibility for employees working 20+ hours/week