Manager, Risk Adjustment Vendor & Performance Management

. Develop and lead risk adjustment vendor strategy aligned to enterprise goals .

Posted 9/25/2026full-timeRemote • United StatesMid-LevelSenior💰 $109,600 - $149,625 per yearWebsite

Tools & technologies

SQL

Key responsibilities & impact

Develop and lead risk adjustment vendor strategy aligned to enterprise goals
Identify vendor needs, source and evaluate partners, and define success measures
Negotiate contracts and own day-to-day vendor relationships
Lead RFPs, vendor selection, implementation, and offboarding
Manage onboarding and wind-down activities including data retention and destruction
Ensure effective transition and integration of vendor services
Design and maintain KPI frameworks for vendors and internal operations
Develop models and reporting to measure financial impact and operational outcomes
Analyze performance trends and identify improvement opportunities
Audit internal and vendor reporting for accuracy and completeness
Ensure data integrity and adherence to measurement standards
Support compliance and internal control requirements
Monitor vendor spend, billing, and budget performance
Develop forecasts and provide financial insights to leadership
Advise on budget risks and mitigation strategies
Review and reconcile vendor invoices to ensure accurate and timely payment
Partner with enterprise leaders to define targets and corrective actions
Present insights and recommendations to executive stakeholders
Mentor and guide analytics and reporting teams

What you’ll need

Bachelor’s degree preferred in business, finance, statistics, healthcare, or related field
6+ years healthcare or insurance experience with analytics/reporting
3+ years supervisory experience
Extensive knowledge of risk adjustment and vendor performance management
Strong analytical and statistical modeling skills
Experience developing KPIs and performance frameworks
Advanced Excel proficiency
Experience with SAS, R, or SQL preferred
Experience in ACA, Medicare, or Medicaid risk adjustment programs preferred
CPA or CMA certification preferred

Comp & perks