Product Manager- Risk Adjustment
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Job Description
About the Role:
We are actively seeking a Product Manager – Risk Adjustment to lead the design, delivery, and ongoing enhancement of our Risk Adjustment Analytics platform. This role is ideal for a proactive, data-driven leader with a strong grasp of Medicare Advantage and risk adjustment methodologies. You'll partner across engineering, data science, operations, and client-facing teams to drive meaningful impact on coding accuracy, regulatory compliance, and value delivery.
Key Responsibilities:
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Own and manage the product roadmap and backlog for the Risk Adjustment platform.
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Collaborate with cross-functional teams and clients to gather business requirements and convert them into detailed user stories and functional specifications.
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Define, monitor, and optimize key product KPIs (e.g., RAF accuracy, coding yield, audit pass rates).
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Prioritize enhancements and new features based on compliance, client impact, and business value.
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Partner with engineering and analytics to oversee development cycles and ensure timely, high-quality product delivery.
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Conduct ongoing market research to keep products aligned with industry trends, competitor capabilities, and regulatory shifts.
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Lead User Acceptance Testing (UAT) and iterate based on client and internal feedback.
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Develop and maintain clear product documentation, release notes, and training materials.
What Success Looks Like:
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Strong ability to interpret Medicare Advantage regulations and apply them to real-world product use cases.
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Excellent collaboration with both technical and non-technical stakeholders.
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Effective Agile project management and backlog grooming in fast-paced settings.
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Clear communication and ownership throughout the product lifecycle.
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Ability to align product initiatives with user needs and strategic objectives.
Qualifications:
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3+ years of experience in product management, preferably in healthcare or health tech.
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Deep understanding of risk adjustment frameworks (e.g., HCC, Medicare Advantage, ACA).
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Familiarity with coding workflows, audit processes, and risk adjustment vendors.
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Experience building or managing data platforms or analytics tools.
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Strong written and verbal communication skills with a talent for stakeholder management.
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Proficiency with tools like Jira, Confluence, and Agile/Scrum methodologies.