Portfolio Manager Risk Adjustment

Position Purpose

The Portfolio Manager will perform various analytic and strategic tasks in order to support the Risk Adjustment team within the IL Health Plan Division. The Portfolio Manager will analyze portfolio data, documentation, and processes and consolidate this information for reporting to senior leadership. The role will be responsible for the collection, aggregation, and analysis of risk adjustment data (e.g., department / business area data for the portfolio of projects and initiatives managed by the area) across the enterprise.

The data will be focused on risk gaps/scores, claims measures, chart chase outcomes, provider engagement metrics, chart review findings, risk adjustment impact, risk improvement opportunities.

• Collect, aggregate, and analyze portfolio management data leveraging industry standard guidance such as PMI standards, process and controls guidance, and best practices for project governance.
• Collaborate with program and portfolio managers to define reporting metrics and performance data including financial and project level performance.
• Prepare detailed analytic packages for reporting and review by key stakeholders.
• Participate and lead work groups in the design and analysis of the portfolio management and reporting.
• Perform research and analysis on leading practices for the design and implementation of portfolio management standards.
• Perform other duties as assigned.

• Bachelor’s Degree in Management, Information Systems, Data Analytics or Finance or equivalent experience is required.

• Minimum 3 years of experience in project and program management is required.

• Analytical skills, including Data Sciences and Business Intelligence Reporting is required.

• Some experience functioning as a lead is required.

• Up to 20% travel will be expected in this position.

A certification in one of the following is preferred:
PfMP, CAPM, PMP, CGEIT, CISA, Data Sciences Certification.

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H‑1B, L‑1, O‑1, H‑1B1, F‑1, J‑1, OPT, or CPT.

$86,000.00 – $ per year.

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401(k) and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job‑related factors permitted by law, including full‑time or part‑time status.

Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.

Not Applicable.

Full‑time.

Finance and Sales.

Hospitals and Health Care and Insurance.