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Risk Adjustment Program Lead: Strategy & Ops

Job in Tulsa, Tulsa County, Oklahoma, 74145, USA
Listing for: CommunityCare HMO Inc.
Full Time position
Listed on 2026-08-28
Job specializations:
  • Management
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 90000 - 120000 USD Yearly USD 90000.00 120000.00 YEAR
Job Description & How to Apply Below

Community Care HMO Inc. is seeking a Risk Adjustment Operations Leader to oversee day-to-day activities across vendor management, chart retrieval, coding quality, analytics, reporting, and audits.

You will drive process improvements, monitor performance, and ensure CMS and internal compliance for prospective and retrospective risk adjustment initiatives. The role emphasizes collaboration with analytics teams, development of dashboards, and leadership communications to optimize RAF results and

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