Program Manager, Risk Adjustment

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Program Manager, Risk Adjustment


Date Posted



New York, NY. USA


Full Time


Proficiency in SAS and SQL pulling large data sets in addition to Risk Adjustment Modeling


Bachelors Degree

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At HealthFirst, we actively seek out team members who will add to our dynamic environment, emerging strategy, and forward momentum. We’re currently looking for a Program Manager, Risk Adjustment.


The Program Manager will oversee and manage the data analytics and report creation which supports key business processes in revenue maximization and risk adjustment.

Written Video Script

Do you have a strong technical background and have experience in healthcare finance? This is the opportunity for you!

Healthfirst is a provider-sponsored health insurance company that serves nearly 1.4 million members in downstate New York.

We offer top-quality Medicaid, Medicare Advantage, Child Health Plus, and Managed Long Term Care plans and we strive to create an environment where every member of our team receives the tools, support, and opportunities needed to excel, grow, and thrive.

We’re currently searching for a Program Manager, Risk Adjustment and Quality Resolution Product Management. You’ll develop analytic solutions to evaluate the operational and financial performance. You’ll oversee the automation and develop the cadence on internal risk adjustment reporting.

To qualify, you must have a Bachelor’s degree from an accredited institution, proficiency in SAS and SQL, as well as experience with Risk Adjustment Modeling.

At Healthfirst, we take care of our amazing employees and offer competitive benefits like comprehensive medical options, a competitive 401K that includes a match, generous paid time off, company paid benefits and discount programs, as well as exciting career development opportunities!

Apply now at the provided link to become a part of a thriving, collaborative community that’s making new waves in the healthcare industry.