Vice President, Risk Adjustment Program Operations & Data Integrity

Job description

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Provide operational leadership for Centene's Corporate Risk Adjustment program operations and its subsidiaries. Oversee compliance with Risk Adjustment data integrity and validation audit process. Lead enterprise-wide Risk Adjustment operations for coding and external audits, ensuring consistent execution while addressing market, product, and regulatory variation. Lead and develop high performing, multi-disciplinary teams through complex change, reinforcing accountability, engagement, and results. Drive enterprise change management through standardized processes, tools, and controls that improve scalability, quality, and compliance. Oversee encounter data submissions and reconciliation to ensure data completeness, accuracy, and regulatory alignment. Effectively communicate risk, organizational impact and progress towards achieving goals. Establish strong governance and oversight for Risk Adjustment compliance, including RADV and other regulatory and internal audits. Work with local market t...