Product Manager, Risk Adjustment Solutions

2 hours, 8 minutes ago
Full-time
Senior
Product Management
Vatica Health

Vatica Health

Vatica Health provides an innovative risk adjustment and quality of care coding solution that combines expert clinical teams with advanced technology to enhance diagnosis accuracy, improve financial performance for health plans and providers, and promo...

Internet Software & Services
251-1K
Founded 2011

Description

  • Own the development and management of core Risk Adjustment capabilities across all supported lines of business.
  • Manage HCC model updates and configuration, risk score computation, suspect generation, encounter data reconciliation, and reporting/analytics.
  • Ensure platform support for Medicare Advantage (CMS-HCC), ACA Marketplace (HHS-HCC), and Medicaid risk adjustment models.
  • Track CMS announcements, regulatory updates, submission timelines, and program requirements to keep the platform compliant and current.
  • Work with clinical coding and outbound operations teams to support operational readiness and coding workflow efficiency.
  • Identify, define, and prioritize new feature enhancements and backlog items for the Risk Adjustment product area.
  • Design product workflows and requirements and partner with engineering teams and TPMs to monitor development progress.
  • Validate completed features before release and ensure they meet product and compliance expectations.
  • Collaborate with Customer Success and clients to understand workflows, gather feedback, and translate needs into product improvements.
  • Partner with the Head of Platform to align Risk Adjustment capabilities and roadmap direction with overall platform strategy.

Requirements

  • 5+ years of Product Management experience.
  • 5+ years of experience with Risk Adjustment or Population Health technology.
  • Strong understanding of Medicare Advantage, ACA, or Medicaid risk programs.
  • Familiarity with HCC models and coding workflows.
  • Experience collaborating with engineering teams on healthcare platforms.
  • Ability to communicate effectively with clarity and purpose.
  • Ability to plan, prioritize, and align work to business goals.
  • Strong resourcefulness, organizational savvy, and stakeholder management skills.
  • Ability to collaborate across teams and balance competing stakeholder needs.
  • Situational adaptability and flexibility in fast-changing environments.

Benefits

  • Competitive salary based on experience, skills, and location, with a projected range of $80,000 to $100,000 annualized USD.
  • Discretionary bonus potential.
  • 401(k) plan.
  • Comprehensive medical, dental, and vision insurance.
  • Tax-free Dependent Care Account.
  • Life insurance plus short-term and long-term disability coverage.
  • Excellent PTO policy.
  • Strong work-life balance and a supportive team environment.

Interested in this position?

Apply directly on the company website

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