Product Manager- Risk Adjustment

We are actively seeking a Product Manager – Risk Adjustment to lead the design, delivery, and ongoing enhancement of our Risk Adjustment Analytics platform. This role is ideal for a proactive, data-driven leader with a strong grasp of Medicare Advantage and risk adjustment methodologies. You'll partner across engineering, data science, operations, and client-facing teams to drive meaningful impact on coding accuracy, regulatory compliance, and value delivery.

• 
  

  Own and manage the product roadmap and backlog for the Risk Adjustment platform.



• 
  

  Collaborate with cross-functional teams and clients to gather business requirements and convert them into detailed user stories and functional specifications.



• 
  

  Define, monitor, and optimize key product KPIs (e.g., RAF accuracy, coding yield, audit pass rates).



• 
  

  Prioritize enhancements and new features based on compliance, client impact, and business value.



• 
  

  Partner with engineering and analytics to oversee development cycles and ensure timely, high-quality product delivery.



• 
  

  Conduct ongoing market research to keep products aligned with industry trends, competitor capabilities, and regulatory shifts.



• 
  

  Lead User Acceptance Testing (UAT) and iterate based on client and internal feedback.



• 
  

  Develop and maintain clear product documentation, release notes, and training materials.

• 
  

  Strong ability to interpret Medicare Advantage regulations and apply them to real-world product use cases.



• 
  

  Excellent collaboration with both technical and non-technical stakeholders.



• 
  

  Effective Agile project management and backlog grooming in fast-paced settings.



• 
  

  Clear communication and ownership throughout the product lifecycle.



• 
  

  Ability to align product initiatives with user needs and strategic objectives.

• 
  

  3+ years of experience in product management, preferably in healthcare or health tech.



• 
  

  Deep understanding of risk adjustment frameworks (e.g., HCC, Medicare Advantage, ACA).



• 
  

  Familiarity with coding workflows, audit processes, and risk adjustment vendors.



• 
  

  Experience building or managing data platforms or analytics tools.



• 
  

  Strong written and verbal communication skills with a talent for stakeholder management.



• 
  

  Proficiency with tools like Jira , Confluence , and Agile/Scrum methodologies.