Program Manager, ACA & BHP
About this role
Program Manager, ACA & BHP
RESP & Qualifications
PURPOSE:
Drives ACA and BHP Risk Adjustment performance through performance monitoring, analytics, and strategic initiatives. Identifies trends, opportunities, and performance gaps; develops improvement strategies; and communicates results to stakeholders by translating operational performance into measurable business and financial outcomes. Collaborates across departments to improve risk adjustment revenue, forecasting accuracy, and overall program effectiveness.
We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week.
ESSENTIAL FUNCTIONS:
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