Mgr Risk Management Business Team

We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title as heading. Must not include Job ID etc. Must remove boilerplate. We need to parse the posting. Key content: - Role: Manager – Risk Adjustment Business Team Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, Lewiston offices. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo and Lewiston offices or who are willing to relocate. - Who We Are Looking For: description about mission, responsibilities: complying with CMS mandates to submit Enrollment, Medical Claim and Pharmacy Claim data for Reinsurance and Risk Adjustment programs. Leads a team dedicated to extracting required information from source systems into a staging area, performing validation checks based on CMS Edge Server Business Rules, and submitting correct data to the Edge Server via a translation process. – all in service of creating a person-focused health care experience. Then some motivational sentences. - Qualifications: Bachelor’s degree in Business, Data Analysis or other related field and 10 years’ experience with data analysis, process modeling or equivalent combination of education and experience. - Skills And Attributes: list of bullet-like sentences: Strong analytical skills including the ability to analyze complex data and situations, learn quickly and synthesize corresponding solutions, options and action plans. Ability to understand, translate and communicate complex ideas and situations to a wide variety of audiences. Excellent research and problem solving skills including the ability to determine action steps and remediation actions to resolve issues. Strong knowledge of risk adjustment systems and processes. Demonstrated experience in business areas, working with business requirements, documentation and data systems. Strong knowledge of project management processes and practices including experience leading large, complex initiatives. Knowledge of medical terminology and procedure coding. Ability to communicate effectively verbally and in writing with all levels of staff. Ability to develop and lead a team including: hiring, goal setting, motivating, coaching and staff development. Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired. - What You Will Do At Cambia: list of responsibilities: Corroborates closely with the IT, compliance, legal, revenue management, claims, enrollment, product teams and other departments to maximize and maintain submission measurements; Helps oversee RADV audits, submits data in a timely manner and prepares executive reports.; Develops medical underwriting rules for the Risk Management business system which accurately reflect the rating strategy and drive achievement of company revenue targets.; Directs business projects and is responsible for the development and delivery of project performance criteria and objectives.; Ensures day-to-day operations are appropriately supported by the Risk Management business team, identifying issues and recommending solutions. Develops and reviews business policies, processes and practices to ensure seamless coordination with the Risk Management business team.; Develops, implements and monitors audit processes to ensure accurate utilization of the Edge Server system by assigned users.; Responsible for training materials and delivery.; Regularly interacts with the IT team, identifying issues and partnering on resolutions to ensure the data submission system is functioning accurately.; Responsible for staff development, performance conversations, performance coaching and retention activities.; Regularly communicates departmental and organizational goals and objectives to staff.; Develops and maintains departmental policies and procedures and assures adherence to departmental standards and practices.; Oversees the data submission system and ensures it is functioning accurately. - Work Environment: Work performed in the office or remote. Travel rarely required, locally, or out of State. - Pay: Oregon, Washington, Utah, and Idaho: The expected hiring range is $111,400.00 – $150,700.00, the full salary range is $104,000.00 – $171,000.00 and the bonus target is 17% North Dakota: The full salary range is 101,444 – 167,383 and the bonus target is 15%. - Benefits: list: Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. Annual employer contribution to a health savings account. Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). Award-winning wellness programs that reward you for participation. Employee Assistance Fund for those in need. Commute and parking benefits. Also mention work from home options, wired internet requirement, MFA requirement. - Schedule: Hybrid role (3 days/week in office). Also mention remote possible. We need to decide sections: About the role (maybe summary), Responsibilities (What You Will Do), Requirements (maybe Qualifications?), Skills (Skills And Attributes), Benefits, Pay, Schedule. Also maybe Work Environment could be part of About the role or Schedule. We must not create sections with filler. Must include only sections with real content. We need to output HTML fragment: use

for section headings. Use

• for any list of duties/requirements/benefits, and

  for prose. We need to preserve all substantive information; do not invent or summarize away detail. So we need to include all details. We must not repeat job title as heading. So no heading for "Manager – Risk Adjustment Business Team". Already page shows it. We must not put Job ID etc. We need to remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So we need to strip out the Equal Opportunity employer paragraph, background check, accommodation, privacy policy, etc. Also remove "Learn More About Our Benefits." maybe not needed but it's not boilerplate? It's a call to action; maybe considered application instruction? It's not a list; but it's a link. Probably remove. Also remove "We are happy to offer work from home options..." maybe that's part of Benefits or Work Environment. It's substantive about remote work requirements; we can keep. We need to keep the schedule info: Hybrid role (3 days/week in office). Also remote possible. We need to keep the location preference statement. We need to keep the "Who We Are Looking For" paragraph. We need to keep the "Qualifications" bullet (actually it's a sentence). We'll put under Requirements maybe. We need to keep Skills And Attributes list. We need to keep What You Will Do list. We need to keep Benefits list. We need to keep Pay info. We need to keep Schedule info. We need to keep Work Environment maybe as part of About the role or separate. We must not create sections with placeholder like "commensurate with experience". Not present. Now structure: We could have sections: - About the role (maybe includes location preference, hybrid nature, mission statement) - Responsibilities (What You Will Do) - Requirements (Qualifications) - Skills (Skills And Attributes) - Benefits - Pay - Schedule We need to ensure each section has content. Let's extract content precisely. About the role: - Manager – Risk Adjustment Business Team Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, Lewiston offices. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo and Lewiston offices or who are willing to relocate. - Who We Are Looking For: Every day, Cambia’s dedicated Risk Management Business Team Manager is living our mission to make health care easier and lives better. As a member of the Risk Adjustment team, our Risk Management Business Team Manager is responsible for complying with CMS mandates to submit Enrollment, Medical Claim and Pharmacy Claim data for Reinsurance and Risk Adjustment programs. Leads a team dedicated to extracting required information from the source systems into a staging area, performing validation checks based on CMS Edge Server Business Rules, and submitting correct data to the Edge Server via a translation process. – all in service of creating a person-focused health care experience. Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit. We could combine these into prose paragraphs. Responsibilities: list from "What You Will Do At Cambia". Each bullet as

• . Requirements: Bachelor’s degree in Business, Data Analysis or other related field and 10 years’ experience with data analysis, process modeling or equivalent combination of education and experience. Skills: list from Skills And Attributes. Benefits: list from Benefits section. Pay: the salary ranges. Schedule: Hybrid role (3 days/week in office) plus remote possible. Also mention travel rarely required. We might also include Work Environment as part of About the role or Schedule. But we already have schedule covering hybrid. Travel rarely required could be in Schedule. Let's produce HTML. We need to wrap each section in

  heading then content. For lists:

  • ...

  For prose:

  ...

  We must not include markdown fences. Let's craft. First, About the role:

  Manager – Risk Adjustment Business Team Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, and Lewiston offices. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo and Lewiston offices or who are willing to relocate.

  Every day, Cambia’s dedicated Risk Management Business Team Manager is living our mission to make health care easier and lives better. As a member of the Risk Adjustment team, the Risk Management Business Team Manager is responsible for complying with CMS mandates to submit Enrollment, Medical Claim and Pharmacy Claim data for Reinsurance and Risk Adjustment programs. The role leads a team dedicated to extracting required information from source systems into a staging area, performing validation checks based on CMS Edge Server Business Rules, and submitting correct data to the Edge Server via a translation process—all in service of creating a person‑focused health care experience. Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.

  That's About the role. Responsibilities: heading

  Responsibilities

  then
  with each bullet. Let's list bullets exactly as in posting: - Corroborates closely with the IT, compliance, legal, revenue management, claims, enrollment, product teams and other departments to maximize and maintain submission measurements - Helps oversee RADV audits, submits data in a timely manner and prepares executive reports. - Develops medical underwriting rules for the Risk Management business system which accurately reflect the rating strategy and drive achievement of company revenue targets. - Directs business projects and is responsible for the development and delivery of project performance criteria and objectives. - Ensures day-to-day operations are appropriately supported by the Risk Management business team, identifying issues and recommending solutions. Develops and reviews business policies, processes and practices to ensure seamless coordination with the Risk Management business team. - Develops, implements and monitors audit processes to ensure accurate utilization of the Edge Server system by assigned users. - Responsible for training materials and delivery. - Regularly interacts with the IT team, identifying issues and partnering on resolutions to ensure the data submission system is functioning accurately. - Responsible for staff development, performance conversations, performance coaching and retention activities. - Regularly communicates departmental and organizational goals and objectives to staff. - Develops and maintains departmental policies and procedures and assures adherence to departmental standards and practices. - Oversees the data submission system and ensures it is functioning accurately. We need to ensure each