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Risk Adjustment Compliance Specialist, Principal

ecge
Companyecge
CategoryFinance
LocationOakland, CA, United States
Remote
EmploymentNot stated
LevelSenior
SalaryNot stated by the employer
Posted23 Jul 2026
Last verified10 Aug 2026
SourceEmployer ATS (oracle)
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Description
The Risk Adjustment Compliance Specialist, Principal is responsible for ensuring organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medicaid and Medicare Advantage lines of business. This role involves auditing, monitoring, and evaluating risk adjustment processes, identifying areas of non-compliance, and recommending corrective actions. The Principal collaborates with internal teams and external partners to maintain the integrity of risk adjustment data and supports the development and implementation of compliance programs.