BS
BSCRisk Adjustment Compliance Specialist, Principal
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Before you apply
SalaryNo pay range posted
LocationOakland, CA, United States
SeniorityLead
DepartmentRisk Adjustment
Company size10,000+ people
First seenOct 18, 2026 · 2w ago
Verified live9h ago
At a glanceSummarised by Seekless from the posting.
Ensuring organizational compliance with laws related to Risk Adjustment across Marketplace (ACA), Medicaid and Medicare Advantage lines of business
Auditing, monitoring, and evaluating risk adjustment processes
Identifying areas of non-compliance and recommending corrective actions
Collaborating with internal teams and external partners
Maintaining the integrity of risk adjustment data
Supporting the development and implementation of compliance programs
Your Role
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.