Manager of Risk Adjustment & Documentation at myPlace Health
Los Angeles, CA 90057, USA -
Full Time


Start Date

Immediate

Expiry Date

07 Nov, 25

Salary

130000.0

Posted On

08 Aug, 25

Experience

7 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Los Angeles

Industry

Hospital/Health Care

Description

ABOUT MYPLACE HEALTH

myPlace Health was founded in 2021 by mission-aligned healthcare leaders and organizations that are committed to drastically improving health outcomes, quality and experience for vulnerable older adults and frail seniors. We specialize in providing value-based, comprehensive care and coverage for older adults with significant needs so they can thrive in the homes they love and in the communities they cherish.
Our mission is simple: to enable older adults to live the independent lives they deserve. We pursue this mission through our myPlace PACE (Program of All-Inclusive Care for the Elderly) model, which provides seamless primary care, integrated health plan coverage, personalized social engagement, and customized services delivered in the participant’s preferred place.
myPlace Health is building a mission-driven team that shares our passion for redefining the way older adults experience care as they “age in place” in the community. This is a unique opportunity to take on one of our country’s most challenging healthcare problems and join a fast-growing, dynamic team as we prepare to scale our mission to serve more markets.

A FEW MORE DETAILS TO KNOW

  • Your schedule is steady and predictable – Monday through Friday, so you can plan your life with confidence.
  • You’ll enjoy a mix of in-person and remote work – This hybrid role supports both our Greater Los Angeles and South Los Angeles sites, giving you variety and connection while still offering flexibility.

OUR COMMITMENT TO DIVERSITY, EQUITY AND INCLUSION

At myPlace Health, we value the diversity of our team members, and we are committed to building a culture of inclusion and belonging. We pride ourselves to be an equal opportunity employer. People seeking employment at myPlace Health are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

Responsibilities

ABOUT THIS ROLE

As our Manager of Risk Adjustment & Documentation, you’ll be a key leader within Health Plan Operations, overseeing all things coding, compliance, and documentation. You’ll ensure our systems are buttoned up, our teams are trained and supported, and our approach to risk adjustment reflects the best of what’s possible in senior care.
From shaping the big picture strategy to rolling up your sleeves on provider education, audits, and vendor collaboration, this is a hands-on leadership role with real impact. If you’re excited by process improvement, healthcare innovation, and helping teams succeed in a growing organization—you’ll fit right in.

WHAT DOES SUCCESS LOOK LIKE IN THIS ROLE?

  • Lead with vision – Champion the roadmap for risk adjustment operations, ensuring our practices are not just compliant, but also thoughtful, scalable, and effective.
  • Be a mentor and motivator – Guide and support our incredible coding and medical records team. You’ll be the coach they can count on.
  • Roll up your sleeves – Get hands-on with coding medical records, including those essential health assessments, while partnering with our PACE providers to make documentation top-notch.
  • Build smarter systems – Collaborate cross-functionally to bring repeatable, measurable, and efficient processes to life—with a little help from our savvy analytics team.
  • Set the foundation – Create a smooth and accurate pre-enrollment workflow so we capture each participant’s full story from day one.
  • Make learning stick – Design and deliver educational programs that bring coding and documentation guidelines to life in ways that are clear, practical, and engaging.
  • Be a trusted advisor – Host one-on-one coaching sessions with clinicians and staff, providing real-time feedback that elevates our care and compliance.
  • Keep a close eye – Conduct regular audits to uncover areas of opportunity and help our teams continuously grow.
  • Partner with purpose – Manage relationships with vendors and explore new collaborations that move the needle on risk adjustment outcomes.
  • Stay sharp – Keep pace with the latest CMS and Medicaid regulations so we’re always one step ahead—especially in our PACE model.
  • Write the playbook – Help shape our policies and procedures in line with national best practices and evolving standards.
  • Keep everyone in the loop – Communicate changes in coding policies clearly and help troubleshoot challenges that arise.
  • Promote coding excellence – Make sure our documentation accurately reflects the real-life complexity of the seniors we serve.
  • Stay compliant and ethical – Lead with integrity to ensure we meet regulatory expectations and avoid fraud, waste, or abuse in our practices.
  • Lend a hand – Partner with other teams on all things coding, including billing and encounter data support.
  • Jump in where needed – You’re flexible, resourceful, and ready to take on whatever comes your way.
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