Consultant - Risk Adjustment Operations

Wakely, an HMA company, is seeking a highly motivated Risk Adjustment Consultant with hands-on experience supporting or leading health plan operations in both ACA and Medicare Advantage (MA). The ideal candidate combines operational expertise, strong communication skills, and the ability to translate complex concepts into clear, actionable insights for clients.

Requirements

• Deep experience supporting or leading ACA and MA risk adjustment operations within a health plan or consulting environment.
• Strong understanding of the full risk adjustment lifecycle, including coding, submissions, analytics, provider engagement, and regulatory requirements.
• Strategic mindset with the ability to anticipate market or regulatory changes and turn them into actionable client strategies.
• Ability to build trust, foster strong client relationships, and develop a professional network.
• Passion for developing team members through mentoring, guidance, and knowledge-sharing.
• Excellent written and verbal communication skills, with proven success working across cross-functional teams.

Benefits

• Retirement Plan