Manager, Risk Adjustment & Documentation
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.
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.
What Does An Ideal Candidate Look Like?
- You're experienced and confident – With 7+ years in medical coding, healthcare education, or a related field, you’ve seen it all—especially when it comes to Medicare risk adjustment.
- You’ve walked this path before – Your background in Medicare Advantage or PACE means you understand the unique needs of the populations we serve.
- You know how to lead – You’ve managed teams before and enjoy coaching others to grow and succeed.
- Your education backs you up – You have a bachelor’s degree in a healthcare-related field, giving you a solid foundation to build on.
- You’ve got the credentials – You hold a CPC or CRC certification and take pride in maintaining professional excellence.
- You know your codes – Medicare risk adjustment methodology and ICD-10-CM diagnosis coding? You’ve got them down cold.
- You’re adaptable and energized by change – A scaling startup environment? Sounds like your kind of adventure.
- You think big and dig deep – Strategic problem-solving is your superpower, and you love asking “what if” and “why not.”
- You’re a natural teacher – You light up when helping others learn and thrive, especially through clear, engaging communication.
- You get adult learning – Whether it’s a workshop or a one-on-one, you know how to make training click.
- You’re tech-savvy where it counts – EHR systems are your friends, and you know your way around digital tools that keep us efficient.
- You play by the rules—and know them well – Healthcare compliance and billing practices? You’ve studied up and stay current.
- You love puzzles – Your analytical mind and problem-solving instincts help you connect the dots and uncover what’s missing.
- Details don’t stand a chance – With your sharp eye and organized approach, everything you touch is polished and accurate.
- You bring data to life – Comfortable with Excel and PowerPoint? That’s a plus—your insights don’t just sit in spreadsheets, they tell a story.
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.
$110,000 - $130,000 a year
What's in it for you?
myPlace Health offers a robust compensation package for this role that includes cash compensation and other total rewards. Base pay is based on several factors including but not limited to education, relevant work and industry experience, certifications, and location of the role. Onsite roles include appropriate geographic adjustments, while remote roles are typically priced off national pay data.
A Workplace Recognized for Excellence: We are proud to be Certified as a Best Place to Work in 2025, reflecting our commitment to a supportive, inclusive, and rewarding work environment where every team member is valued and empowered to make a difference.
Competitive Incentive Plan: Performance-based incentive plan that is beyond the industry standard
Growth and feedback opportunities: Enjoy two performance reviews each year (if applicable), designed to support your professional development and celebrate your contributions to our team's success!
Preparing you for retirement:401k with Employer match
Medical Plans to fit your needs: Your choice of 6 medical plans, with premium coverage of up to 80% for employees and 75% for all dependents
Ancillary benefits to meet your other needs: Dental and vision plans to meet your needs of you and your dependents; health savings account, flexible spending accounts, short- and long-term disability coverages, as well as basic life insurance. myPlace is also proud to offer accident, hospital indemnity, and critical illness benefits for our team.
Generous time off: PTO starting at 20 days per year; plus 12 paid holidays per year, and 2 floating holidays per year
Professional Development top of mind: Generous CME/CEU budget and time off, and professional development opportunities
Making your home office comfortable: A one-time stipend towards setting up your home office, if applicable.
Family friendly environment: Family friendly policies, including paid new parent leave and new child care stipend
Ready to Make an Impact?
If you’re excited about shaping the future of risk adjustment and documentation in a way that truly supports older adults living vibrant, independent lives—this is your chance. Join a mission-driven team that values innovation, compassion, and collaboration. We can’t wait to meet you and see the difference you’ll make.
Your Application
Please submit your resume/CV.
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.
COVID-19 Vaccination Policy
At myPlace Health, we provide safe and high-quality care to our participants. To achieve this, we have a policy that strongly recommends Covid-19 vaccination to keep both our team members and participants safe. Medical and religious exemptions can be granted based upon review of proper documentation. We adhere to all federal, state, and local regulations by obtaining necessary proof of vaccination prior to employment.
Beware of Scams and Fraud
Please beware of scams that solicit interviews or promote jobs for opportunities that are not listed on our website or are not directly related to a job you applied for yourself. Please be advised that myPlace Health will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission by selecting the ‘Rip-offs and Imposter Scams’ option: https://reportfraud.ftc.gov/#/
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