Executive Director-Risk Adjustment (Exempt)
About the position Responsibilities • Drive accurate coding, documentation, and risk adjustment activities for Medicare Advantage and other lines of business. • Achieve operational, clinical, and financial targets through data and analytics across multiple regions. • Articulate risk adjustment performance and direct a team in risk adjustment initiatives. • Ensure improved quality care through effective leadership and management. • Translate quantitative insights into operational changes. Requirements • 10+ years in a healthcare setting with advanced knowledge in value-based care and managed care/risk adjustment data analytics. • 7+ years leading risk adjustment reporting and dashboard creation that serve as enterprise standard and best in class resource. • 7+ years in client business requirement gathering and documentation. • 3+ years of management experience with proven leadership abilities. • Bachelor's degree from a four-year accredited school in information technology, healthcare, or related field. Nice-to-haves • Post-graduate degree (MBA, MHA, JD, etc.) • Healthcare industry experience, particularly in Medicare Advantage and population health activities. • Experience working with health plans and/or large physician groups or health systems. • Epic or Mercy population health platform certification within 6 months of hire date. Benefits • Health insurance • Dental insurance • Tuition reimbursement • Paid time off • Vision insurance Apply tot his job