Source Job

US

  • Overseeing coding services across domestic and global teams.
  • Ensuring high-quality service delivery for health plans and provider clients.
  • Managing relationships, ensuring adherence to SLAs, and improving operational outcomes.

HCC Coding Data Analysis Client Management Leadership Risk Adjustment

4 jobs similar to Director of Provider Risk Adjustment

Jobs ranked by similarity.

US 4w PTO 12w maternity

  • Design, execute, and ensure operational excellence of risk adjustment coding and clinical documentation programs.
  • Create scalable, physician-centric educational programs for accurate and complete diagnosis documentation.
  • Lead a multidisciplinary team of coders, auditors, and analysts to ensure operational excellence and talent development.

Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients. They're the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.

$120,000–$150,000/yr
US 4w PTO

  • Monitor and interpret CMS, state Medicaid, and industry risk adjustment and quality regulations.
  • Provide SME guidance to Product, Sales, and Account Management on RA policy and program implications.
  • Partner with product teams to ensure solutions align with regulatory and audit requirements.

Cotiviti is a company that focuses on healthcare solutions. They offer a competitive benefits package to address a wide range of personal and family needs.

US 3w PTO

  • Perform comprehensive reviews of patient charts to identify gaps in documentation.
  • Collaborate with providers and clinical staff to educate them on accurate documentation.
  • Maintain accurate records of chart reviews, coding opportunities identified, and outcomes.

Bluestone delivers exceptional care to patients living with complex, chronic conditions and disabilities. Our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver preventative, proactive and tailored care. Bluestone has been named to the Star Tribune's Top Workplace list for the 13th year in a row and also achieved Top Workplace USA 2021-2025!

$140,000–$150,000/yr
US

  • Lead and manage the day-to-day operations of the multidisciplinary Care Team.
  • Ensure clinical care is delivered according to established protocols and evidence-based standards.
  • Track clinical outcomes and key performance indicators to improve patient engagement and health outcomes.

Salvo offers a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions from IBS to obesity. They bring multidisciplinary virtual care to patients at community specialty care practices. Salvo has raised a Series A investment round from leading healthcare investors. Salvo fosters a culture of constant innovation, marked by relentless curiosity and a sense of empathy.