Risk Adjustment Director

What you'll be responsible for:

• Provide strategic management oversight in designing, implementing, directing, and monitoring the Alliance’s Risk Adjustment Department functions
• Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
• Direct, manage, and supervise Risk Adjustment Department staff

Ideal candidate:

• A motivated and seasoned leader in the managed care industry, with expertise in risk adjustments
• Excellent communication skills, with strength in building relationships and partnering with cross-functional teams
• Champion accountability across the organization

Knowledge of:

• The managed care industry and of Medicare health insurance payment methodologies
• Medicare (Hierarchical Condition Categories) risk adjustment models
• Methods and techniques of developing and delivering data management strategies that support contract analysis, trend management, budgeting, forecasting, strategic planning, and healthcare operations