Director of Risk Adjustment Operations
A company is looking for a Senior Manager / Director, Clinical Operations - Risk Adjustment.
Key Responsibilities
Build and scale risk adjustment operations, ensuring alignment with care models and payer contracts
Improve care delivery workflows and support operational readiness for new markets and service lines
Translate strategic priorities into operational workplans and drive performance improvements
Required Qualifications
Experience in risk adjustment, population health, or value-based care operations
Strong understanding of HCC coding, suspecting, and chart review workflows
Experience working with clinicians and embedding workflows into care delivery
Experience partnering with Product, Data, and Analytics teams
Startup or high-growth experience is a plus