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
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