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Director of Risk Adjustment

Location: Remote
Compensation: To Be Discussed
Reviewed: Tue, Sep 15, 2026
This job expires in: 30 days

Job Summary

Leading product strategy for the risk adjustment ecosystem, the full-time salaried Director of Risk Adjustment will define and execute the product roadmap, enhance clinician experience through technology, and ensure compliance with evolving CMS regulations in a fully remote setting.

Key responsibilities
  • Defining and executing the product roadmap across risk adjustment workflows
  • Driving enhancements in the careflow platform to improve documentation quality
  • Translating CMS regulatory changes into actionable product strategies
Required qualifications
  • 5+ years of Product Management experience
  • 2+ years in healthcare payer, value-based care, or Risk Adjustment
  • Deep understanding of HCC coding and CMS Risk Adjustment models
  • Experience with healthcare interoperability, including APIs and HIEs
  • Strong analytical skills related to RAF performance and operational KPIs

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