Remote Clinical Risk Adjustment Director

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Thu, Jun 03, 2021

This job expires in: 11 days

Job Category: Management

Remote Level: Partially Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced, Senior Level

Education Level: Bachelors, Masters

Job Summary

A healthcare company has an open position for a Remote Clinical Risk Adjustment Director.

Individual must be able to fulfill the following responsibilities:

  • Be accountable for strategy and operations of national Risk Adjustment programs
  • Oversee market-based operations as it relates to risk adjustment, collaborating with Market teams on executing their programs
  • Be an Internal subject matter expert and escalation point for Risk Adjustment

Applicants must meet the following qualifications:

  • Some Travel Required
  • Bachelor’s degree required
  • Experience in Medicare Advantage or other government programs
  • Experience building and running Risk Adjustment programs
  • Experience with and deep knowledge of the CMS HCC Risk Adjustment model
  • 7 plus years of relevant experience as a senior leader working in health plans, health systems, and/or provider organizations

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