Risk Adjustment Director

Job Summary

A company is looking for a Director of Risk Adjustment.

Key Responsibilities

• Develop and execute a comprehensive annual Risk Adjustment strategy to ensure accurate reimbursements
• Coordinate internal and external resources to drive risk adjustment initiatives and manage vendor operations
• Oversee a team of risk adjustment coders, ensuring compliance with regulatory protocols and improving diagnosis coding accuracy

Required Qualifications, Training, and Education

• Minimum of 8 years of relevant professional experience, preferably in Medicare Advantage
• Leadership experience with staff and process management capabilities
• Knowledge of risk adjustment specific to Medicare Advantage products
• Bachelor's degree in Healthcare, Finance, or a related field, or equivalent experience
• Ability to multi-task while maintaining a high level of detail