Vice President of Risk Adjustment

Job Summary

A company is looking for a Vice President, Enterprise Risk Adjustment.

Key Responsibilities

• Oversee enterprise-wide risk adjustment policies and ensure accurate data submissions
• Develop and implement risk adjustment strategies in alignment with regulatory and financial objectives
• Lead cross-functional initiatives and promote best practices in risk adjustment processes

Required Qualifications

• Bachelor's Degree in Business, Healthcare Administration, Public Health, or related field; Master's Degree preferred
• 10+ years of progressive leadership experience in risk adjustment or healthcare operations
• 5+ years of experience with CMS risk adjustment methodologies and regulatory frameworks
• Strong vendor management and contract negotiation experience
• Lean Six Sigma certification or equivalent preferred