Director, Risk Adjustment
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Job Description
Director of Risk Adjustment driving healthcare risk adjustment performance across payer programs at Interwell Health. Leading strategy translation into scalable programs and operational initiatives for providers.
Responsibilities:
- The Director of Risk Adjustment is a strategic operational leader responsible for driving risk adjustment performance across Interwell Health’s payer and government programs.
- Serve as a central leader in advancing Interwell’s risk adjustment capabilities, with accountability for both execution and measurable results in a highly regulated environment.
- Translate organizational strategy into scalable programs and support cross-functional teams across clinical, coding, analytics, and provider engagement.
- Provide operational support, driving day-to-day operations, implementing new pilots, and running existing programs.
- Assess the opportunity for performance improvement, devise the approach for implementation of new strategies, and manage deployment of performance related initiatives for Nephrology providers.
Requirements:
- 8–12+ years of experience in risk adjustment, healthcare operations, or related field
- Deep expertise in Medicare Advantage risk adjustment, HCC coding, and RAF methodology
- Experience leading enterprise or multi-market risk adjustment programs (MA, CKCC, Commercial preferred)
- Proven ability to translate strategy into execution and measurable outcomes
- Strong financial acumen with ability to connect RAF performance to revenue impact
- Demonstrated success leading cross-functional initiatives in complex healthcare environments
- Experience building and leading high-performing teams
- Bachelor’s degree in related field of study (preferred)
Benefits:
- We care deeply about the people we serve.
- We are better when we work together.
- Humility is a source of our strength.
- We bring joy to our work.
- We deliver on our promises.
- Commitment to diversity, equity, and inclusion throughout our recruiting practices.
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