Job Details

A company is looking for a Director of Provider Risk Adjustment.Key ResponsibilitiesOversee client management and ensure high-quality service delivery for health plans and provider clientsManage and mentor a diverse team of coding professionals while ensuring compliance with coding standardsIdentify and implement best practices to enhance operational workflows and efficiencyRequired QualificationsBachelor's degree in Health Information Management, Health Administration, Finance, or related field (Master's preferred)10+ years of progressive experience in medical coding or value-based care operations, including 5+ years in a leadership roleProven experience in payer-side operations and risk-based programsStrong understanding of HCC coding practices and regulatory guidelinesDemonstrated ability to manage global teams and vendor relationships