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Vice President, Risk Adjustment

Description:
A dynamic healthcare organization is seeking a Vice President, Risk Adjustment to lead and optimize its risk adjustment programs within the value-based care space. Reporting to the Chief Value Based Care Officer, this role oversees end-to-end operations, including strategy development, compliance, and program integration, to drive improved patient outcomes and operational success. The ideal candidate is an experienced leader with a deep understanding of risk adjustment, coding, and healthcare analytics, coupled with exceptional project management and stakeholder engagement skills.

Key Responsibilities

• Lead the strategic development and execution of risk adjustment programs to enhance accuracy, compliance, and operational efficiency.
• Oversee full lifecycle activities, including annual wellness visits, medical coding, and clinical documentation improvement initiatives.
• Collaborate with legal, compliance, and analytics teams to ensure adherence to regulatory standards and data-driven decision-making processes.
• Manage projects and programs, ensuring they meet timelines, budgets, and quality benchmarks.
• Partner with internal teams and external stakeholders to integrate and execute value-based care initiatives.
• Supervise and mentor a team of 10–15 professionals, fostering a culture of accountability, collaboration, and high performance.

Qualifications

• Bachelor’s degree required; MBA or master’s degree in a related field strongly preferred.
• 10+ years of leadership experience in risk adjustment, value-based care, or related fields.
• Proven expertise in developing and managing risk adjustment programs, regulatory compliance, and healthcare analytics.
• Exceptional communication and interpersonal skills, with a track record of effective collaboration across diverse teams.
• Strategic thinker with strong project management and problem-solving capabilities.
• Certification in CRC (Certified Risk Coder) with 3+ years of experience preferred; combinations of CPC, CCS-P, and CRC certifications also acceptable.

Why Join Us?

This role offers an exciting opportunity to shape transformative healthcare programs within a leading organization. Be part of a team that’s driving innovation and improving care outcomes in a dynamic industry.

IND123

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Vice President, Risk Adjustment

Description:
A dynamic healthcare organization is seeking a Vice President, Risk Adjustment to lead and optimize its risk adjustment programs within the value-based care space. Reporting to the Chief Value Based Care Officer, this role oversees end-to-end operations, including strategy development, compliance, and program integration, to drive improved patient outcomes and operational success. The ideal candidate is an experienced leader with a deep understanding of risk adjustment, coding, and healthcare analytics, coupled with exceptional project management and stakeholder engagement skills.

Key Responsibilities:

• Lead strategy, development, and execution of risk adjustment programs to enhance accuracy and compliance.
• Manage full lifecycle activities, including annual wellness visits, coding, and clinical documentation improvement.
• Collaborate with legal, compliance, and analytics teams to ensure regulatory adherence and data-driven decision-making.
• Oversee projects and programs, ensuring adherence to timelines, budgets, and quality standards.
• Partner with internal and external stakeholders to integrate and implement value-based care initiatives.
• Supervise a team of 10–15 professionals, fostering a culture of accountability and performance.

Qualifications:

• Bachelor’s degree required; MBA or master’s degree preferred.
• 10+ years of leadership experience in risk adjustment or value-based care.
• Proven success in developing and managing risk adjustment programs, compliance, and healthcare analytics.
• Strong communication and interpersonal skills, with experience collaborating across diverse teams.
• Strategic thinker with excellent project management and problem-solving abilities.
• 3+ years of CRC verification via AAPC preferred; combinations of CPC, CCS-P, and CRC also acceptable

This role offers a unique opportunity to shape impactful healthcare programs in a leading organization.

#LI-BH1

Bachelor’s Degree