The Director of Provider Risk Adjustment has a key leadership role responsible for overseeing and driving operational excellence in coding services across both domestic and global teams
Job Summary
The Director of Provider Risk Adjustment has a key leadership role responsible for overseeing and driving operational excellence in coding services across both domestic and global teams.
This role focuses on the Risk Adjusted and Value-Based Care initiatives, with particular emphasis on Provider documentation and coding.
The Director ensures high-quality service delivery for health plans and provider clients, leading all aspects of HIM coding activities, client implementations, and performance management related to contracted deliverables.
Matching Summary
The Director of Provider Risk Adjustment has a key leadership role responsible for overseeing and driving operational excellence in coding services across both domestic and global teams.
Skills & Requirements
Must-have
Risk Adjustment programs
Provider documentation and coding
HIM coding activities
Client success management
Service level agreements (SLAs)
Data-driven decision-making
Nice-to-have
Professional development and growth
Scalable solutions and clinical expertise
Leading technology and analytics
Long-term careers
Key Requirements
5-7 years experience in Value-based care
10+ years progressive experience in medical coding