Job description
The Director of Risk Adjustment is a strategic operations leader responsible for overseeing large-scale risk adjustment coding and auditing programs, ensuring operational excellence, regulatory compliance, and exceptional client service. This role leads a high-performing team of 70+ coding professionals, drives quality, productivity, and scalability across CMS-HCC risk adjustment operations, and partners closely with clients, executive leadership, and product teams to optimize AI-enabled coding solutions.
The ideal candidate brings deep expertise in Medicare risk adjustment, strong leadership experience, and a proven ability to balance operational performance, compliance, and innovation in a fast-paced, value-based care environment.