Risk Adjustment Director
About the role
WHAT YOU'LL BE RESPONSIBLE FOR
Reporting to the Chief Financial Officer, you will:
- Provide strategic management oversight in designing, implementing, directing, and monitoring the Alliance’s Risk Adjustment Department functions
- Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
- Direct, manage, and supervise Risk Adjustment Department staff
ABOUT THE TEAM
The Finance Division acts as the guardian of the Alliance’s financial health. We track the pulse of the organization by analyzing budgets, forecasting future performance, and navigating the ever-changing economic and political landscape. To keep the Alliance financially strong and secure, we wear several hats and partner with every department in the organization to translate fiscal data into insights and action. From managing funds to risk management and compliance, we ensure the Alliance’s responsible use of public funds.
This role will lead Medicare DSNP Risk Adjustment strategy and execution, overseeing a high-performing team of three. Current DSNP membership is approximately 800, with projected growth to 2,000 by year-end. While this is a leadership position, the current stage of the program requires a hands-on approach. The Director will be responsible for both guiding the strategic direction and directly supporting key operational initiatives to ensure program stability and scalability. This leader will work closely with cross-functional stakeholders to drive alignment, educate on program priorities, and advance key initiatives. Success in this role will require strong collaboration and influence to accelerate progress and embed risk adjustment best practices.