Director of Risk Adjustment and Quality - Dallas

Only for registered members Dallas, United States

1 month ago

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Job Summary

The Director of Risk Adjustment and Quality leads the strategy, execution, and optimization of risk adjustment and quality initiatives for our SaaS platform serving Medicare Advantage,
payer organizationsand payer markets.

This role ensures our platform delivers accurate risk scoring,
quality measure tracking,and regulatory compliance while supporting clients' value-based care and financial performance goals.

Bullet Points:

  • Own the risk adjustment and quality product roadmap for Medicare Advantage,
    provider organizations,and commercial payer clients.
  • Lead the development of HCC coding,suspecting/recapture tracking,and gap closure modules within the platform.
  • Oversee analytics/reporting/client enablement programs focused on risk adjustment accuracy/quality measure performance (HEDIS,/STAR Ratings,/CAHPS,.etc.).

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