Director, Provider Risk Adjustment

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Director, Provider Risk Adjustment based in United States.

This is a senior leadership opportunity focused on driving operational excellence across provider risk adjustment, HCC coding, and value-based care programs.
You will oversee coding services delivered by domestic and global teams while ensuring quality, productivity, compliance, and contractual performance.
The role combines strategic client leadership with hands-on operational oversight, making you a key partner for health plans and provider organizations.
You will lead implementations, manage complex client relationships, and use performance data to identify risks and opportunities for improvement.
The position also plays a central role in standardizing processes, strengthening coding operations, and supporting technology and reporting enhancements.
Success requires strong knowledge of risk adjustment and payer-side operations, combined with the ability to lead diverse teams and navigate complex stakeholder environments.
This remote role offers the opportunity to shape scalable healthcare operations while contributing directly to better financial and clinical outcomes.