Director of Risk Adjustment Strategy and Performance - Remote

Overview

As a Director of Risk Adjustment Strategy and Performance, you will be responsible for driving the development, execution, and ongoing enhancement of risk adjustment programs within Navvis, leveraging data and technology to improve outcomes and enhance financial performance.

In Short

• Lead the design and optimization of risk adjustment strategies.
• Employ advanced data analytics to identify improvement opportunities.
• Develop scalable processes for diverse markets.
• Collaborate with technology teams on innovative solutions.
• Serve as a subject matter expert on risk adjustment methodologies.
• Build relationships with health plans and provider organizations.
• Establish KPIs and dashboards for monitoring performance.
• Lead data-driven performance reviews.
• Measure and improve operational efficiency.

Requirements

• Bachelor’s degree in healthcare administration or related field; Master’s preferred.
• 10+ years of experience in risk adjustment.
• Expertise in data analytics and program management.
• Strong knowledge of CMS and commercial risk adjustment regulations.
• Excellent communication and stakeholder management skills.
• Ability to thrive in a fast-paced environment.

Benefits

• Opportunity to lead innovative risk adjustment initiatives.
• Work in a mission-driven organization.
• Collaborate with diverse teams and partners.