Vice President, Risk Adjustment

TL;DR

Vice President, Risk Adjustment: Developing and implementing a strategic approach to risk stratification using data analytics to identify high-risk populations. Focus on optimizing patient outcomes, integrating best practice workflows, and driving meaningful change in healthcare delivery.

Location: Remote

Company

hirify.global empowers independent primary care practices to deliver better care and thrive in value-based care arrangements.

What you will do

• Lead a team of subject matter experts, data analysts, and clinical documentation specialists, providing expertise on risk assessment methodologies.
• Partner with tech-product-analytic teams to design and maintain sophisticated risk algorithms using patient demographics and clinical data.
• Collaborate with the Analytics team to analyze large datasets and extract meaningful insights related to patient risk profiles.
• Develop a roadmap to operationalize specific actions which are repeatable, measurable, and cost-effective.
• Partner with clinical teams and leadership to effectively communicate risk assessments and implement targeted interventions based on risk stratification results.
• Ensure adherence to relevant healthcare regulations and guidelines related to risk stratification and data privacy.

Requirements

• Required: Bachelor’s Degree with 15+ years experience in healthcare.
• 5+ years of successfully leading and executing a comprehensive Risk Stratification program at scale
• Required: Deep knowledge of Risk Stratification in Medicare Advantage and Commercial plans.
• Proven track record of working collaboratively with clinical and operational colleagues across the organization.
• Deep understanding of healthcare terminology, clinical conditions, and disease progression.
• Ability to communicate complex data insights effectively and sensitively to diverse stakeholders.

Nice to have

• Exceptional communication and organization skills
• Project management experience
• Systems-thinker (data management, software administration)

Culture & Benefits

• Flexible work schedules and the ability to work remotely are available for many roles
• Robust time-off plan (21 days of PTO in your first year)
• 12 weeks paid parental leave for all new parents
• 401(k) with up to 4% match