Director of Risk Adjustment Prospective Programs

The Director of Risk Adjustment Prospective Programs leads the strategic implementation and optimization of proactive risk adjustment initiatives, focusing on point-of-care, concurrent, and forward-looking interventions to capture accurate member health acuity. This role involves designing scalable workflows, managing vendor partnerships, and driving provider engagement to ensure compliant documentation and revenue accuracy. The position requires strong leadership, advanced analytics expertise, and the ability to integrate prospective programs with existing care management and quality initiatives.