Senior Business Process Advisor, Quality & Risk Adjustment

The Senior Business Process Advisor, Quality & Risk Adjustment serves as the primary liaison between Risk Adjustment, Quality/Stars, Clinical Operations, and IT teams to translate business priorities and CMS regulatory requirements into scalable workflows and technology enhancements. This role focuses on improving Medicare Advantage performance through data-driven solutions, accurate reporting, and cross-functional collaboration across Stars, HEDIS, CAHPS, and Risk Adjustment initiatives. The position plays a critical role in ensuring organizational goals related to quality outcomes, member experience, and regulatory compliance are effectively implemented.