Executive Director, Risk Adjustment Operations

1 week ago


Louisville, Kentucky, United States CenterWell Home Health Full time
About the Role

We are seeking a seasoned executive to lead our Risk Adjustment Operations team at CenterWell Home Health. As Vice President, Risk Adjustment and Operations, you will play a critical role in driving strategic initiatives to optimize risk adjustment operations and solutions that deliver quality outcomes and business value.

Key Responsibilities
  • Develop and execute operational strategies to improve risk adjustment operations and outcomes.
  • Lead a multi-level team of over 500 associates, with approximately 5 direct reports.
  • Coordinate and oversee multiple vendors, including medical record retrieval and coding vendors, as well as internal operational partners.
  • Manage the complexity of competing priorities and ensure effective communication with senior and executive-level audiences.
  • Collaborate with cross-functional partners, corporate and market functions, vendors, and providers to achieve successful outcomes.
Requirements
  • 10+ years of leadership experience in the healthcare industry, specifically in risk adjustment operations.
  • Expertise in developing and executing operational strategies and a record of success working in a highly matrixed environment.
  • Strong leadership skills, with a proven track record of expanding and elevating the capabilities and performance of a multi-level team and large-scale organization.
  • Bachelor's degree in healthcare administration, business, or a related field; Master's degree highly desired.
  • Deep knowledge of the health insurance industry, competitive landscape, Medicare operations end-to-end, and a keen respect for compliance and legal guidelines.
About Us

CenterWell Home Health is committed to putting health first for our teammates, our customers, and our company. We make it easier for the millions of people we serve to achieve their best health by delivering the care and service they need, when they need it. Our efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.



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