Director, Risk Adjustment & Quality

Hartford Healthcare•Hartford, CT
•Onsite

About The Position

Shape the Future of Value-Based Care At Hartford HealthCare, we are transforming healthcare through innovation, physician leadership, and a commitment to delivering exceptional outcomes for the communities we serve. As one of New England's most comprehensive integrated healthcare systems, we are seeking a visionary physician leader to serve as our Director of Risk Adjustment & Quality. This is a unique opportunity for a clinically active physician to influence enterprise-wide population health strategy, advance Medicare Advantage and value-based care performance, and partner with physician leaders across a nationally recognized health system. The Medical Director will play a critical role in ensuring accurate clinical documentation, risk capture, quality outcomes, and sustainable success in a rapidly evolving reimbursement landscape. About Hartford HealthCare With more than 45,000 colleagues, over 500 locations, and a physician-led culture, Hartford HealthCare is one of the nation's most innovative, rapidly growing, and financially stable healthcare organizations. Our integrated care model spans acute care hospitals, medical groups, behavioral health, rehabilitation, home care, senior services, and digital health, creating unparalleled opportunities to improve the health of our communities. Position Summary The Medical Director of Risk Adjustment provides physician leadership for enterprise risk adjustment strategy, clinical documentation improvement, and hierarchical condition category (HCC) capture initiatives across Hartford HealthCare's expanding value-based care and population health programs. Working collaboratively with clinical, operational, coding, analytics, and payer partners, the Medical Director will develop and implement strategies that support accurate representation of patient complexity, optimize risk adjustment performance, and enhance quality and financial outcomes. This physician leader serves as a trusted advisor and educator to providers, helping translate risk adjustment principles into meaningful clinical practice while maintaining the highest standards of compliance and documentation integrity

Requirements

  • MD, DO, PA or APRN from an accredited institution.
  • Board Certification in a recognized specialty.
  • Eligibility for unrestricted Connecticut medical licensure.
  • Minimum five years of clinical practice experience.
  • Experience in value-based care, population health, Medicare Advantage, risk adjustment, clinical documentation improvement, or quality initiatives.
  • Demonstrated physician leadership experience.

Responsibilities

  • Strategic Leadership
  • Risk Adjustment Strategy
  • Physician Engagement and Education
  • Quality, Analytics & Performance Improvement
  • Compliance & Regulatory Oversight
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