Mercy Health-posted about 1 year ago
Full-time • Executive
Remote • Chesterfield, MO
Ambulatory Health Care Services

The Executive Director, Risk Adjustment is a strategic leadership role at Mercy responsible for overseeing coding, documentation, and risk adjustment activities for Medicare Advantage and other business lines. This position focuses on driving performance across multiple regions to meet operational, clinical, and financial targets through data analytics. The role requires an analytical executive who can translate quantitative insights into operational changes and lead a team in risk adjustment initiatives to enhance quality care.

  • Drive accurate coding, documentation, and risk adjustment activities for Medicare Advantage and other lines of business.
  • Achieve operational, clinical, and financial targets through data and analytics across multiple regions.
  • Articulate risk adjustment performance and direct a team in risk adjustment initiatives.
  • Ensure improved quality care through effective leadership and management.
  • Translate quantitative insights into operational changes.
  • 10+ years in a healthcare setting with advanced knowledge in value-based care and managed care/risk adjustment data analytics.
  • 7+ years leading risk adjustment reporting and dashboard creation that serve as enterprise standard and best in class resource.
  • 7+ years in client business requirement gathering and documentation.
  • 3+ years of management experience with proven leadership abilities.
  • Bachelor's degree from a four-year accredited school in information technology, healthcare, or related field.
  • Post-graduate degree (MBA, MHA, JD, etc.)
  • Healthcare industry experience, particularly in Medicare Advantage and population health activities.
  • Experience working with health plans and/or large physician groups or health systems.
  • Epic or Mercy population health platform certification within 6 months of hire date.
  • Health insurance
  • Dental insurance
  • Tuition reimbursement
  • Paid time off
  • Vision insurance
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