Risk Adjustment Senior Manager / Director

Daymark Health•Boston, MA

2d•$120,000 - $150,000•Remote

About The Position

We are seeking a highly capable Senior Manager or Director to lead Risk Adjustment Operations at Daymark while also serving as a core member of the Clinical Operations team. This role sits at the intersection of Clinical Operations, Finance, Product, and Data, and is responsible for ensuring we accurately capture patient complexity in a way that reflects the true clinical needs of our population. You will take the lead in building and scaling our risk adjustment approach, from identifying opportunities to embedding workflows into care delivery to driving measurable performance improvement. Beyond risk adjustment, this role is part of the broader Clinical Operations team and will flex into other high-priority operational initiatives, including market launches, care delivery workflows, and enrollment operations. This role is ideal for someone who enjoys owning a critical domain while also working across a wide range of operational problems in a fast-moving, early-stage environment.

Requirements

Experience in risk adjustment, population health, or value-based care operations
Strong understanding of HCC coding, suspecting, and chart review workflows
Experience working with clinicians and embedding workflows into care delivery
Experience partnering with Product, Data, and Analytics teams
You are both strategic and highly execution-oriented
You can translate complex concepts into practical workflows
You are comfortable working across clinical, operational, and technical teams
You thrive in ambiguity and enjoy building from scratch
You are excited to own a domain while also contributing more broadly across the business

Nice To Haves

Startup or high-growth experience is a plus

Responsibilities

Build and Scale Daymark’s Risk Adjustment Operations
Define and operationalize our approach to risk capture, aligned with our care model and payer contracts
Identify opportunities for improving documentation (e.g., suspects and refreshables)
Design and implement workflows that integrate risk adjustment into care delivery and partner with Care Teams to ensure those workflows are usable, adopted, and effective
Partner with Product and Data to ensure workflows are reflected in tools and supported by accurate, timely data
Evaluate and manage vendors supporting chart prep, suspecting, and coding workflows
Establish performance tracking, reporting, and review cadences and Identify gaps in performance to drive targeted improvements
Broader Clinical Operations Priorities and Execution.
Improve care delivery workflows, enrollment operations, and cross-team coordination
Diagnose operational friction and implement solutions that improve reliability and efficiency
Partner with cross-functional teams to translate operational needs into workflows, tools, and processes
Support operational readiness for new markets and service lines
Step into high-priority operational initiatives as they emerge
Operational Infrastructure & Scaling
Translate strategic priorities into operational workplans
Ensure KPIs have clear ownership and follow-through
Support operational review cadence and performance visibility
Identify execution gaps and help drive resolution