Supervisor, Risk Adjustment

Harbor Health

2d • Remote

About The Position

The Supervisor, Risk Adjustment leads day-to-day operations across Harbor Health's risk adjustment program, spanning HCC coding quality, risk adjustment retrieval campaigns, and vendor/delegated entity oversight. This is a hands-on team lead role — you'll be the connective tissue between our coders, analysts, and external partners, ensuring our risk adjustment program is accurate, compliant, and continuously improving.
This role reports to the Senior Director, Risk Adjustment & Performance and is a key contributor to Harbor Health's ACA/IFP and Medicare Advantage risk adjustment strategy.

Requirements

• 5+ years of experience in risk adjustment, with at least 1–2 years in a lead or supervisory capacity
• Deep working knowledge of risk adjustment coding (CMS-HCC & HHS-HCC models), risk adjustment methodology, and ACA/IFP or Medicare Advantage program requirements
• Familiarity with risk adjustment analytics, reporting tools, and data validation workflows
• Strong vendor management skills and comfort working with delegated entities
• Excellent organizational skills and the ability to manage multiple priorities in a remote environment
• Clear, professional communication — you're comfortable presenting data and updates to cross-functional stakeholders

Nice To Haves

• CRC, CPC, or equivalent coding credential preferred

Responsibilities

• HCC Coding Oversight
• Supervise and support a team of risk adjustment coders, providing guidance on diagnostic coding accuracy and compliance with CMS or HHS guidelines
• Conduct or coordinate coding audits, identify gaps, and implement education and remediation plans
• Serve as a coding subject matter expert and escalation point for complex clinical documentation questions
• Vendor & Delegated Entity Management
• Manage relationships with retrospective chart review vendors, coding vendors, and other delegated partners
• Ensure vendor performance meets contractual and regulatory standards; conduct regular performance reviews
• Coordinate on-site and remote chart retrieval activities to support annual encounter submissions
• Team Leadership
• Supervise, mentor, and develop risk adjustment coding staff; support hiring, onboarding, and performance management
• Review, develop, and/or modify procedures, performance expectations, systems, and protocols for prospective, concurrent and retrospective coding operations
• Foster a culture of accuracy, accountability, and continuous improvement within the team
• Collaborate closely with Clinical, Health Plan Operations, Compliance, and Analytics teams

Benefits

• Harbor Health offers a competitive salary commensurate with experience, along with a comprehensive benefits package including medical, dental, vision, 401(k), generous PTO, and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed