Manager, Risk Adjustment & Clinical Operations

Daymarkhealth; Deutschland; Hybrid; EUR 103.000 - 129.000; Vollzeit

Zusammenfassung

Daymark Health in the United States is building and scaling its risk adjustment operations within a value-based care framework. You will define risk capture, align with payer contracts, and work with clinical, product, and data teams to embed workflows into care delivery.

This role requires hands-on experience with HCC coding, chart reviewing, and partnering with clinicians to drive improvements. A startup or high-growth background is a plus, and you will own a domain while collaborating across

Qualifikationen

• Experience in risk adjustment, population health, or value-based care operations.
• Strong understanding of HCC coding and chart review workflows.
• Able to collaborate with clinicians and product teams.

Aufgaben

• Define and operationalize risk capture aligned with care model and payer contracts.
• Identify opportunities to improve documentation (suspects and refreshables).
• Design workflows that integrate risk adjustment into care delivery.
• Partner with Product and Data to reflect workflows in tools with timely data.
• Evaluate and manage vendors supporting chart prep, suspecting, coding workflows.
• Establish performance tracking and cadence for reporting and improvements.

Kenntnisse

Risk adjustment

Population health

HCC coding

Workflow design

Care delivery

Startup experience

Jobbeschreibung

ABOUT THE ROLE

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Daymark’s comprehensive, personalized cancer care platform empowers patients with dedicated care navigation, symptom-focused support, behavioral health care, and social resources. Combined with evidence-based health interventions and a hybrid in-person + virtual care model, Daymark is improving the overall cancer experience for patients, providers, and health plans – and setting a new standard in cancer care.

Daymark’s groundbreaking approach is led by CEO Dr. Justin Bekelman, a pioneer in transforming cancer care, alongside some of the nation’s foremost leaders in oncology and value-based care. Daymark Health is backed by Maverick Ventures, Yosemite, Oncology Ventures, Healthier Capital, Blue Venture Fund, and Healthcare Foundry.

Be cautious of recruitment fraud, and always confirm that communications are coming from an official Daymark Health email.

WHAT YOU'LL DO

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

WHAT WE ARE LOOKING FOR

Experience

• 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
• Startup or high-growth experience is a plus

Qualities

• 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

Additional Information

The expected compensation for this role is $120,000 to $150,000 annually, depending on location & experience.

This role is based in XX but will operate on either Central or Eastern time business hours.