Director, Burden of Illness Strategy & Ops

Vera Whole Health; United States; Remote; USD 137,000 - 206,000; Full time

Job summary

Vera Whole Health seeks a Director to lead Burden of Illness initiatives, ensuring accurate clinical documentation and risk adjustment. You will translate strategy into actionable programs within physician practices, partnering with Risk Adjustment, Population Health, and Quality leadership to coordinate and measure BOI outcomes.

The role requires expertise in CMS-HCC methodologies, strong data interpretation skills, and a track record of improving documentation, coding accuracy, and value-based

Qualifications

• Bachelor's degree or equivalent in a healthcare field.
• CRC or CPC certification preferred.
• Minimum 7 years in Medicare Risk Adjustment or related healthcare analytics.
• 3–5 years of leadership experience.
• Strong CMS-HCC knowledge and reporting experience.
• Experience with Medicare Advantage and value-based care.

Responsibilities

• Provide leadership for Burden of Illness initiatives.
• Maintain knowledge of CMS-HCC methods and coding guidelines.
• Monitor BOI indicators and identify trends.
• Develop and implement provider education strategies.
• Collaborate with Risk Adjustment and Population Health leadership.
• Drive scalable BOI workflows across physician practices.

Skills

Risk Adjustment

Burden of Illness

Data analysis

Executive communication

Leadership

Strategic planning

Education

Bachelor's degree in Healthcare Administration / Health Information Management / Public Health

CRC or CPC certification preferred

Tools

Excel

SQL

Tableau

Power BI

Job description

Vera Whole Health seeks a Director to lead Burden of Illness initiatives, ensuring accurate clinical documentation and risk adjustment. You will translate strategy into actionable programs within physician practices, partnering with Risk Adjustment, Population Health, and Quality leadership to coordinate and measure BOI outcomes.

The role requires expertise in CMS-HCC methodologies, strong data interpretation skills, and a track record of improving documentation, coding accuracy, and value-based