Director, Enterprise Risk Adjustment Platform

Mosaic Health; United States; Remote; USD 166,000 - 249,000; Full time

Job summary

Mosaic Health is seeking a Director to lead the Risk Adjustment Product & Technology strategy, shaping the roadmap and enterprise capabilities to identify, prioritize, and capture opportunities across patient populations.

You will partner with clinical, coding, product, engineering, analytics, finance, and market leadership to build an integrated, vendor-enabled, enterprise workflow that delivers measurable value and ROI.

Qualifications

• 10+ years in healthcare operations or informatics leadership.
• 5+ years in a senior leadership role.
• Experience leading enterprise clinical transformation or EHR optimization.
• Strong understanding of ambulatory and population health workflows.

Responsibilities

• Own enterprise risk adjustment product requirements and roadmaps.
• Develop and mature the Burden of Illness Hub for opportunities.
• Translate requirements into scalable product and tech capabilities.
• Lead cross-functional teams and manage vendor relationships.
• Define metrics, analytics, and ROI reporting for initiatives.

Skills

Executive leadership

Cross-functional leadership

Change management

Data-driven decision making

Stakeholder management

Education

Bachelor’s degree in healthcare administration, nursing, informatics, business, information systems

Advanced degree preferred

Job description

Mosaic Health is seeking a Director to lead the Risk Adjustment Product & Technology strategy, shaping the roadmap and enterprise capabilities to identify, prioritize, and capture opportunities across patient populations.

You will partner with clinical, coding, product, engineering, analytics, finance, and market leadership to build an integrated, vendor-enabled, enterprise workflow that delivers measurable value and ROI.