Director, Risk Adjustment & Quality

Hartford HealthCare; Hartford (CT); On-site; USD 150,000 - 210,000; Full time

Job summary

Hartford HealthCare is seeking a physician leader to serve as Director of Risk Adjustment & Quality. The role shapes enterprise risk adjustment strategy, clinical documentation improvement, and HCC capture across value-based care and population health programs.

The position requires collaboration with clinical, operational, coding, analytics, and payer partners to advance Medicare Advantage performance, ensure documentation integrity, and drive sustainable financial and quality outcomes while

Qualifications

• MD/DO/PA/APRN from an accredited institution.
• Board Certification in a recognized specialty.
• Eligibility for unrestricted Connecticut medical licensure.
• Minimum five years of clinical practice experience.
• Experience in value-based care, population health, Medicare Advantage, risk adjustment, or quality initiatives.
• Demonstrated physician leadership experience.

Responsibilities

• Strategic Leadership for enterprise risk adjustment initiatives.
• Develop and implement risk adjustment strategy and HCC capture programs.
• Engage and educate physicians to improve documentation quality.
• Lead quality analytics and performance improvement efforts.
• Ensure compliance with regulatory standards and documentation integrity.

Skills

Physician leadership

Value-based care

Population health

Risk adjustment

Clinical documentation improvement

Quality initiatives

Education

MD, DO, PA or APRN from an accredited institution

Job description

Location Detail: 100 Pearl Street Hartford (10484)

Director, Risk Adjustment & Quality

Hartford HealthCare, Connecticut

Shape the Future of Value-Based Care

At Hartford HealthCare, we are transforming healthcare through innovation, physician leadership, and a commitment to delivering exceptional outcomes for the communities we serve. As one of New England's most comprehensive integrated healthcare systems, we are seeking a visionary physician leader to serve as our Director of Risk Adjustment & Quality.

This is a unique opportunity for a clinically active physician to influence enterprise-wide population health strategy, advance Medicare Advantage and value-based care performance, and partner with physician leaders across a nationally recognized health system. The Medical Director will play a critical role in ensuring accurate clinical documentation, risk capture, quality outcomes, and sustainable success in a rapidly evolving reimbursement landscape.

About Hartford HealthCare

With more than 45,000 colleagues, over 500 locations, and a physician-led culture, Hartford HealthCare is one of the nation's most innovative, rapidly growing, and financially stable healthcare organizations.

Our integrated care model spans acute care hospitals, medical groups, behavioral health, rehabilitation, home care, senior services, and digital health, creating unparalleled opportunities to improve the health of our communities.

Position Summary

The Medical Director of Risk Adjustment provides physician leadership for enterprise risk adjustment strategy, clinical documentation improvement, and hierarchical condition category (HCC) capture initiatives across Hartford HealthCare's expanding value-based care and population health programs.

Working collaboratively with clinical, operational, coding, analytics, and payer partners, the Medical Director will develop and implement strategies that support accurate representation of patient complexity, optimize risk adjustment performance, and enhance quality and financial outcomes.

This physician leader serves as a trusted advisor and educator to providers, helping translate risk adjustment principles into meaningful clinical practice while maintaining the highest standards of compliance and documentation integrity

Key Responsibilities

• Strategic Leadership
• Risk Adjustment Strategy
• Physician Engagement and Education
• Quality, Analytics & Performance Improvement
• Compliance & Regulatory Oversight

What Makes This Opportunity Special

Connecticut's convenient location allows easy access to major cities like New York and Boston while maintaining a high quality of life with low crime rates and beautiful, welcoming suburban neighborhoods. The state has excellent educational institutions, from top-ranked public schools to prestigious universities and boasts a strong job market, particularly in finance, healthcare, and technology.

Residents enjoy the state's rich history and culture, with numerous museums, theaters, and historic sites along with a variety of outdoor activities, including hiking, skiing, and boating. Enjoy the quality of life, educational opportunities, and cultural attractions that make Connecticut an outstanding place to live and work.

Qualifications

Required

• MD, DO, PA or APRN from an accredited institution.
• Board Certification in a recognized specialty.
• Eligibility for unrestricted Connecticut medical licensure.
• Minimum five years of clinical practice experience.
• Experience in value-based care, population health, Medicare Advantage, risk adjustment, clinical documentation improvement, or quality initiatives.
• Demonstrated physician leadership experience.