Executive Lead, Medicare Risk Adjustment Performance

Alignment Healthcare USA, LLC; Orange (CA); On-site; USD 198,000 - 297,000; Full time

Job summary

Alignment Health is seeking an Assistant Vice President, Medicare Risk Adjustment Performance to lead enterprise RAF strategy, oversee provider engagement, coding operations, chart retrieval and analytics across markets.

You will partner with Finance, Actuarial, Data & Technology, and Market Operations to hit RAF targets, ensure audit readiness and drive revenue realization while building high-performing teams.

Qualifications

• Minimum experience: ten or more years in managed care, healthcare analytics, or related operations.

Responsibilities

• Lead annual operating plan for Medicare risk adjustment performance across markets.

Education

Bachelor’s degree in healthcare, business, finance, analytics, information systems or related field

Tools

Excel

SQL

Job description

Alignment Health is seeking an Assistant Vice President, Medicare Risk Adjustment Performance to lead enterprise RAF strategy, oversee provider engagement, coding operations, chart retrieval and analytics across markets.

You will partner with Finance, Actuarial, Data & Technology, and Market Operations to hit RAF targets, ensure audit readiness and drive revenue realization while building high-performing teams.