Payer Strategy & Risk Adjustment Executive

Allscripts; North Carolina; On-site; USD 163,000 - 216,000; Full time

Job summary

Veradigm is seeking the Veradigm Outcome Executive to serve as the primary strategic partner to C-suite and senior leaders across a portfolio of enterprise payer accounts, including health plans and managed care organizations. The VOE focuses on risk adjustment, quality programs, and payer-provider data exchange, operating with autonomy and accountability for revenue outcomes.

You will build executive relationships, develop annual account plans, manage QBRs, forecast opportunities, and navigate

Responsibilities

• Serve as the primary strategic partner to C-suite and senior functional leadership within an assigned portfolio of enterprise payer accounts — owning the full client relationship across quality, risk, network, and regulatory touchpoints
• Build and maintain executive-level relationships through on-site visits, quarterly business reviews (QBRs), and proactive engagement
• Understand and document each plan’s enterprise priorities — Stars and HEDIS targets, risk adjustment accuracy, medical loss ratio pressure, value-based care strategy, and interoperability mandates
• Analyze plan membership, line-of-business mix, and product utilization data to identify whitespace and inform pipeline and sales strategy
• Position Veradigm risk adjustment and quality solutions against each plan’s annual program cycle and align proposal timing
• Position payer-provider clinical data exchange solutions to plan requirements and provider network data assets
• Drive ACV quota attainment and MBO performance through pipeline management and forecasting
• Navigate procurement, security review, and contracting processes to move enterprise agreements to signature
• Advocate for client needs and coordinate cross-functional issue resolution for roadmap discussions
• Partner with Consulting, Support, and A/R to ensure dependable delivery and early resolution of at-risk situations
• Maintain deep knowledge of CMS and NCQA program mechanics to advise executive stakeholders
• Conduct whitespace and competitive analysis to expand Veradigm’s footprint across lines of business

Job description

Veradigm is seeking the Veradigm Outcome Executive to serve as the primary strategic partner to C-suite and senior leaders across a portfolio of enterprise payer accounts, including health plans and managed care organizations. The VOE focuses on risk adjustment, quality programs, and payer-provider data exchange, operating with autonomy and accountability for revenue outcomes.

You will build executive relationships, develop annual account plans, manage QBRs, forecast opportunities, and navigate