Regional Director, Burden of Illness & Risk Adjustment

Mosaic Health, LLC.; Georgia; On-site; USD 137,000 - 206,000; Full time

Job summary

Mosaic Health is seeking a Regional Director of Burden of Illness Operations to lead BOI initiatives across physician practices, guiding risk adjustment programs and documentation improvement. You will translate CMS-HCC methodologies into scalable workflows, collaborating with Risk Adjustment, Population Health, and Practice Operations leadership to drive measurable performance gains.

The role requires a strategic leader with strong data interpretation, provider engagement, and executive

Qualifications

• Bachelor's degree in a healthcare-related field or equivalent experience.
• Active CRC or CPC certification strongly preferred.

Responsibilities

• Provide leadership and subject matter expertise for organizational Burden of Illness initiatives.
• Develop scalable workflows that integrate BOI activities into routine practice operations.
• Monitor BOI performance across populations and identify opportunities requiring intervention.
• Exhibit strong executive communication and presentation skills to leadership.

Skills

Risk Adjustment

BOI principles

Data analysis

Stakeholder engagement

Executive communication

Strategic planning

Education

Bachelor's degree in Healthcare Administration

Bachelor's degree in Business Administration

Bachelor's degree in Health Information Management

Bachelor's degree in Public Health

Tools

Excel

SQL

Tableau

Power BI

Job description

Mosaic Health is seeking a Regional Director of Burden of Illness Operations to lead BOI initiatives across physician practices, guiding risk adjustment programs and documentation improvement. You will translate CMS-HCC methodologies into scalable workflows, collaborating with Risk Adjustment, Population Health, and Practice Operations leadership to drive measurable performance gains.

The role requires a strategic leader with strong data interpretation, provider engagement, and executive