Risk Adjustment and Quality Director

Provident Behavioral Health; Hartford (CT); On-site; USD 180,000 - 320,000; Full time

Job summary

Provident Behavioral Health seeks a physician leader to guide risk adjustment strategy, clinical documentation improvement, and HCC capture for value-based care initiatives.

You will collaborate with clinical, coding, analytics, operations, and payer teams to improve documentation integrity, educate providers, and strengthen population health outcomes. The role emphasizes cross-functional problem solving and quality improvement.

Qualifications

• Physician with strong knowledge of clinical documentation and risk adjustment concepts (including HCC).
• Ability to partner effectively across interdisciplinary teams (clinical, coding, analytics, operations, payers).
• Strong communication and teaching skills to influence provider documentation behavior.
• Analytical mindset focused on quality improvement and performance enhancement.

Responsibilities

• Provide physician leadership to support enterprise risk adjustment strategy and documentation improvement.
• Collaborate with clinical, operational, coding, analytics, and payer teams to improve quality outcomes.
• Advise and educate providers on documentation practices that enable HCC capture.
• Identify opportunities to enhance clinical documentation and capture in line with program requirements.
• Support cross-functional problem-solving to improve effectiveness of risk adjustment and population health efforts.

Skills

Clinical documentation

Risk adjustment

HCC capture

Cross-functional collaboration

Education

MD/DO physician

Tools

EHR systems

Job description

Physician Leadership - Risk Adjustment & Clinical Documentation

Provide physician leadership to support enterprise risk adjustment strategy, clinical documentation improvement, and HCC capture for value-based care and population health programs.

Key Responsibilities

• Lead initiatives that strengthen documentation integrity and support accurate risk adjustment.
• Collaborate with clinical, operational, coding, analytics, and payer teams to improve quality outcomes and performance.
• Advise and educate providers on documentation practices that enable appropriate HCC capture.
• Identify opportunities to enhance clinical documentation and capture, ensuring alignment with program requirements.
• Support cross-functional problem-solving to improve overall effectiveness of risk adjustment and population health efforts.

Qualifications & Skills

• Physician with strong knowledge of clinical documentation and risk adjustment concepts (including HCC).
• Ability to partner effectively across interdisciplinary teams (clinical, coding, analytics, operations, payers).
• Strong communication and teaching skills to influence provider documentation behavior.
• Analytical mindset focused on quality improvement and performance enhancement.