Risk Adjustment Strategy Partner

Intermountain Healthcare Inc.; Salem (OR); Hybrid; USD 62,000 - 96,000; Full time

Job summary

Intermountain Health is seeking a Risk Adjustment Strategic Partner to liaise with provider organizations and clinic leadership. You will coordinate risk adjustment, HEDIS and STAR gap closure, and data-driven program development with quarterly travel to local clinics.

The role requires navigating data tools, shaping actionable clinic opportunities, and advising executives on population health strategies. Hybrid work with some travel to local sites is required.

Qualifications

• Proficient at risk adjustment strategy for Medicare and ACA lines, incl. RAF calculations and ROI on engagement.
• Strong understanding of HEDIS and STAR measures used in population health.
• Knowledge of healthcare regulations and compliance requirements.
• Familiarity with value-based care, provider incentive programs, P4P and quality programs.

Responsibilities

• Partner with provider groups to achieve annual goals and engage for performance improvement.
• Develop strategies to address gaps in care and monitor program effectiveness.
• Design and implement reporting across the risk adjustment organization and with external partners.
• Support strategic engagements and represent risk adjustment in new member initiatives.
• Foster relationships with providers and clinical leadership across internal and external stakeholders.
• Lead high-priority initiatives with proactive leadership and collaboration.

Skills

Risk Adjustment

Relationship Building

Performance Improvements

Management Reporting

Quality Measurements

Data Interpretations

Analytical Thinking

Written Communication

HEDIS

Accountability

Data Reporting

Presentations

Education

Bachelor's degree in healthcare administration, business administration, or equivalent work experience

Five years of experience in health plan and / or provider administration experience

Tools

Excel

PowerPoint

Job description

Intermountain Health is seeking a Risk Adjustment Strategic Partner to liaise with provider organizations and clinic leadership. You will coordinate risk adjustment, HEDIS and STAR gap closure, and data-driven program development with quarterly travel to local clinics.

The role requires navigating data tools, shaping actionable clinic opportunities, and advising executives on population health strategies. Hybrid work with some travel to local sites is required.