Risk Adjustment Strategy Partner (Hybrid/Remote)

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

Benefits offered by this job

Benefits package

Job summary

Intermountain Health is seeking a Risk Adjustment Strategic Partner to liaise with provider organizations, clinic leaders, and healthcare providers. You will coordinate risk adjustment, HEDIS and STAR gap closure, and analytics to drive value-based care opportunities.

You will develop implementation plans, advise executives, and lead cross-functional initiatives while traveling quarterly for in-person meetings with providers. This hybrid role combines remote work with strategic field engagement.

Qualifications

• Proficient at risk adjustment strategy for Medicare and ACA lines of business, including financial impact, RAF score calculations, and ROI on engagement strategies.
• Demonstrated understanding of HEDIS and STAR measures.
• Knowledge of healthcare regulations and compliance requirements.
• Familiarity with value-based care, provider incentive programs, P4P and quality programs.
• Demonstrated ability to manage projects and teams, with a focus on achieving goals and objectives.
• Knowledge of healthcare regulations and compliance requirement.
• Excellent communication and interpersonal skills with ability to build relationships with stakeholders.
• Intermediate Excel skills, PowerPoint (MS Suite).
• Demonstrated ability to present to large groups and internal leadership.
• Strong analytical skills and experience with data analysis and reporting.

Responsibilities

• Accountable for working with provider groups to achieve annual goals and engage for performance improvement.
• Develops strategies to address gaps in care and provides actionable opportunities; monitors program effectiveness.
• Designs and implements reporting across risk adjustment and with external partners.
• Supports HQRI strategic engagements and PPO strategies.
• Fosters relationships with providers and clinical leadership.
• Manages high-priority initiatives with a proactive approach.
• Leads provider coaching on value-based contracts and quality programs using data reports.
• Leads operational strategies to meet organizational objectives and collaborates with partners.
• Ensures clinic interoperability with data transfer and EMR access.
• Coordinates issue resolution between clinics and Select Health.
• Identifies and implements risk adjustment initiatives aligned with goals.
• Ensures regulatory compliance and adherence to industry best practices.
• Manages vendor relationships supporting risk adjustment activities.
• Reports monthly KPI’s for targets across regions and groups.

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, clinic leaders, and healthcare providers. You will coordinate risk adjustment, HEDIS and STAR gap closure, and analytics to drive value-based care opportunities.

You will develop implementation plans, advise executives, and lead cross-functional initiatives while traveling quarterly for in-person meetings with providers. This hybrid role combines remote work with strategic field engagement.