Risk & HEDIS Education Manager

Socket.dev; Denver (CO); Hybrid; USD 86,000 - 104,000; Full time

Benefits offered by this job

Hybrid-Remote Flexibility

Comprehensive Benefits

Financial & Retirement Support

Time Off & Leave

Wellness & Growth

Job summary

Strive Health is seeking a collaborative, provider-facing leader to own and scale education strategies across Risk Adjustment and HEDIS, improving documentation quality and audit readiness. You’ll partner with cross-functional teams to design standardized education programs that help providers document accurate patient complexity while aligning with enterprise standards.

The role emphasizes coaching, workflow design, and measurable performance improvements across markets, with travel to meet

Qualifications

• Bachelor’s degree in healthcare administration, nursing, public health, health information management, healthcare management, or related field.

Responsibilities

• Lead the development and delivery of provider education programs focused on risk adjustment, HCC documentation, ICD-10-CM coding principles, HEDIS quality measures, and documentation best practices for employed and contracted provider groups.
• Set goals, timelines, and performance expectations for the education initiatives and ensure work is aligned to departmental priorities, market needs, and enterprise standards.
• Serve as a primary subject matter resource to operational teams on documentation requirements, coding guidelines, CMS regulations, audit readiness, and value-based care performance expectations.
• Conduct prospective and retrospective documentation and coding reviews to identify trends, educational opportunities, provider-specific gaps, and areas for workflow improvement.
• Develop standardized education materials, feedback mechanisms, tip sheets, playbooks, and training curricula to support provider onboarding, ongoing education, and scalable adoption across markets.
• Provide targeted coaching and performance feedback to providers, provider groups, and market partners based on audit findings, documentation trends, coding reviews, and quality performance opportunities.
• Partner with Risk Adjustment, Quality, Clinical Operations, Compliance, Legal, and Coding leadership to ensure provider-facing guidance is practical, consistent, and aligned with organizational standards.
• Monitor provider, group, and market-level documentation and coding trends and develop reporting and recommendations that support accountability, continuous improvement, and stronger value-based performance.
• Support workflow and technology optimization efforts by partnering with Informatics, Product, EHR, and operational teams to embed documentation and coding requirements into provider workflows and education.
• Support change management and education for new documentation workflows, tools, and process enhancements that improve documentation quality, coding accuracy, provider experience, and operational efficiency.
• Meet in person with internal and/or external stakeholders to facilitate team and business priorities and opportunities. Business travel may be required for opportunities to connect with stakeholders, serve patients, and attend Strive-sponsored team events.

Skills

Strong presentation

Facilitation

Communication

Relationship-building

Travel readiness

Education

Bachelor’s degree in healthcare administration, nursing, public health, health information management, healthcare management, or related field

Job description

Strive Health is seeking a collaborative, provider-facing leader to own and scale education strategies across Risk Adjustment and HEDIS, improving documentation quality and audit readiness. You’ll partner with cross-functional teams to design standardized education programs that help providers document accurate patient complexity while aligning with enterprise standards.

The role emphasizes coaching, workflow design, and measurable performance improvements across markets, with travel to meet