Senior Director, Risk Adjustment Strategy & Operations

Astrana Health, Inc.; Alhambra (CA); Remote; USD 160,000 - 195,000; Full time

Job summary

Astrana Health, Inc. is seeking a Sr. Director - Risk Adjustment to lead the Risk Adjustment organization from our Alhambra office.

You will build structure, standardize processes, develop leaders, and drive accountability across a multi-market operation. The role requires strategic leadership, strong people management, and deep risk adjustment expertise, with opportunities to align operations with value-based care and revenue integrity goals.

Qualifications

• Bachelor's degree in a related field required.
• Master's degree preferred.

Responsibilities

• Develop and execute enterprise-wide risk adjustment and documentation improvement strategies.
• Establish goals, KPIs, and plans to improve risk capture, coding accuracy, and financial performance.
• Identify opportunities to enhance revenue integrity and operational efficiency with data-driven decisions.
• Provide leadership on regulatory requirements, risk adjustment methodologies, and best practices.
• Oversee risk adjustment, coding, provider education, documentation improvement, and outreach programs.]
• Ensure consistent implementation of standards and workflows across markets and units.

Skills

Leadership

Strategic thinking

Change management

Communication

Regulatory knowledge

Education

Bachelor's degree in Healthcare Administration, Public Health, Business Administration, Nursing, Health Information Management, or related field

Master's degree preferred

Job description

Astrana Health, Inc. is seeking a Sr. Director - Risk Adjustment to lead the Risk Adjustment organization from our Alhambra office.

You will build structure, standardize processes, develop leaders, and drive accountability across a multi-market operation. The role requires strategic leadership, strong people management, and deep risk adjustment expertise, with opportunities to align operations with value-based care and revenue integrity goals.