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Certified Risk Adjustment Director

7/30/2025

N/A

Job Summary

A company is looking for a Risk Adjustment Revenue Director (Remote/Hybrid).

Key Responsibilities
  • Develop and implement programs to improve coding accuracy and manage vendor contracts
  • Prepare for and manage auditing processes related to CMS and DHS
  • Collaborate with executives to lead risk adjustment strategy and processes
Required Qualifications
  • Bachelor's Degree in Business Administration, Finance, Health Care Administration, Management, or related field
  • Ten years of experience in risk adjustment or related area
  • Fifteen years of management or leadership experience
  • Certification as a Certified Professional Coder and/or Certified Risk Adjustment Coder
  • Broad understanding of healthcare and health insurance

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