Director, Risk Adjustment Compliance

Are you a seasoned compliance professional with a passion for risk adjustment? Do you thrive in a fast-paced, dynamic environment where you can make a meaningful impact? Kaiser Permanente is seeking a Director of Risk Adjustment Compliance to lead our efforts in ensuring regulatory compliance and optimizing risk adjustment practices. This is an exciting opportunity to join a leading healthcare organization and play a critical role in driving our risk adjustment strategies forward. We are looking for a highly skilled and motivated individual who possesses a deep understanding of risk adjustment regulations and has a track record of successfully implementing compliance programs. If this sounds like you, we encourage you to apply and help us continue to deliver high-quality care to our patients.

1. Develop and implement risk adjustment compliance programs to ensure adherence to all relevant regulations and guidelines.
2. Monitor and analyze risk adjustment data to identify potential compliance issues and develop strategies for improvement.
3. Collaborate with cross-functional teams to ensure compliance with risk adjustment requirements across all departments and systems.
4. Stay up-to-date on all changes in risk adjustment regulations and proactively adjust compliance programs as needed.
5. Conduct regular audits and assessments to identify any gaps in compliance and develop action plans to address them.
6. Communicate compliance policies and procedures to all relevant stakeholders and provide training and education as needed.
7. Serve as the subject matter expert on risk adjustment compliance for internal and external inquiries.
8. Develop and maintain relationships with regulatory agencies and external auditors to ensure compliance with all applicable laws and regulations.
9. Lead investigations and remediation efforts in response to compliance issues or concerns.
10. Develop and maintain metrics to track compliance performance and report findings to senior leadership.
11. Provide guidance and advice to department leaders on risk adjustment compliance matters.
12. Develop risk adjustment compliance strategies that align with the organization's overall goals and objectives.
13. Stay current on industry best practices and trends in risk adjustment compliance.
14. Collaborate with other compliance professionals within the organization to share knowledge and best practices.
15. Represent the organization in meetings and discussions related to risk adjustment compliance with external stakeholders.
16. Ensure that all risk adjustment documentation and data are accurate, complete, and maintained in accordance with regulatory requirements.
17. Maintain confidentiality and handle sensitive information with discretion.
18. Mentor and coach team members to support their professional development and ensure a high-performing compliance team.

According to JobzMall, the average salary range for a Director, Risk Adjustment Compliance in Oakland, CA, USA is $150,000 to $190,000 per year. However, this can vary depending on factors such as the specific industry, company size, and the individual's level of experience and qualifications.

Kaiser Permanente is an American integrated managed care consortium, based in Oakland, California, United States, founded in 1945 by industrialist Henry J. Kaiser and physician Sidney Garfield.