Director, Risk Adjustment Program Management

Welcome to Kaiser Permanente, one of the nation's leading healthcare organizations dedicated to providing high-quality, affordable care to our members. We are currently seeking a highly skilled and experienced Director of Risk Adjustment Program Management to join our team and help us continue our mission of improving the health of our communities.In this role, you will be responsible for leading and overseeing our risk adjustment programs, ensuring compliance with regulatory requirements and optimizing revenue for our organization. We are looking for a dynamic leader who is passionate about driving results, collaborating with cross-functional teams, and making a positive impact on the lives of our members.To be successful in this role, you must have a strong background in healthcare program management, with a focus on risk adjustment. Additionally, you should possess excellent communication and leadership skills, as well as the ability to navigate complex regulatory environments. Join us in making a difference in the healthcare industry and apply for our Director of Risk Adjustment Program Management position today.

1. Develop and implement strategic plans for risk adjustment programs, in alignment with the overall goals and objectives of Kaiser Permanente.
2. Oversee and manage the day-to-day operations of risk adjustment programs, ensuring compliance with regulatory requirements and industry standards.
3. Monitor and analyze program performance data to identify areas for improvement and develop action plans to optimize program outcomes.
4. Collaborate with cross-functional teams, including finance, operations, and clinical departments, to ensure effective program implementation and integration.
5. Provide leadership and direction to a team of risk adjustment program managers, coaches, and other staff members.
6. Develop and maintain relationships with external partners, such as vendors and regulatory agencies, to support program goals and objectives.
7. Communicate program updates and progress to senior leadership, stakeholders, and other relevant parties.
8. Develop and manage program budgets, including forecasting and tracking expenses, to ensure efficient use of resources.
9. Stay updated on industry trends and changes in regulatory requirements related to risk adjustment programs, and ensure compliance with all applicable guidelines.
10. Foster a culture of continuous improvement within the risk adjustment program, promoting innovation and seeking out new opportunities to enhance program effectiveness.

According to JobzMall, the average salary range for a Director, Risk Adjustment Program Management is $130,000 to $170,000 per year. This can vary depending on the specific company, location, and level of experience of the individual. Some directors in this position may also receive bonuses and other benefits in addition to their base salary.

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.