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Senior Risk Adjustment Leader: Strategy & Coding

Texas Health Institute

Optum NY is seeking an Executive Director of Risk Adjustment to lead enterprise-wide risk adjustment programs across Optum East. This role drives accurate RAF performance, embeds risk workflows into clinical care, and partners across provider networks to ensure compliant and sustainable risk capture. The leader will oversee coding, CDI, analytics, and audit processes, aligning with CMS-HCC and ICD-10 standards while driving performance improvements and regulatory readiness.

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Vacancy posted 2 days ago
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