Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Director of Risk Adjustment

Virtual Vocations Inc

Leading product strategy for the risk adjustment ecosystem, the full-time salaried Director of Risk Adjustment will define and execute the product roadmap, enhance clinician experience through technology, and ensure compliance with evolving CMS regulations in a fully remote setting. Key responsibilities Defining and executing the product roadmap across risk adjustment workflows Driving enhancements in the careflow platform to improve documentation quality Translating CMS regulatory changes into actionable product strategies Required qualifications 5+ years of Product Management experience 2+ years in healthcare payer, value-based care, or Risk Adjustment Deep understanding of HCC coding and CMS Risk Adjustment models Experience with healthcare interoperability, including APIs and HIEs Strong analytical skills related to RAF performance and operational KPIs Virtual Vocations Inc

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Director of Risk Adjustment in New York, NY vacancy
  •  ...Job Description Job Description Looking for a manager who can help revamp our risk adjustment reporting and develop meaningful analytics around these areas. The creation of 837 files is currently a major initiative for our team, and the role will also involve linking... 
    Suggested

    SVAM International Inc

    New York, NY
    3 days ago
  • A healthcare technology firm is seeking a Senior Product Manager to lead the strategy and execution of a risk adjustment product. The ideal candidate should have 5-7 years of experience in product management within healthcare, a strong understanding of Value-Based Care,... 
    Suggested
    Remote job

    Intus Care

    New York, NY
    5 days ago
  • Optum in New York, NY seeks an Executive Director of Risk Adjustment to lead enterprise risk adjustment programs across Optum East and embed risk capture into clinical workflows. This leadership role focuses on accurate RAF performance, regulatory compliance, and cross-... 
    Suggested

    Ishe

    New York, NY
    4 days ago
  •  ...strategy, design, and delivery for Medicare, Medicaid, and ACA RA programs. You will partner with cross-functional teams to improve risk score accuracy, data completeness, and workflow efficiency while ensuring CMS and state compliance. A key focus is enabling interoperable... 
    Suggested

    Cotiviti

    New York, NY
    3 days ago
  • $200k - $225k

    Title: Global Director, Head of Credit Risk Strategy & Policy Base pay range: $200,000.00/yr - $225,000.00/yr Office Status: Remote Overview...  ...credit authority across underwriting teams and recommend adjustments to optimize risk management. Seniority level Executive... 
    Suggested
    Full time
    Work at office
    Remote work

    Madison-Davis, LLC

    New York, NY
    5 days ago
  • $50k - $95k

     ...Description Under direction plans, directs, and coordinates risk and insurance programs intended to control financial risks,...  ...) and insurance companies, insurance auditors, and claims adjusters to prevent delays in claims services or to respond to safety engineering... 
    Full time
    Contract work
    Work at office
    Local area

    City of Atlantic City, NJ

    Atlantic City, NJ
    3 days ago
  • $175k - $275k

     ...Risk Manager New York City, New York, United States The Role We are seeking an exceptionally skilled Risk Manager to serve...  ...manager hedge fund that strives to deliver industry-leading risk-adjusted returns for our investors. We leverage both internal and external... 

    Schonfeld

    New York, NY
    3 days ago
  • $170k - $180k

     ...need an experienced leader to help build the internal controls and risk management infrastructure that lets the rest of the business...  ...sit at the table early to help design key controls that are risk-adjusted, scalable, and built to move with the business rather than slow... 
    Work at office
    Local area
    Immediate start
    Visa sponsorship
    Flexible hours

    Harry's

    New York, NY
    8 hours ago
  • $110k - $160k

     ...on a cutting-edge spend management platform. About the Role The Risk team at Coast owns the full credit and fraud lifecycle —...  ...credit line increases or decreases, approving payment extensions, adjusting grace periods, activating high-risk categories, or handling other... 
    Work at office
    Local area
    Relocation package
    Flexible hours
    3 days per week

    Coast

    New York, NY
    20 hours ago
  • Role Summary: The Director, Head of Engineering - Operational Risk will be a member of the Engineering Practice and aligned to the Risk & Compliance Hub. This role is responsible for engineering strategy, architecture, and delivery for the Operational Risk domain, with... 
    Work experience placement
    Worldwide
    Flexible hours

    The Bank of New York Mellon

    New York, NY
    3 days ago
  • $200k - $300k

     ...Category: Institutional Trading, Executive, MarketsCompany: CitiThe Risk Arbitrage Trader is a senior-level position responsible for...  ...overall objective of this role is to generate consistent, risk-adjusted revenues by trading announced corporate transactions (mergers, acquisitions... 
    Full time
    Local area

    Citigroup

    New York, NY
    1 day ago
  • $133.3k - $185k

    The Opportunity: We're looking for a Sr. Risk Manager who'll own the end to end credit strategy for new marketplace launches in the...  ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for... 
    Flexible hours

    Amazon

    New York, NY
    1 day ago
  • $175k - $205k

     ...ground up to help businesses tackle cyber risk head on. By combining industry-leading...  ...You will report to the Actuarial Pricing Director and lead projects to deliver pricing initiatives...  ...rate indication, including trending and adjusting premiums, losses and expenses, using... 

    At-Bay

    New York, NY
    8 hours ago
  • $130k - $211.5k

    We’re seeking a future team member for the role of Director, Operational Risk Coverage (Fund & Investor Solutions) to join our Operational Risk team...  ....Ability to learn, assimilate new information quickly and adjust to a changing environment. Bachelor’s degree with a focus... 
    Temporary work
    Work experience placement
    Local area
    Worldwide
    Flexible hours

    The Bank of New York Mellon

    New York, NY
    8 hours ago
  • $120k - $140k

     ...Fitch Solutions is currently seeking Head of Americas Country Risk Research based out of our New York office. Fitch Solutions is a leading provider of insights, data and analytics. It informs investment strategies, strengthens risk management capabilities and helps... 
    Temporary work
    Work experience placement
    Work at office
    Immediate start
    3 days per week

    Fitch Group

    New York, NY
    8 days ago
  • $148.2k - $292.3k

     ..., Medicaid policy, budget forecasting and fiscal analyses, and risk adjustmentLead and manage end-to-end business development efforts...  ...waivers (i.e., 1115, 1915 b/c, 1332)Experience with risk adjustment mechanismsExperience with Provider reimbursement streams (i.e.,... 
    Local area

    Deloitte

    New York, NY
    3 days ago
  • $120k - $200k

     ...Director Of Risk Management About ClarityPay: We give businesses and their customers peace of mind by solving complex credit challenges with precision, speed, and intelligence, combining deep expertise with advanced technology, to simplify the experience and deliver... 
    Remote work

    ClarityPay

    New York, NY
    1 day ago
  • $140k - $185k

     ...teams by developing and executing investment strategies that optimize portfolio performance, guide capital allocation, and enhance risk-adjusted returns. This role requires collaboration with portfolio managers, investment committees, capital markets teams, and client... 
    Full time

    Career Launch AI

    New York, NY
    10 days ago
  • $141.2k - $278.3k

    Position Summary Technical Manager - AI & Data Risk Management - Financial Services Our Deloitte Regulatory, Risk & Forensic...  ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location... 

    Deloitte

    New York, NY
    1 day ago
  • $100k - $140k

     ...perspectives and needs is an important part of our culture.Department Profile The cornerstone of Morgan Stanley's risk management philosophy is the execution of risk-adjusted returns through prudent risk-taking that protects Morgan Stanley's capital base and franchise. Risk... 
    Temporary work
    Work experience placement
    Worldwide

    Morgan Stanley

    New York, NY
    2 days ago
  • $200k - $300k

     ...seeking a highly analytical and experienced Risk Portfolio Trader to manage portfolio...  ...&L) attribution and conduct backtests to adjust and refine trading strategies.Utilize market...  ...preferred.Advertised salary range is for Director level.-----------------------------------... 
    Full time

    Citigroup

    New York, NY
    1 day ago
  • $144.2k - $195k

     ...Advertising Insight Sharing (AIS) program at the intersection of risk management, data governance, and technology. You will own...  ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for... 
    Local area
    Worldwide
    Flexible hours

    Amazon

    New York, NY
    1 day ago
  • $250k - $330k

    We are seeking a Director of Engineering to lead a growing Institutional Engineering organization focused on delivering innovative risk and analytics solutions for institutional investors. This role will oversee multiple engineering teams and engineering leaders, with... 
    2 days per week
    3 days per week

    Solomon Page

    New York, NY
    1 day ago
  • $134.5k - $265.1k

    Position Summary Cyber Defense & Resilience - Insider Risk Manager Are you interested in working in a dynamic environment that...  ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location... 
    Local area
    Visa sponsorship

    Deloitte

    New York, NY
    8 hours ago
  • $150k - $180k

     ...machine learning. Build and refine pricing models to improve risk segmentation, profitability, and competitive positioning. Ensure...  ...equity and alignment with market data. The salary may also be adjusted based on applicant's geographic location. This position is... 
    Full time
    Temporary work
    Part time
    Local area

    Aon

    New York, NY
    3 days ago
  • Job Summary:The Experienced Manager, Risk Advisory Services is responsible for managing and delivering high value solutions to clients...  ..., as neededPrepares periodic and timely billings, and manages adjustments to engagement realization, as needed.Manages the engagement and... 
    Work at office

    BDO International

    New York, NY
    3 days ago
  • $157k - $210k

     ...Security Trust & Assurance team is building leading Governance, Risk and Compliance (GRC) programs, including third party risk management...  ...written and verbal communication skills, with the ability to adjust technical depth for audiences ranging from engineers to legal,... 
    Permanent employment
    Full time
    Contract work
    Temporary work
    Casual work
    Work at office
    Flexible hours

    CoreWeave

    New York, NY
    6 hours ago
  • $200k - $300k

     ...Quantitative Trader for the Equities Central Risk Book is responsible for overseeing the...  ...&L) attribution and conduct backtests to adjust trading strategies.Conduct alpha research...  ...Advertised salary information relates to Director level.-----------------------------------... 
    Full time

    Citigroup

    New York, NY
    4 days ago
  • Leading the development and maturation of the Enterprise Risk Management framework, the full-time Director of Enterprise Risk will collaborate with business leaders to identify, assess, monitor, and report material risks while ensuring alignment with the company's strategy... 
    Full time

    Virtual Vocations Inc

    New York, NY
    2 days ago
  • $134.5k - $265.1k

    Position Summary Cyber Security & Risk Strategy ManagerOur Deloitte Cyber team understands the unique challenges and opportunities...  ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the... 
    Local area
    Visa sponsorship

    Deloitte

    New York, NY
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Director of Risk Adjustment. Be the first to apply!