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
- ...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
- 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,...SuggestedRemote job
- 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
- ...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
$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...SuggestedFull timeWork at officeRemote work$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 timeContract workWork at officeLocal area$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...$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 officeLocal areaImmediate startVisa sponsorshipFlexible hours$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 officeLocal areaRelocation packageFlexible hours3 days per week- 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 placementWorldwideFlexible hours
$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 timeLocal area$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$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...$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 workWork experience placementLocal areaWorldwideFlexible hours$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 workWork experience placementWork at officeImmediate start3 days per week$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$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$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$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...$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 workWork experience placementWorldwide$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$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 areaWorldwideFlexible hours$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 week3 days per week$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 areaVisa sponsorship$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 timeTemporary workPart timeLocal area- 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
$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 employmentFull timeContract workTemporary workCasual workWork at officeFlexible hours$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- 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
$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 areaVisa sponsorship
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Director of Risk Adjustment. Be the first to apply!
- enterprise risk manager New York, NY
- senior risk manager New York, NY
- risk management associate New York, NY
- director credit risk New York, NY
- director of risk management New York, NY
- head of risk management New York, NY
- clinical risk manager New York, NY
- operational risk manager New York, NY
- risk management manager New York, NY
- risk management specialist New York, NY



