Risk Solutions Director

Role Description

The Risk Solutions Director is the company’s authoritative expert on clinical or program domains and is accountable for how that domain performs across the entire solution portfolio. This role focuses on the domain of Risk Adjustment across all lines of business.

• The Risk Solution Director operates as a deep specialist across all segments and lines of business.
• This is not an SME support or technical advisory role.
• The Risk Solutions Director owns outcomes:
  • Domain-level product-market fit
  • The strength of the value narrative
  • The clinical or programmatic integrity of what the company sells and delivers
• It requires equal parts domain command, commercial orientation, and cross-functional influence.

Qualifications

• 5+ years in healthcare SaaS, clinical services, or health plan operations, with deep expertise in Risk Adjustment.
• Direct experience at a healthcare SaaS company in a product, solutions, or strategy role with domain accountability.
• Demonstrated ownership of a domain-level strategy or product area with measurable outcomes.
• Commercial orientation and experience: has operated in or closely adjacent to revenue-generating functions.
• Understands how the domain translates to buyer ROI and can build a value narrative independently.

Requirements

• Regulatory depth: has tracked and responded to CMS rulemaking or CMMI program evolution in real time.
• Experience building or evaluating domain-specific content assets, workflows, or analytics that are embedded in customer operations at scale.
• Familiarity with both sides of the payer–provider relationship in the context of the target domain.
• Cross-functional influence: can name the mechanisms used to drive alignment across Product, Sales, and CS without direct authority.
• Analytical discipline: defines the right domain-level metrics, tracks them, and uses data to drive investment and prioritization decisions.
• Executive communication: precise and credible with VP and C-suite audiences, both internal and customer-facing.

Benefits

• Competitive salary based on your experience and skills – we believe the top talent deserves the top dollar.
• Bonus Potential (based on role and is discretionary) – if you go above and beyond, you should be rewarded.
• 401k plans– we want to empower you to prepare for your future.
• Room for growth and advancement - we love our employees and want to develop within.
• Comprehensive Medical, Dental, and Vision insurance plans.
• Tax-free Dependent Care Account.
• Life insurance, short-term, and long-term disability.
• Excellent PTO policy (everyone deserves a vacation now and then).
• Great work-life balance environment - We believe family comes first!
• Strong supportive teams - There is always a helping hand when you need it.