Director, Risk Adjustment

IKS Health

Director of Risk Adjustment overseeing client operations and managing a team of coders in healthcare. Leading risk adjustment projects and ensuring compliance with regulatory standards.

Posted 7/14/2026full-timeRemote • 🇺🇸 United StatesLead💰 $130,000 - $150,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing risk adjustment operations, with a focus on optimizing department KPIs and leading a large team of production coders and auditors. Possesses a deep understanding of the CMS-HCC Medicare risk coding model and effective client partnership skills.

Highest-signal resume keywords

Risk Adjustment Operations ManagementCMS-HCC Medicare Risk CodingKPI OptimizationTeam LeadershipCertified Risk Adjustment Coder (CRC)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Risk Adjustment OperationsKPI MonitoringProduction CodingAuditingMedicare Risk Coding

Soft Skills

Client PartnershipTeam ManagementCommunication

Certifications & Qualifications

Certified Risk Adjustment Coder (CRC)

Industry Keywords

CMS-HCCMedicareHealthcare Operations

About the role

Key responsibilities & impact

Serve as the primary operational partner for external clients across medical groups
Directly manage a department of 70+ production coders and auditors
Establish, monitor, and optimize department KPIs

Requirements

What you’ll need

BA/BS or equivalent
Active Certified Risk Adjustment Coder (CRC) is highly preferred
9+ years of progressive experience in risk adjustment operations
Expert-level understanding of the end-to-end CMS-HCC Medicare risk coding model

Benefits

Comp & perks

healthcare
401 (k)
paid time off