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Director, Risk Adjustment
IKS HealthDirector of Risk Adjustment at IKS Health, managing client operations and team leadership. Overseeing compliance, KPIs, and collaborating with product teams for improvements.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in risk adjustment operations, including management of large teams and optimization of coding accuracy. Proficient in collaborating with cross-functional teams to enhance operational performance and ensure compliance with CMS-HCC Medicare risk coding standards.
Highest-signal resume keywords
Certified Risk Adjustment Coder (CRC)Risk Adjustment Operations ManagementCMS-HCC Medicare Risk Coding ModelTeam Leadership Over 50+ CodersKPI Optimization for Coding Accuracy
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Risk Adjustment OperationsCoding Accuracy MonitoringData AnalysisPerformance Review ManagementDepartment Management
Soft Skills
CollaborationCommunicationLeadership
Certifications & Qualifications
Certified Risk Adjustment Coder (CRC)
Industry Keywords
CMS-HCCMedicare Risk CodingHealthcare OperationsAuditingPerformance Metrics
About the role
Key responsibilities & impact- Serve as primary operational partner for external clients across medical groups and health systems
- Lead regular performance reviews and present complex risk adjustment data
- Directly manage a department of 70+ production coders and auditors
- Establish, monitor, and optimize department KPIs regarding coding/auditing accuracy
Requirements
What you’ll need- BA/BS or equivalent education
- Active Certified Risk Adjustment Coder (CRC) preferred
- 9+ years of progressive experience in risk adjustment operations
- 3–5 years of direct management experience over a large workforce (50+ coders and auditors)
- Expert-level understanding of the end-to-end CMS-HCC Medicare risk coding model
- Proven experience collaborating with software development teams, UX designers, or engineers
Benefits
Comp & perks- healthcare
- 401 (k)
- paid time off