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Interwell Health

Director, Risk Adjustment

Interwell Health

Director of Risk Adjustment driving healthcare risk adjustment performance across payer programs at Interwell Health. Leading strategy translation into scalable programs and operational initiatives for providers.

Posted 4/17/2026full-timeRemote • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact
  • The Director of Risk Adjustment is a strategic operational leader responsible for driving risk adjustment performance across Interwell Health’s payer and government programs.
  • Serve as a central leader in advancing Interwell’s risk adjustment capabilities, with accountability for both execution and measurable results in a highly regulated environment.
  • Translate organizational strategy into scalable programs and support cross-functional teams across clinical, coding, analytics, and provider engagement.
  • Provide operational support, driving day-to-day operations, implementing new pilots, and running existing programs.
  • Assess the opportunity for performance improvement, devise the approach for implementation of new strategies, and manage deployment of performance related initiatives for Nephrology providers.

Requirements

What you’ll need
  • 8–12+ years of experience in risk adjustment, healthcare operations, or related field
  • Deep expertise in Medicare Advantage risk adjustment, HCC coding, and RAF methodology
  • Experience leading enterprise or multi-market risk adjustment programs (MA, CKCC, Commercial preferred)
  • Proven ability to translate strategy into execution and measurable outcomes
  • Strong financial acumen with ability to connect RAF performance to revenue impact
  • Demonstrated success leading cross-functional initiatives in complex healthcare environments
  • Experience building and leading high-performing teams
  • Bachelor’s degree in related field of study (preferred)

Benefits

Comp & perks
  • We care deeply about the people we serve.
  • We are better when we work together.
  • Humility is a source of our strength.
  • We bring joy to our work.
  • We deliver on our promises.
  • Commitment to diversity, equity, and inclusion throughout our recruiting practices.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
risk adjustmentHCC codingRAF methodologyMedicare Advantagehealthcare operationsperformance improvementprogram implementationfinancial acumencross-functional initiativesteam leadership
Soft Skills
strategic leadershipoperational supportexecutionmeasurable outcomescommunicationcollaborationproblem-solvingadaptabilityanalytical thinkingperformance management