Interwell Health

Director, Risk Adjustment

Interwell Health

full-time

Posted on:

Location Type: Remote

Location: United States

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Job Level

Lead

About the role

  • 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

  • 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
  • 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.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

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