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Vice President, Risk Adjustment, Remote

March, 30

  • usaArlington, VA
  • usaFull Time
  • usaNetwork Operations & Performance
  • usaRemote
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Overview: - Vice President of Risk Stratification role focused on strategic risk stratification approach. - Utilizes data analytics to identify high-risk populations for targeted interventions. - Leads teams in analyzing patient data, building risk models, and optimizing patient outcomes. - Collaborates with Affordability and Quality initiatives to manage health risk pool. - Contributes to Aledade’s Strategy and Priority Leadership Team. Key Responsibilities: - Lead a team of experts in risk assessment methodologies. - Oversee compliance initiatives and serve as liaison for Compliance and Legal projects. - Design and maintain risk algorithms using patient demographics and clinical data. - Analyze data sources from health plans to extract insights on patient risk profiles. - Develop actionable roadmaps for risk stratification. - Track KPIs related to risk stratification and ensure adherence to healthcare regulations. - Communicate risk assessments and implement targeted interventions. - Manage multiple deadlines and lead teams cross-functionally. - Lead by influence to engage colleagues and foster networks. Requirements/Skills/Qualifications: - Bachelor’s Degree with 15+ years experience in healthcare. - Ideal candidates have a Master’s degree or advanced degree in relevant fields. - 5+ years of experience leading a comprehensive Risk Stratification program. - Deep knowledge of Risk Stratification in Medicare Advantage and Commercial plans. - Proven track record of working collaboratively across the organization. - Strong understanding of healthcare terminology and disease progression. - Proficiency in data analysis, statistical modeling, and predictive analytics. - Exceptional communication and organization skills. - Familiarity with Google Suite and Tableau. Compensation & Benefits: - Comprehensive benefits package including health, dental, vision insurance, PTO, parental leave, sabbatical, educational assistance, and 401(k) with match. - Flexible work schedules and remote work options. - Equal opportunity employer with policies based on merit and qualifications. (Note: Specific compensation details were not provided in the job description and thus are not included in this summary.)
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