Director, Risk Adjustment & Quality Hartford HealthCare, Connecticut Shape the Future of Value-Based Care Position Summary The Medical Director of Risk Adjustment provides physician leadership for enterprise risk adjustment strategy, clinical documentation improvement, and hierarchical condition category (HCC) capture initiatives across Hartford HealthCare's expanding value-based care and population health programs.
Working collaboratively with clinical, operational, coding, analytics, and payer partners, the Medical Director will develop and implement strategies that support accurate representation of patient complexity, optimize risk adjustment performance, and enhance quality and financial outcomes.
This physician leader serves as a trusted advisor and educator to providers, helping translate risk adjustment principles into meaningful clinical practice while maintaining the highest standards of compliance and documentation integrity
Key Responsibilities - Strategic Leadership
- Risk Adjustment Strategy
- Physician Engagement and Education
- Quality, Analytics & Performance Improvement
- Compliance & Regulatory Oversight
What Makes This Opportunity Special Connecticut's convenient location allows easy access to major cities like New York and Boston while maintaining a high quality of life with low crime rates and beautiful, welcoming suburban neighborhoods. The state has excellent educational institutions, from top-ranked public schools to prestigious universities and boasts a strong job market, particularly in finance, healthcare, and technology.
Residents enjoy the state's rich history and culture, with numerous museums, theaters, and historic sites along with a variety of outdoor activities, including hiking, skiing, and boating. Enjoy the quality of life, educational opportunities, and cultural attractions that make Connecticut an outstanding place to live and work.
If you are passionate about improving patient outcomes while helping physicians succeed in value-based care, we invite you to join us. Visit HHC Careers or e-mail Patti Lowicki - Senior Director, Provider Recruitment and Integration at patti.lowicki@hhchealth.org to learn more.
Qualifications: Required - MD, DO, PA or APRN from an accredited institution.
- Board Certification in a recognized specialty.
- Eligibility for unrestricted Connecticut medical licensure.
- Minimum five years of clinical practice experience.
- Experience in value-based care, population health, Medicare Advantage, risk adjustment, clinical documentation improvement, or quality initiatives.
- Demonstrated physician leadership experience.
