Lead the charge in risk adjustment coding operations, overseeing a team of certified professionals and ensuring compliance across Medicare Advantage and ACA programs while enhancing processes and relationships with healthcare providers.

Unlock your potential as a strategic consultant driving risk adjustment initiatives. Partner with provider networks to enhance performance, ensure accuracy in documentation, and integrate innovative analytics into value-based care goals.

Optimize member care by authorizing medically necessary services. Engage with a collaborative team using clinical skills to enhance health outcomes while ensuring efficient utilization management and adherence to established policies.

Transform healthcare delivery by leading a case management team. Foster excellence in clinical operations, mentor staff, achieve performance metrics, and ensure delivery of quality care while navigating complex healthcare environments.

Lead strategic initiatives and manage cross-functional projects, acting as a key advisor to the COO. Drive integration and coordination across teams while ensuring effective governance and collaboration at senior leadership levels.