JOB DESCRIPTION Job Summary

**Provides executive level strategy and leadership for the operational integrity and regulatory compliance of the organization’s risk adjustment operations across all lines of business, including Medicare Advantage, Medicaid, and Affordable Care Act (ACA) Marketplace. Drives organizational risk adjustment policy, program standards, and performance, and maintains close partnerships with senior leaders across Clinical Operations, Analytics, Strategy, Technology, Encounters, Legal, and Compliance.**

**Essential Job Duties**

+ Provides executive oversight of all risk adjustment programs across Medicare Advantage, Medicaid, and ACA Marketplace lines of business, ensuring alignment of operational activities with organizational objectives and regulatory requirements. Supporting programs across the enterprise including interaction at the state plan level.
+ Leads end-to-end program management for chart review initiatives, in-home asses...