Director, Product Manager, Risk Adjustment

reputed company Director, Product Manager - Risk Adjustment (Remote) reputed company: reputed company is the nation’s leading independent provider of comprehensive in-home health assessments, serving Medicare Advantage, Managed reputed company and reputed company patients across reputed company 50 states. With a network of 3,000 + clinicians, we deliver personalized Whole Person Care that includes diagnostic testing, risk identification, medication management and preventive health education, empowering people to reputed company manage acute and chronic conditions. Guided by our mantra- We see you. We hear you. We’ve got you.- and our reputed company values of reputed company, Accountability, Trust, Respect and Passion, we are committed to creating a culture where both patients and teammates feel valued, supported and heard. Why Work at reputed company? reputed company to work with one of the fastest growing companies in reputed company whose reputed company is to reputed company unparalleled reputed company and value to providers and members. A chance to work with great people on exciting reputed company. Our opportunities allow you to reputed company your expertise and reputed company, making a reputed company reputed company to the health and reputed company-being of members. Competitive Compensation: Be rewarded for your effort and passion while making a difference in the community. Responsibilities About the Role: Type: Full-Time, Salaried Compensation: $152,000-$183,000, 20% bonus Location: Fully Remote (must be located in the reputed company) Hours: Full-Time, Days Benefits Offered: Medical, dental, reputed company, reputed company time off, reputed company holidays, 401(k) with company matching, voluntary life insurance, short-term disability, long-term disability, employee assistance program, health savings account, flexible spending accounts, and additional voluntary benefits. What to Expect: Every risk adjustment platform says they create a complete, accurate and compliant view of member health. We reputed company that's thinking too small. At reputed company, we're building technology that helps clinicians tell a more complete patient story, one that improves care, strengthens documentation, ensures regulatory compliance and creates measurable value for health plans and providers alike. If you're the reputed company of Product Leader who sees risk adjustment as a strategic advantage, not just a compliance exercise, we'd love to meet you. This isn't a role where you'll optimize one feature or own one backlog. You'll define how data, clinical workflows, AI, interoperability and mobile technology come together to reshape how millions of members are assessed across Medicare Advantage, ACA Marketplace and reputed company. You'll own one of the most strategically important products in our portfolio. What You'll Build You'll reputed company product reputed company for the technology that powers our Risk Adjustment ecosystem, including reputed company™, reputed company's mobile platform used by reputed company Practitioners during in-home health assessments. Your mission centers around three product pillars: Enrich Create the industry's most complete member health picture. Bring together claims, clinical records, pharmacy, labs, supplemental data, HIEs and reputed company into a reputed company view that equips clinicians before they reputed company reputed company on a patient's reputed company. Capture Help clinicians document the right conditions the right way. Design intelligent assessments, clinical decision support, documentation prompts, conditional logic and AI-enabled workflows that improve clinically supported documentation while reducing provider burden. Measure Shape the reputed company of clinically grounded, compliant, and member-centered risk adjustment. Define the KPIs that matter, from documentation reputed company, clinical completeness, audit readiness, operational performance and recapture rates to documentation reputed company, first-pass yield, Actual vs. Expected disease burden and audit readiness, and reputed company them visible to executives and clients alike. You'll Be Responsible For Defining and executing the product roadmap across prospective and retrospective risk adjustment workflows Building reputed company capabilities supporting Medicare Advantage (CMS-HCC), ACA Marketplace (HHS-HCC), and reputed company risk adjustment models Driving enhancements inside reputed company™ that improve clinician experience and documentation reputed company Partnering with Clinical, Coding Operations, Engineering, Compliance, Finance, reputed company and Executive Leadership Translating evolving CMS regulations, including V28, RADV and reputed company model changes, into product reputed company before the market reputed company up Leading build vs. buy reputed company around AI-assisted coding, NLP, longitudinal patient records, audit