Director, Prospective Risk Adjustment Operations

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with us.

Residency in or relocation to Louisiana is preferred for all positions.

**Position Purpose**

The Director, Prospective Risk Adjustment Operations leads the organization's prospective risk adjustment accuracy strategy and execution across Medicare Advantage and ACA products. This role is accountable for the design, implementation, and optimization of provider-facing and member-facing programs that ensure complete, accurate, and compliant documentation of member health status at the point of care. The Director oversees Clinical Documentation Integrity (CDI), provider engagement, Annual Wellness Visit initiatives, in-home and telehealth assessment programs, and other prospective risk adjustment interventions designed to drive accurate HCC cap...