Manager, Risk Adjustment – Clinical Operations

Job not on LinkedIn

🔥 13 minutes ago

🇺🇸 United States – Remote

💵 $120k - $150k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Clinical Operations

👻 Ghost score 20%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Daymark Health

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 2024

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Daymark Health is a supportive cancer care organization that focuses on empowering patients through their cancer journeys. They offer personalized care tailored to individual needs, connecting patients with their primary care physicians, oncologists, and care teams for a seamless experience. Services include in-home care, symptom management, 24/7 support, and navigation of social support resources, ensuring comprehensive assistance throughout the treatment process.

📋 Description

• Define and operationalize Daymark’s approach to risk capture, aligned with its care model and payer contracts • Identify opportunities for improving documentation, including suspects and refreshables • Design and implement workflows integrating risk adjustment into care delivery • Partner with Care Teams to ensure workflows are usable, adopted, and effective • Partner with Product and Data to reflect workflows in tools and support accurate, timely data • Evaluate and manage vendors supporting chart prep, suspecting, and coding workflows • Establish performance tracking, reporting, and review cadences • Identify performance gaps and drive targeted improvements • Improve care delivery workflows, enrollment operations, and cross-team coordination • Diagnose operational friction and implement solutions improving reliability and efficiency • Translate operational needs into workflows, tools, and processes with cross-functional teams • Support operational readiness for new markets and service lines • Translate strategic priorities into operational workplans • Ensure KPI ownership and follow-through • Support operational review cadence and performance visibility • Identify execution gaps and help drive resolution • Step into high-priority operational initiatives as they emerge

🎯 Requirements

• Experience in risk adjustment, population health, or value-based care operations • Strong understanding of HCC coding, suspecting, and chart review workflows • Experience working with clinicians and embedding workflows into care delivery • Experience partnering with Product, Data, and Analytics teams • Startup or high-growth experience is a plus • Ability to translate complex concepts into practical workflows • Comfort working across clinical, operational, and technical teams • Ability to thrive in ambiguity and build from scratch • Ability to operate on Central or Eastern time business hours