Primary Responsibilities:

• Clinical risk adjustment and documentation education o Provides ongoing, targeted mentoring and education to physicians and APCs on appropriate diagnosis coding and supporting documentation including Risk education sessions and materials for clinicians in both primary care and specialties Organization-wide training on changes or updates to risk adjustment models Programs designed to ensure all diagnosed conditions and appropriate codes are supported by documentation in the patient chart o Educates physicians and APCs to ensure appropriate practices related to risk adjustment activities, HEDIS measures and gaps in care throughout the market. o Works with the Medical Director, Risk Adjustment to establish a competency baseline for provider performance. Monitor the progress of providers receiving mentoring and develop tailored strategies to improve performance. o Informs physicians and APCs around year-over-year changes to the Medicare risk adjustment to provide thought leadership and assists in carrying out recommended actions. o Provides clinical support for embedded nurse practitioner programs. o Supports clinical documentation education program alignment and prioritization across the region. • Partnership with operational leaders: o Builds/maintains/manages market stakeholder relationships across multiple layers and functions. o Monitor wrap around programs for effectiveness and assist in coordination, adoption and resolving barriers as needed to achieve outcomes. o Participates in regulatory and accreditation activities, as applicable • Emotional maturity for effective change management o Establish solid and lasting, trust-based relationships within team and external partners o Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability o Take initiative and self-start attitude to approach problems with energy and passion o Demonstrate preference for working in a tight-knit team environment with diverse professional groups o Utilize a solid fact base to influence and lead physicians and support staff to implement change programs • Ensures overall program success o Reducing barriers for program implementation teams, including anticipating and responding to potential roadblocks o Active problem solving to meet evolving challenges in a highly dynamic environment o Distributing performance management reporting to market leaders and synthesizing information for adjustment and optimization o Conducts deep dive program reviews with relevant internal and/or external stakeholders to identify opportunities for continuous improvement o Works collaboratively to inform new, innovative, or complimentary program ideas at scale o Collaborates with other team members to align on meeting expectations and material preparation o Interacts with senior management by providing thoughtful analysis on key decision points to drive initiatives forward

Required Qualifications:

• M.D. or D.O. degree • Current unrestricted license to practice medicine • Board certified in Family Medicine, or Internal Medicine • 5+ years of clinical experience • Direct experience with Risk Adjustment diagnosis coding as a provider • Solid knowledge of electronic health records, including experience in chart review • Demonstrated ability to influence without authority • Demonstrated ability to successfully operate in a dynamic and changing environment • Demonstrated ability to implement complex programs and monitor implementation and necessary modifications • Demonstrated ability to manage multiple priorities and deadlines in an expedient and decisive manner • Proven innovative thought process and problem-solving skills • Demonstrated solid presentation skills; ability to achieve change management in a matrixed environment; ability to speak clearly and lead discussions with senior executives and large groups • Demonstrated solid verbal and written communication skills • Willing or ability to continue to see primary care patients

Preferred Qualifications:

• Proven solid baseline knowledge of Risk Adjustment, and other Pay for Performance Programs • Demonstrated ability to understand and navigate the organization's culture; able to think both strategically and tactically; respected by peers; maintains competency and enhances professional growth and development through continuing education; general understanding of disparate systems and integration/information flow • Demonstrated ability to form solid relationships with peers in practice, and leadership • Proven credibility among the medical staff as a provider • Proven belief in and enthusiasm for the role of Pay for Value to improve the delivery of care • Proven effective listening and negotiating skills and patience