Director, Risk Adjustment Products
HealthEdge · Posted Jul 14, 2026
- Remote
- Remote
- Full-time · Manager
- $170K–$225K per year
- 10+ years
Lead the strategy, roadmap, and execution for the product portfolio focused on retrospective risk adjustment solutions.
Compensation
The annual US base salary range for this position is $170,000 to $225,000.
Responsibilities
- Define multi-year plans aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management, and provider enablement.
- Identify and prioritize use cases that leverage AI/ML and real-time data signals to surface high-impact suspects and coding opportunities.
- Drive innovation leveraging interoperability standards (FHIR, HL7, APIs) to enable seamless enablement with EHRs, care management platforms, and third-party integrations.
- Balance innovation with compliance, audit defensibility, and clinical integrity across all product decisions.
- Lead the end-to-end product lifecycle, including ideation, requirements gathering, development, launch, and post-launch optimization.
Requirements
- Bachelor's degree in business or technical field
- Master's degree in business or technical field