Jobs · Quality Assurance · Connecticut

Manager, Value Based Care, Risk Adjustment & Quality

Hartford HealthCare · Hartford, CT · 1 mo ago
Quality AssuranceFull-time
Location Detail: 100 Pearl Street Hartford (10484) Manager, Value-Based Care, Risk Adjustment & Quality | Hartford HealthCare Hartford, Connecticut Hartford HealthCare is seeking an Advanced Practice Provider to join our Clinical Integration team. The Manager provides clinical, operational, and strategic leadership to advance value-based care performance, risk adjustment accuracy, quality improvement, and documentation integrity across the Clinically Integrated Network (CIN). In partnership with the Medical Director for Risk Adjustment, this role oversees the Risk Adjustment Coding and Education team, drives provider engagement, ensures regulatory compliance, and promotes best practices in clinical documentation, coding accuracy, and quality measure performance. In partnership with the Medical Director of Value Based Care, the Manager collaborates with clinical, operational, and administrative leaders to improve population health outcomes, optimize financial performance under value-based contracts, and strengthen quality and risk-adjusted performance metrics. Through education, incentive plans, analytics, and provider partnership, this role advances the organization's strategic goals by engaging all providers in the Integrated Care Program (ICP) and fostering a culture of accountability, continuous improvement, and high-quality, patient-centered care. Position Highlights Clinical Documentation & Coding Oversight Oversight of Risk Adjustment Coding and Education teamDocumentation integrity initiativesCoding accuracy and risk capture improvementQuality measure documentation supportCollaboration with CDI, coding, and operational leaders Strategic Leadership Development and execution of Clinically Integrated Network value-based care strategiesAlignment of risk, quality, and financial performance goalsProvider incentive program design and oversightPopulation health and contract performance initiativesPartnership with Medical Directors and operational leadership Clinician Engagement & Education Provider education and coachingPhysician and APP champion developmentDepartmental and specialty-specific engagement strategiesPerformance reviews utilizing scorecards and dashboardsChange management and adoption of value-based care initiativesCommunication of quality, risk, and incentive opportunities Quality, Analytics & Performance Improvement Monitoring and reporting of quality and risk-adjustment KPIsGap analysis and performance improvement planningBenchmarking and trend analysisData-driven interventions to improve quality outcomes and financial performance Compliance & Regulatory Oversight CMS, MSSP, Medicare Advantage, and payer complianceAudit preparedness and monitoringRegulatory education and risk mitigationDocumentation and coding compliance oversight Comprehensive Benefits Generous paid time off + company holidaysCME allowance + dedicated CME timeReimbursement for licenses, certifications, and professional dues401(k) with strong employer matchFamily-focused benefits including backup childcare supportVoluntary benefits: tuition programs, insurance options (home, auto, pet), legal services, identity protection, and more Why Hartford HealthCare? Hartford HealthCare is a not-for-profit, fully integrated healthcare system with a strong reputation for clinical excellence, innovation, and physician leadership. 8 acute care hospitals and a large multi-specialty networkStatewide presence with access to specialists and referralsPhysician-led culture focused on quality, collaboration, and growth Recognition & Awards “A” Leapfrog Safety Rating (one of few systems nationwide)“Best Organizations for Leadership Development” – National Center for Healthcare Leadership“Best Hospitals to Work For in Connecticut” – Becker’s Hospital Review“America’s Most Innovative Companies” – Fortune“Best Regional Hospitals” – U.S. News & World Report Professional Growth & Development Hartford HealthCare Is Committed To Physician Development Through Provider Leadership Development InstituteThe Center for Education, Simulation & Innovation (CESI)Robust CME and on-demand learning platformsMentorship and career advancement opportunities Live & Work in Hartford, Connecticut Norwich offers a high quality of life with easy access to Boston, New York City, and Providence: Family-friendly communities with excellent schoolsCoastal living, outdoor recreation, and scenic New England charmShort commutes and a balanced lifestyle Apply Today Patti Lowicki Senior Director, Provider Recruitment and Integration Patti.Lowicki@hhchealth.org Call/Text: (860) 558-6591 Qualifications Licensed or eligible to be licensed in the State of ConnecticutAdvanced Practitioner Registered Nurse (APRN) or Physician Assistant (PA)Minimum of five years of progressive clinical experience

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