Vice President, Prospective Programs (Remote)

This role will lead operational priorities where safety, quality, compliance, and execution discipline are central to success. You will partner with operational leaders and project stakeholders to standardize workflows, identify bottlenecks, and improve execution quality. The position offers the opportunity to create measurable efficiency gains and scalable operational improvements within a healthcare environment.

Responsibilities

• Lead enterprise prospective risk adjustment strategy and governance across all lines of business
• Oversee vendor strategy performance for In-Home Assessments and In-Office Assessments, ensuring alignment with business priorities
• Own and execute CoC+ program strategy, coordinating with various stakeholders for optimal performance
• Develop strategies for provider education and clinical documentation improvement to enhance documentation quality
• Establish governance processes and accountability frameworks for operational excellence across programs

Qualifications

• Bachelor's Degree in healthcare administration, business, clinical discipline, health information management, finance, analytics, or related field required
• Master's degree in a related field preferred
• 10+ years of progressive healthcare leadership experience, particularly in risk adjustment and provider engagement
• Experience leading enterprise programs across multiple markets (Medicare, Marketplace, Medicaid) required
• Strong knowledge of risk adjustment methodologies and healthcare operations

Benefits

• Comprehensive health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work options including remote, hybrid, or office schedules

Pay

$188,900 – $359,800 annually

US-based candidates only; no visa sponsorship available.