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Executive Director Risk Adjustment information

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$36.5K

$89.8K

$165.5K

How much do executive director risk adjustment jobs pay per year?

As of Jun 7, 2026, the average yearly pay for executive director risk adjustment in the United States is $89,818.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $117,000.00 per year, depending on experience, location, and employer.

What is the difference between Executive Director Risk Adjustment vs Risk Adjustment Manager?

AspectExecutive Director Risk AdjustmentRisk Adjustment Manager
CredentialsTypically requires advanced degrees (e.g., MBA, healthcare administration) and industry certificationsUsually requires a bachelor’s degree, with some roles preferring certifications like RAC or CPC
Work EnvironmentStrategic leadership in healthcare organizations, overseeing entire risk adjustment programsOperational focus, managing day-to-day risk adjustment activities and teams
Industry UsageUsed in large healthcare organizations, health plans, and consulting firmsCommon in health plans, provider organizations, and risk adjustment teams

The Executive Director Risk Adjustment typically holds a higher-level, strategic role overseeing entire programs, while the Risk Adjustment Manager focuses on operational management of risk adjustment activities. Both roles require industry knowledge, but the executive position emphasizes leadership and strategic planning.

What is an Executive Director of Risk Adjustment?

An Executive Director of Risk Adjustment is a senior healthcare leader responsible for overseeing risk adjustment strategies within an organization, such as a health plan or provider group. They manage programs that ensure accurate documentation and coding of patient health conditions, which are crucial for appropriate reimbursement from government payers like Medicare and Medicaid. This role involves collaborating with clinical, compliance, and data analytics teams to optimize risk scores, adhere to regulatory requirements, and improve financial performance. Executive Directors of Risk Adjustment also develop policies, lead audits, and implement best practices to reduce errors and enhance operational efficiency.

What are the primary challenges faced by an Executive Director of Risk Adjustment when leading cross-functional teams?

An Executive Director of Risk Adjustment often manages teams that include analytics, clinical, and operations professionals, each with distinct priorities and expertise. One key challenge is aligning these diverse groups to ensure accurate data collection, coding compliance, and effective implementation of risk adjustment strategies. Facilitating clear communication, setting unified goals, and fostering collaboration are essential to overcoming silos and driving program success. Additionally, staying up-to-date with evolving regulatory requirements and payer guidelines adds complexity, making adaptability and proactive leadership crucial in this role.

What are the key skills and qualifications needed to thrive as an Executive Director of Risk Adjustment, and why are they important?

To thrive as an Executive Director of Risk Adjustment, you need deep expertise in healthcare risk adjustment methodologies, regulatory compliance, and strong leadership experience, often supported by an advanced degree in healthcare administration or a related field. Familiarity with risk adjustment analytics platforms, data management tools, and relevant certifications like Certified Risk Adjustment Coder (CRC) is essential. Outstanding analytical thinking, strategic communication, and the ability to lead cross-functional teams are critical soft skills. These competencies enable effective program oversight, ensure accurate revenue capture, and drive compliance in a complex and evolving healthcare environment.
Infographic showing various Executive Director Risk Adjustment job openings in the United States as of May 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $89,818 per year, or $43.2 per hour.
Manager Risk Adjustment Program

Manager Risk Adjustment Program

BayCare Health System

Tampa, FL • On-site, Remote

Full-time

Posted 19 days ago

BayCare Health System rating

7.5

Company rating: 7.5 out of 10

Based on 381 frontline employees who took The Breakroom Quiz

221st of 869 rated healthcare providers

Job description

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence.
Position details:
Location: Tampa, FL (Remote - Must Reside in the State of Florida)
Status: Full Time, Salaried
Shift Hours: M-F, 8:00 am - 5:00 pm
The Manager Risk Adjustment Program:
  • Leads and implements risk adjustment strategies, operations and program development across BayCare PHSO and BayCare Plus consistent with BayCare goals and objectives.
  • Uses provider performance metrics and data to identify program/provider opportunities and gaps.
  • Works with physician/facility practices and key stakeholders to provide measurable and actionable solutions to meet and maintain best-practice documentation and HCC (Hierarchical Condition Category) and ICD-10 coding practices.
  • As a subject matter expert and preceptor, provides on-going supervision, education and training of risk adjustment team members related to coding and documentation responsibilities.
  • Works with BayCare Leadership to evaluate and adopt risk adjustment technology solutions.

Minimum Qualifications:
Required Education and Credentials: Bachelor's degree in business, technology, healthcare OR related disciplines required; and at least one of the following active certifications: Certified Professional Coder (CPC); Certified Risk Adjustment Coder (CRC); Certified Coding Specialist (CCS); or Registered Health Information Technician (RHIT).
Preferred Education and Credentials: Master's degree in business, technology, healthcare OR related disciplines
Required Experience: Minimum of three (3) years of relevant experience managing a risk adjustment program OR department with direct supervisory responsibility and budgetary accountability required, and minimum of five (5) years of management/leadership experience for a healthcare organization.
Preferred Experience: Two (2) or more years of experience in a lead risk adjustment role working with OR for Medicare Advantage health plans.
*Any equivalent combination of education and experience that provides the required knowledge, skills, and abilities to perform the essential duties and responsibilities of the position.
BayCare Values: Demonstrate a consistent commitment to BayCare Health System's core values of trust, respect, and dignity in all interactions with patients, families, team members, and the community, supporting our shared responsibility to achieve excellence in the communities we serve.
Leadership Competencies
  • Communication: Communicates in a clear, authentic, and transparent manner to meet the needs of others to ensure messages are received and mutually understood.
  • Emotional Intelligence: Demonstrates self-awareness and manages one's emotions. Recognizes and responds constructively to others' emotions and builds meaningful relationships.
  • Talent and Team Development: Develops team members and teams by empowering them, setting clear expectations, providing learning opportunities, and supporting ongoing growth.
  • Change Champion: Demonstrates a commitment to enhance performance by engaging and promoting change, continuous improvement, adaptability, and innovation.
  • Collaboration: Collaborates by sharing responsibility, transparent exchange of information, and collective problem-solving to achieve mutually beneficial solutions.
  • Results Driven: Takes ownership of outcomes by setting clear, measurable goals and aligning team efforts and resources to achieve them.
  • Inclusion and Belonging: Creates an inclusive environment that values all perspectives, respects individuality, and fosters an environment where all feel a sense of belonging.

Equal Opportunity Employer Veterans/Disabled

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