Hcc Risk Adjustment Coding Jobs in Phoenix, AZ (NOW HIRING)

Now Hiring: Director of Value-Based Care

Location: Scottsdale, Arizona

Work Environment: Office-based with collaboration across multiple physician practice locations throughout Arizona.

Travel Required: Occasional travel between clinic locations and partner meetings as needed.

Compensation: $125,000 – $145,000 annually (DOE)

Bonus Offered: Potential performance-based incentive.

Benefits Offered:

Medical, Dental, Vision, 401(k), Paid Holidays, Paid Time Off, Career Development Opportunities

Join a growing, multi-site healthcare organization serving a large and diverse patient population through an extensive network of care locations and providers. We are committed to delivering personalized, prevention-focused care that helps patients achieve better long-term health outcomes. Our collaborative culture encourages innovation, leadership, and continuous improvement, empowering our teams to make a meaningful impact every day.

You are a strategic healthcare leader with extensive experience driving value-based care initiatives, improving quality outcomes, and leading multidisciplinary teams. You thrive in a collaborative environment, understand the complexities of risk-based reimbursement models, and are passionate about improving patient care while achieving organizational performance goals.

The Director of Value-Based Care is responsible for leading the organization's strategic initiatives that improve clinical outcomes, strengthen care coordination, and optimize performance across all value-based contracts. This position oversees the operational functions of Risk Stratification, Quality Gap Closure, and Population Health Management while driving operational excellence, quality improvement, and financial performance. The Director works closely with executive leadership, clinical teams, analytics, and operational stakeholders to ensure successful execution of value-based strategies across the organization.

• Lead the organization's value-based care strategy across all risk-bearing contracts and value-based programs.
• Direct the operational oversight of Risk Stratification, Quality Gap Closure, and Population Health Management teams.
• Ensure value-based initiatives achieve targeted financial, quality, and operational performance metrics.
• Partner with executive leadership, including the Chief Medical Officer and Chief Executive Officer, to develop strategic initiatives that improve patient outcomes.
• Oversee high-risk patient management, transitions of care, care coordination, and chronic disease management programs.
• Collaborate with clinical, operational, analytics, and information technology teams to improve care delivery and performance.
• Evaluate and adjust value-based strategies based on payer requirements, regulatory changes, and organizational objectives.
• Work closely with business development, marketing, operations, and payer partners to support attribution growth and value-based initiatives.
• Develop and maintain strong relationships with payers, provider networks, specialists, and community partners.
• Lead, mentor, and develop high-performing teams while promoting accountability, collaboration, and continuous improvement.
• Maintain expertise in value-based reimbursement models, HEDIS measures, HCC coding, risk adjustment methodologies, quality incentive programs, and payer portal functionality.
• Monitor organizational performance through data analytics and reporting to identify opportunities for improvement and strategic growth.

• Bachelor's degree in Healthcare Administration, Business Administration, or related field required.
• Master's degree preferred.
• 7–10 years of progressive healthcare leadership experience with emphasis on Value-Based Care, Population Health, Accountable Care Organizations (ACO), or risk-based reimbursement models.
• Demonstrated success leading value-based care initiatives within physician practice, medical group, or multi-site healthcare environments.
• Strong understanding of healthcare reimbursement, regulatory requirements, quality improvement methodologies, and industry trends.
• Experience managing departmental budgets, financial performance, or P&L responsibilities.
• Proficiency with electronic medical records, healthcare analytics platforms, reporting tools, and population health technology.
• Exceptional leadership, communication, strategic planning, and relationship-building skills.