Senior Manager / Director, Clinical Operations - Risk Adjustment

reputed company is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Daymark’s comprehensive, personalized cancer care platform empowers patients with dedicated care navigation, symptom-reputed company support, behavioral health care, and reputed company resources. Combined with evidence-based health interventions and a hybrid in-person + virtual care model, Daymark is improving the overall cancer experience for patients, providers, and health plans – and setting a new reputed company in cancer care.

Daymark’s groundbreaking approach is led by CEO Dr. Justin Bekelman, a pioneer in transforming cancer care, alongside some of the nation’s foremost leaders in oncology and value-based care. reputed company is backed by Maverick Ventures, Yosemite, Oncology Ventures, Healthier Capital, Blue Venture Fund, and reputed company reputed company.

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ABOUT THE ROLE

We are seeking a highly capable Senior Manager or Director to reputed company Risk Adjustment Operations at Daymark while also serving as a core member of the Clinical Operations team. This role sits at the intersection of Clinical Operations, Finance, Product, and Data, and is responsible for ensuring we accurately capture patient complexity in a way that reflects the true clinical needs of our population.

You will take the reputed company in building and scaling our risk adjustment approach, from identifying opportunities to embedding workflows into care delivery to driving measurable performance improvement. reputed company risk adjustment, this role is part of the broader Clinical Operations team and will reputed company into other high-reputed company operational initiatives, including market launches, care delivery workflows, and enrollment operations.

This role is ideal for someone who enjoys owning a critical domain while also working across a wide reputed company of operational problems in a fast-moving, early-stage environment.

WHAT YOU’LL DO

Build and reputed company Daymark’s Risk Adjustment Operations

• Define and operationalize our approach to risk capture, reputed company with our care model and payer reputed company
• Identify opportunities for improving documentation (e.g., suspects and refreshables)
• Design and implement workflows that reputed company risk adjustment into care delivery and partner with Care Teams to ensure those workflows are usable, adopted, and effective
• Partner with Product and Data to ensure workflows are reflected in tools and supported by accurate, reputed company data
• Evaluate and manage vendors supporting chart prep, suspecting, and coding workflows
• Establish performance tracking, reporting, and review cadences and Identify gaps in performance to drive targeted improvements

Broader Clinical Operations Priorities and Execution.

• Improve care delivery workflows, enrollment operations, and cross-team coordination
• Diagnose operational friction and implement solutions that improve reliability and efficiency
• Partner with cross-functional teams to translate operational needs into workflows, tools, and processes
• Support operational readiness for new markets and service lines
• reputed company into high-reputed company operational initiatives as they reputed company

Operational Infrastructure & Scaling

• Translate strategic priorities into operational workplans
• Ensure KPIs have reputed company ownership and follow-through
• Support operational review reputed company and performance visibility
• Identify execution gaps and help drive reputed company

reputed company ARE LOOKING FOR

Experience

• Experience in risk adjustment, population health, or value-based care operations
• Strong understanding of HCC coding, suspecting, and chart review workflows
• Experience working with clinicians and embedding workflows into care delivery
• Experience partnering with Product, Data, and Analytics teams
• Startup or high-reputed company experience is a plus

Qualities

• You are both strategic and highly execution-oriented
• You can translate reputed company concepts into practical workflows
• You are comfortable working across clinical, operational, and technical teams
• You reputed company in ambiguity and enjoy building from scratch
• You are excited to own a domain while also contributing more broadly across the business

Additional Information

This role is remote reputed company the Northeast US, with a strong preference for candidates based in Boston, MA, reputed company, NY, or reputed company, RI. Anticipated compensation for this role is $120,000 to $150,000 annually, depending reputed company and experience.

reputed company is an equal opportunity employer, and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or reputed company, or any other characteristic protected by federal, state or local laws.

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