Job Opportunities API

OUR COMMITMENT TO A HUMAN HIRING PROCESS We believe every candidate deserves thoughtful consideration. That’s why we  do not use AI or automated systems to review applications . Every application is reviewed by a real  human  member of our team. Because we take the time to give each submission the attention it deserves, our review process may take a little longer — and we genuinely appreciate your patience as we work through applications carefully and respectfully.   SERVICE AREA PREFERENCE While we encourage all interested applicants to apply, we do give priority to those who live in , or near, our service counties: Santa Cruz, Monterey, Merced, San Benito, and Mariposa . Our mission of  accessible, quality health care guided by local innovation   leads  everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment.   We have an opportunity to join the Alliance as the Risk Adjustment Director leading the Risk Adjustment Department.  This position can be located in one of our service counties (Mariposa, Merced, Monterey, Santa Cruz, or San Benito) or remotely in California with expected travel to Alliance service area(s) once a quarter. Must reside in California upon hire.  WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Chief Financial Officer, you will: Provide strategic management oversight in designing, implementing, directing, and monitoring the Alliance’s Risk Adjustment Department functions Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations Direct, manage, and supervise Risk Adjustment Department staff ABOUT THE TEAM The Finance Division acts as the guardian of the Alliance’s financial health. We track the pulse of the organization by analyzing budgets, forecasting future performance, and navigating the ever-changing economic and political landscape. To keep the Alliance financially strong and secure, we wear several hats and partner with every department in the organization to translate fiscal data into insights and action. From managing funds to risk management and compliance, we ensure the Alliance’s responsible use of public funds. This role will lead Medicare DSNP Risk Adjustment strategy and execution, overseeing a high-performing team of three. Current DSNP membership is approximately 800, with projected growth to 2,000 by year-end. While this is a leadership position, the current stage of the program requires a hands-on approach. The Director will be responsible for both guiding the strategic direction and directly supporting key operational initiatives to ensure program stability and scalability. This leader will work closely with cross-functional stakeholders to drive alignment, educate on program priorities, and advance key initiatives. Success in this role will require strong collaboration and influence to accelerate progress and embed risk adjustment best practices across the organization. As the DSNP program evolves, this role will play a pivotal leadership role in scaling capabilities across physician engagement, cross-functional program coordination, and operational infrastructure. The scope and complexity of responsibilities will grow in alignment with membership expansion and organizational priorities.  THE IDEAL CANDIDATE  A motivated and seasoned leader in the managed care industry, with expertise in risk adjustments Excellent communication skills, with strength in building relationships and partnering with cross-functional teams. Champion accountability across the organization Experience in overseeing the Medicare Risk Adjustment life cycle Strong data and analytical skills, including SQL, dashboarding, and reporting