Director, Prospective Risk Adjustment & Revenue Integrity

IEHP is seeking a Director of Risk Adjustment Prospective Programs to lead proactive risk capture across the plan, including in-home, virtual, and point-of-care initiatives. This role directs KPI development, workflow design, and provider tools to enhance CMS compliance and revenue integrity. The position reports to the Vice President of Risk Adjustment and operates in a hybrid setting in Rancho Cucamonga, CA, collaborating with independent clinics, IPAs, and analytics teams to optimize care