Head of Prospective Risk Adjustment Initiatives

Inland Empire Health Plans (IEHP) seeks a Director of Risk Adjustment Prospective Programs to lead the design and execution of proactive risk adjustment initiatives across point-of-care, in-home, and concurrent settings. You will translate enterprise strategy into scalable workflows, KPIs, and provider-facing tools within a network of independent physicians and IPAs. The role emphasizes CMS-compliant documentation, revenue accuracy, and collaboration with clinics, vendors, and internal