Senior Risk Adjustment Provider Enablement, Manager (Remote)
Homeward
Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outcomes. This trend is rapidly accelerating as rural hospitals close and physician shortages increase, exacerbating health disparities. In fact, Americans living in rural communities suffer a mortality rate 23 percent higher than those in urban communities, in part because of the lack of access to quality care.
Our vision is care that enables everyone to achieve their best health. So, we’re creating a new healthcare delivery model that is purpose-built for rural America and directly addresses the issues that have historically limited access and quality. Homeward supports Medicare-eligible beneficiaries by partnering with health plans, providers, and communities to align incentives – taking full financial accountability for clinical outcomes and the total cost of care across rural counties.
As a public benefit corporation and Certified B Corp™, Homeward’s mission and business model are aligned to address the healthcare, economic, and demographic challenges that make it challenging for rural Americans to stay healthy. Our Homeward Navigation™ platform uses advanced analytics to connect members to the right care and local resources that address social determinants of health and improve holistic health outcomes. Since many rural communities lack adequate clinical capacity, Homeward also employs care teams that supplement local practices and reach people who cannot otherwise access care.
Homeward is co-founded by a leadership team that defined and delivered Livongo’s products, and backed most recently by a $50 million series B co-led by Arch Ventures and Human Capital, with participation from General Catalyst for a total of $70 million in funding. With this leadership team and funding, Homeward is committed to bringing high-quality healthcare to rural communities in need.
The Opportunity
Join us in transforming care delivery for rural America! We’re seeking a Risk Adjustment Provider Enablement, Senior Manager who will lead Homeward’s external risk adjustment program for contracted providers. This role will drive provider enablement initiatives, and serve as the key liaison to both payer partners and participating practices. The ideal candidate is a strategic, hands-on leader with deep expertise in risk adjustment and a track record of influencing provider performance through education, analytics, and collaboration.
What You'll Do
Provider Enablement Strategy & Execution:
- Serve as the point of contact for all contracted practices participating in Homeward’s Risk Adjustment Enablement program.
- Drive deployment and scaling of provider education, performance monitoring, and feedback mechanisms.
- Operationalize Homeward’s RA enablement model, including scorecard delivery, documentation feedback, and provider-facing education.
Payer Partner Collaboration:
- Lead discussions with payers on risk gap data, coding trends, and incentive design.
- Oversee supplemental file submissions and claims analysis to ensure completeness and alignment with payer expectations.
Reporting & Analytics:
- Monitor provider recapture rates and other key performance indicators.
- Collaborate with the data team to evolve dashboards and workflows that surface meaningful insights and action items for practices.
Program Development & Innovation:
- Partner with internal stakeholders to refine workflows, launch pilot programs, and develop new capabilities (e.g., pre-visit review, concurrent coding models).
- Play a pivotal role in building Homeward’s RA operations playbook for provider-facing initiatives.
What You Bring
- 6+ years of experience in Medicare Advantage risk adjustment, provider enablement, clinical education, or healthcare operations.
- 3+ years of experience leading teams in a fast-paced, performance-driven environment.
- Certified Risk Adjustment Coder (CRC) or similar AAPC/AHIMA certification.
- Expertise in ICD-10-CM coding, CMS-HCC models, and OIG/CMS regulatory compliance.
- Deep knowledge of provider workflow dynamics, documentation improvement strategies, and claims submission processes.
- Strong interpersonal skills, with the ability to influence and coach clinical and non-clinical stakeholders.
- Familiarity with EMR systems and risk adjustment analytics platforms.
- Proven ability to lead cross-functional projects, synthesize data into action, and build scalable solutions from the ground up.
Bonus Points
- Prior experience supporting external provider networks in a value-based care setting.
- Experience with plan-specific incentive models.
- Familiarity with remote chart review platforms and pre-visit coding workflows.
- Comfort navigating ambiguity and solving for the “first-of-its-kind” in a growing organization.
Benefits
- Medical, dental, and vision insurance with 100% of monthly premium covered for employees
- Competitive salary and possible equity grant
- Supplemental performance bonus opportunities
- Relocation and travel reimbursement
- Loan repayment support
- Company-sponsored 401k plan + match
- Generous paid time off
- Comprehensive training provided
What Shapes Homeward:
- Deep commitment to one another, the people and communities we serve, and to provide care that enables everyone to achieve their best health
- Compassion and empathy
- Curiosity and an eagerness to listen
- Drive to deliver high-quality experiences, clinical care, and cost-effectiveness
- Strong focus on the sustainability of our business and scalability of our services to maximize our reach and impact
- Nurturing a diverse workforce with a wide range of backgrounds, experiences, and points of view
- Taking our mission and business seriously, but not taking ourselves too seriously– having fun as we build!
The base salary range for this position is $117,000 - $140,000 annually. Compensation may vary outside of this range depending on a number of factors, including a candidate’s qualifications, skills, location, competencies and experience. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work at Homeward Health. This role is eligible for an annual bonus, stock options, as well as a comprehensive benefits package.
At Homeward, a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you have yet to gain experience in the areas detailed above, we hope you will share your unique background with us in your application and how it can be additive to our teams.
Homeward is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Homeward is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.
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