Evolent Health Senior Director, Risk Adjustment Operations in Arlington, Virginia

Your Future Evolves Here

Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.

Are we growing? Absolutely-62% in year-over-year revenue growth through 2015. Are we recognized? Definitely. We’re 12th on Forbes’ list of America’s Most Promising Companies for 2015, one of “Becker’s 150 Great Places to Work in Healthcare” in 2016, and our CEO was number one on Glassdoor’s 2015 Highest-Rated CEOs for Small and Medium Companies. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.

What You’ll Be Doing:

Senior Director- Risk Adjustment Operations

  • Oversee a team of up-to 24 FTE’s.

  • Direct responsibility for the successful execution of a large scale cross functional program initiatives which is defined as highly complex, change oriented and of high visibility.

  • Oversee, coordinate, perform and deliver on program initiatives that relate to risk adjustment, quality and/or affordability.

  • Collaborate and coordinate with stakeholders and market representative’s teams to ensure the program progresses on schedule and within budget. Assure alignment for inter-program dependencies

  • Responsible of managing initiatives that may require overseeing onsite resources, scheduling and reporting process.

  • Lead the effort to identify solutions (including scope, schedule and budget) so that recommendations can be presented to leadership. This may include creating business case, project plans, ROI calculations, Revenue tracking for all large initiatives.

  • Provide subject matter expertise in areas including project scope definition, risk identification and escalation, project methodology, resource allocation, facilitation, and other areas of expertise based on established program initiatives.

  • Closely monitor project resources, tasks, risks and milestones and when necessary forecast impact on schedule, quality, and cost and make course corrections using defined change control procedures.

  • Identify improvement opportunities and coordinate with internal teams to deliver results in a defined timeframe

  • Direct others to resolve business problems that affect multiple functions or disciplines.

  • Create a team-oriented work climate that enables professional development and encourages creative solutions and strategies, establishes collaboration and emphasizes quality and cost.

Required Qualifications

  • Bachelor's degree or equivalent combination of education and experience

  • 5-7 years healthcare experience required; preferably in the healthcare services area such as nurse practitioner program, clinical workflow, risk adjustment operations, deployment of technology and reporting

  • 10 years in an operations management, logistics or risk adjustment role responsible for managing staffing, training, logistics, strategy, issue management and resolution management.

  • 10 years of experience in leading and managing work teams.

  • Working knowledge of RA, STAR, and Clinical Workflow

Preferred Qualifications

  • Effectively communicates complex ideas clearly and concisely to both internally and externally and with all levels of leadership including executive audiences

  • Able to create, build and maintain relationships to improve performance and establish trust and maintain creditability throughout the organization

  • Successful track record of leading large and complex multi-year program management initiatives with impacts across the business and organization as a whole

  • Demonstrates effective interpersonal, influence, collaboration and listening skills to address complex situations or issues

  • Experience in leading and directing cross functional teams to deliver projects within constraints of schedule, budget and resources

  • History of leading and possessing a high tolerance to stress and the ability to handle difficult situations in a confident and diplomatic manner within a large matrix organization

  • Provides leadership, organization and methodology to a multi-functional project team

  • Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities and make changes to work as the project needs dictate. Able to accomplish in an ambiguous environment

  • Ability to drive projects by demonstrating decisiveness in resolving roadblocks inhibiting completion of milestones, making decisions and identifying priorities

  • MS Office Suite, moderate to advance EXCEL and PowerPoint skills

  • MS Project, Visio and SharePoint skills preferred

Relocation available-

Evolent Health is an Equal Opportunity/Affirmative Action Employer