• Define and execute a multi-year Medicare Advantage Risk Adjustment strategy aligned to enterprise growth and compliance objectives • Translate strategy into annual priorities, roadmaps, and measurable execution plans • Strengthen governance, operational discipline, and performance visibility across the function • Ensure full compliance with CMS Risk Adjustment methodologies, RADV requirements, and evolving regulatory guidance • Lead enterprise preparedness for CMS audits and regulatory reviews • Oversee remediation strategies, documentation standards, and defensible governance structures • Partner with medical groups and clinical leadership to drive shared accountability for accurate documentation and HCC capture • Improve workflows that support real-time, actionable information at the point of care • Align Risk Adjustment with Actuarial, Compliance, Product, Clinical Operations, Quality, Pharmacy, and Network teams • Establish and monitor KPIs including RAF accuracy, encounter submission completeness, provider engagement, and documentation quality • Lead and develop a high-performing team through Directors and managers