Manager, Value Care, Risk Adjustment & Quality

Location Detail:

100 Pearl Street Hartford (10484)

Hartford Health Care is seeking an Advanced Practice Provider to join our Clinical Integration team. The Manager provides clinical, operational, and strategic leadership to advance value-based care performance, risk adjustment accuracy, quality improvement, and documentation integrity across the Clinically Integrated Network (CIN). In partnership with the Medical Director for Risk Adjustment, this role oversees the Risk Adjustment Coding and Education team, drives provider engagement, ensures regulatory compliance, and promotes best practices in clinical documentation, coding accuracy, and quality measure performance.

In partnership with the Medical Director of Value Based Care, the Manager collaborates with clinical, operational, and administrative leaders to improve population health outcomes, optimize financial performance under value-based contracts, and strengthen quality and risk-adjusted performance metrics. Through education, incentive plans, analytics, and provider partnership, this role advances the organization's strategic goals by engaging all providers in the Integrated Care Program (ICP) and fostering a culture of accountability, continuous improvement, and high-quality, patient-centered care.

• Oversight of Risk Adjustment Coding and Education team
• Documentation integrity initiatives
• Coding accuracy and risk capture improvement
• Quality measure documentation support
• Collaboration with CDI, coding, and operational leaders

• Development and execution of Clinically Integrated Network value-based care strategies
• Alignment of risk, quality, and financial performance goals
• Provider incentive program design and oversight
• Population health and contract performance initiatives
• Partnership with Medical Directors and operational leadership

• Provider education and coaching
• Physician and APP champion development
• Departmental and specialty-specific engagement strategies
• Performance reviews utilizing scorecards and dashboards
• Change management and adoption of value-based care initiatives
• Communication of quality, risk, and incentive opportunities

• Monitoring and reporting of quality and risk-adjustment KPIs
• Gap analysis and performance improvement planning
• Benchmarking and trend analysis
• Data-driven interventions to improve quality outcomes and financial performance

• CMS, MSSP, Medicare Advantage, and payer compliance
• Audit preparedness and monitoring
• Regulatory education and risk mitigation
• Documentation and coding compliance oversight

• Generous paid time off + company holidays
• CME allowance + dedicated CME time
• Reimbursement for licenses, certifications, and professional dues
• 401(k) with strong employer match
• Family-focused benefits including backup childcare support
• Voluntary benefits: tuition programs, insurance options (home, auto, pet), legal services, identity protection, and more

• 8 acute care hospitals and a large multi-specialty network
• Statewide presence with access to specialists and referrals
• Physician-led culture focused on quality, collaboration, and growth

• Provider Leadership Development Institute
• The Center for Education, Simulation & Innovation (CESI)
• Robust CME and on-demand learning platforms
• Mentorship and career advancement opportunities

• Family-friendly communities with excellent schools
• Coastal living, outdoor recreation, and scenic New England charm
• Short commutes and a balanced lifestyle

• Licensed or eligible to be licensed in the State of Connecticut
• Advanced Practitioner Registered Nurse (APRN) or Physician Assistant (PA)
• Minimum of five years of progressive clinical experience