Supervisor, Risk Adjustment

Remote

Full Time

Manager/Supervisor

About Harbor Health

Harbor Health is an integrated payvider based in Austin, TX, combining a medical group and health plan under one roof. Our model allows us to deliver coordinated, value-based care to our members while managing the full continuum of clinical and administrative functions in-house. We're a growing team, and the people who thrive here are those who like to roll up their sleeves and make a real impact.

About the Role

The Supervisor, Risk Adjustment leads day-to-day operations across Harbor Health's risk adjustment program, spanning HCC coding quality, risk adjustment retrieval campaigns, and vendor/delegated entity oversight. This is a hands-on team lead role — you'll be the connective tissue between our coders, analysts, and external partners, ensuring our risk adjustment program is accurate, compliant, and continuously improving.

This role reports to the Senior Director, Risk Adjustment & Performance and is a key contributor to Harbor Health's ACA/IFP and Medicare Advantage risk adjustment strategy.

What You'll Do

HCC Coding Oversight

Supervise and support a team of risk adjustment coders, providing guidance on diagnostic coding accuracy and compliance with CMS or HHS guidelines
Conduct or coordinate coding audits, identify gaps, and implement education and remediation plans
Serve as a coding subject matter expert and escalation point for complex clinical documentation questions

Vendor & Delegated Entity Management

Manage relationships with retrospective chart review vendors, coding vendors, and other delegated partners
Ensure vendor performance meets contractual and regulatory standards; conduct regular performance reviews
Coordinate on-site and remote chart retrieval activities to support annual encounter submissions

Team Leadership

Supervise, mentor, and develop risk adjustment coding staff; support hiring, onboarding, and performance management
Review, develop, and/or modify procedures, performance expectations, systems, and protocols for prospective, concurrent and retrospective coding operations
Foster a culture of accuracy, accountability, and continuous improvement within the team
Collaborate closely with Clinical, Health Plan Operations, Compliance, and Analytics teams

What You Bring

5+ years of experience in risk adjustment, with at least 1–2 years in a lead or supervisory capacity
Deep working knowledge of risk adjustment coding (CMS-HCC & HHS-HCC models), risk adjustment methodology, and ACA/IFP or Medicare Advantage program requirements
Familiarity with risk adjustment analytics, reporting tools, and data validation workflows
Strong vendor management skills and comfort working with delegated entities
CRC, CPC, or equivalent coding credential preferred
Excellent organizational skills and the ability to manage multiple priorities in a remote environment
Clear, professional communication — you're comfortable presenting data and updates to cross-functional stakeholders

Compensation & Benefits

Harbor Health offers a competitive salary commensurate with experience, along with a comprehensive benefits package including medical, dental, vision, 401(k), generous PTO, and more.

Harbor Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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