Manager, Value Based Care, Risk Adjustment & Quality

Hartford Connecticut

Hartford HealthCare 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 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 organizations 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.

Position Highlights

Clinical Documentation & Coding Oversight

• 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

Strategic Leadership

• 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

Clinician Engagement & Education

• 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

Quality Analytics & Performance Improvement

• 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

Compliance & Regulatory Oversight

• CMS MSSP Medicare Advantage and payer compliance

• Audit preparedness and monitoring

• Regulatory education and risk mitigation

• Documentation and coding compliance oversight

Comprehensive Benefits

• 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

Why Hartford HealthCare

Hartford HealthCare is a not-for-profit fully integrated healthcare system with a strong reputation for clinical excellence innovation and physician leadership.

• 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

Recognition & Awards

• A Leapfrog Safety Rating (one of few systems nationwide)
• Best Organizations for Leadership Development National Center for Healthcare Leadership
• Best Hospitals to Work For in Connecticut Beckers Hospital Review
• Americas Most Innovative Companies Fortune
• Best Regional Hospitals U.S. News & World Report

Professional Growth & Development

Hartford HealthCare is committed to physician development through:

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

Live & Work in Hartford Connecticut

Hartford County offers a high quality of life with easy access to Boston New York City and Providence:

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

Apply Today

Patti Lowicki
Senior Director Provider Recruitment and Integration

Call/Text:

• 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