Manager, Value-Based Care, Risk Adjustment & Quality

Location Detail: 100 Pearl Street Hartford (10484)

Manager, Value-Based Care, Risk Adjustment & Quality | Hartford HealthCare

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 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.

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” – Becker’s Hospital Review

“America’s 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 Patti.Lowicki@hhchealth.org Call/Text: (860) 558-6591

Qualifications

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