• Drive the functional and technical roadmap for risk adjustment systems, including provider engagement tools, data / document analytics platforms, and enterprise technology goals. • Guiding the technical implementation of risk adjustment solutions, potentially working with data platforms, ETL processes, and vendor integrations. • Anticipate regulatory and operational changes (e.g., CMS rule updates, encounter data submission requirements) and integrate them into the roadmap. • Ensuring Alignment’s technical solutions address quality, accuracy, and completeness of data used for risk adjustment, often involving monitoring data submissions and addressing gaps. • Collaborate with internal and external coding, analytics, and clinical teams to ensure accurate and complete diagnosis coding and HCC Gap Closures. • Translate CMS regulations and Medicare operational requirements into actionable business and system requirements. • Partner with vendors to manage technical solutions and integrations, ensuring compliance with service-level agreements (SLAs). • Collaborating with various stakeholders, including clinical teams, provider groups, IT departments, actuarial services, and regulatory bodies, to align strategies and drive program success. • Assists with CMS Risk Adjustment Data Validation activities to ensure our external physicians and Alignment Healthcare is prepared for and will pass an audit.