Manager, Risk Adjustment & Clinical Operations

We are seeking a highly capable operator to lead Risk Adjustment Operations at Daymark while also serving as a core member of the Clinical Operations team. This role sits at the intersection of Clinical Operations, Finance, Product, and Data, and is responsible for ensuring we accurately capture patient complexity in a way that reflects the true clinical needs of our population.

You will take the lead in building and scaling our risk adjustment approach, from identifying opportunities to embedding workflows into care delivery to driving measurable performance improvement. Beyond risk adjustment, this role is part of the broader Clinical Operations team and will flex into other high-priority operational initiatives, including market launches, care delivery workflows, and enrollment operations.

This role is ideal for someone who enjoys owning a critical domain while also working across a wide range of operational problems in a fast-moving, early-stage environment.

Define and operationalize our approach to risk capture, aligned with our care model and payer contracts

Identify opportunities for improving documentation (e.g., suspects and refreshables)

Design and implement workflows that integrate risk adjustment into care delivery and partner with Care Teams to ensure those workflows are usable, adopted, and effective

Partner with Product and Data to ensure workflows are reflected in tools and supported by accurate, timely data

Evaluate and manage vendors supporting chart prep, suspecting, and coding workflows

Establish performance tracking, reporting, and review cadences and Identify gaps in performance to drive targeted improvements

Improve care delivery workflows, enrollment operations, and cross-team coordination

Diagnose operational friction and implement solutions that improve reliability and efficiency

Partner with cross-functional teams to translate operational needs into workflows, tools, and processes

Support operational readiness for new markets and service lines

Step into high-priority operational initiatives as they emerge

Translate strategic priorities into operational workplans

Ensure KPIs have clear ownership and follow-through

Support operational review cadence and performance visibility

Identify execution gaps and help drive resolution

Experience in risk adjustment, population health, or value-based care operations

Strong understanding of HCC coding, suspecting, and chart review workflows

Experience working with clinicians and embedding workflows into care delivery

Experience partnering with Product, Data, and Analytics teams

Startup or high-growth experience is a plus

You are both strategic and highly execution-oriented

You can translate complex concepts into practical workflows

You are comfortable working across clinical, operational, and technical teams

You thrive in ambiguity and enjoy building from scratch

You are excited to own a domain while also contributing more broadly across the business

The expected compensation for this role is $120,000 to $150,000 annually, depending on location & experience.

This role is based in XX but will operate on either Central or Eastern time business hours.