Director, Burden of Illness Operations

Job Description Summary ‎ The Director develops and leads strategies to ensure the accurate and complete representation of patient disease burden through compliant clinical documentation and risk adjustment practices. This role uses data and performance trends to identify opportunities, establish organizational and practice-level priorities, and develop programs that improve documentation, coding accuracy, condition recapture, prevalence, and overall value-based care outcomes. The Director leads a team and is responsible for translating BOI strategy into actionable initiatives within physician practices. The Director collaborates closely with providers and leadership across Risk Adjustment, Population Health, Practice Operations, Quality, Finance, Analytics, Clinical Operations, and RBE partnerships to ensure BOI initiatives are coordinated, compliant, measurable, and successfully implemented. ‎ How will you make an impact & Requirements ‎ Essential Duties and Responsibilities Provide leadership and subject matter expertise for organizational Burden of Illness initiatives. Maintain knowledge of CMS-HCC methodologies, regulatory requirements, coding guidelines, and changes affecting BOI performance. Monitor key BOI indicators. Identify patterns in documentation and coding performance requiring provider or practice intervention. Ensure provider education strategies address identified documentation and coding opportunities. Establish BOI priorities for physician practices ba