Director, Prospective + Concurrent Risk Adjustment Products

Director Of Prospective + Concurrent Risk Adjustment Products

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.

As the Director Of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution for the product portfolio focused on identifying and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a cross-functional team of product managers and product designers and collaborate deeply with data science, clinical experts, engineering, and commercial teams to accelerate innovative solutions that surface timely, high-accuracy clinical insights directly into provider workflows. These capabilities help health plans and risk bearing groups improve revenue integrity, close care gaps earlier, and enable better care decisions at the point of service. This is a leadership role that combines strategic thinking, clinical product development expertise, and people management responsibilities. You'll be accountable for ensuring our products deliver measurable impact for value-based care customers while building a high-performance team and culture.

Key Responsibilities

Product Strategy :

• Own and evolve the product vision, strategy, and roadmap for the Prospective Suspecting and Concurrent Review solutions within Datavant's Clinical Insights Platform suite.
• Define multi-year plans aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management, and provider enablement.
• Identify and prioritize use cases that leverage AI / ML and real-time data signals to surface high-impact suspects and coding opportunities.
• Drive innovation leveraging interoperability standards (FHIR, HL7, APIs) to enable seamless enablement with EHRs, care management platforms, and third party integrations.
• Balance innovation with compliance, audit defensibility, and clinical integrity across all product decisions.

Execution & Delivery :

Stakeholder Engagement :

Compliance & Quality :

Leadership & Culture :

Key Qualifications

Required :

Preferred :

Key Performance Indicators (KPIs)

Product Impact :

Team & Execution :

Business & Strategic Outcomes :

Impact You'll Make :

You will play a crucial role in expanding a platform that empowers clinicians with data-driven disease predictions, improving clinical decision-making, patient outcomes, and healthcare efficiency. Your work will directly impact how healthcare providers deliver value-based care and ensure patients receive the most appropriate interventions.

We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive.