Strive Health · 20 hours ago
Director, Risk & HEDIS Enablement
Denver, CO
Full-time
Hybrid
Director/Executive
$130K/yr - $163K/yr
8+ years expStrive Health is transforming the broken kidney care system through early identification and comprehensive coordinated care. The Director, Risk & HEDIS Enablement will lead the development and optimization of risk adjustment and HEDIS-related processes, enabling clinical teams to perform effectively.
Health CareInformation TechnologyMedicalmHealth
No H1B
Responsibilities
Lead the design and execution of risk adjustment and HEDIS enablement strategies, including education, tools, and workflow optimization
Develop clinician-facing education and guidance that translates coding and quality requirements into practical documentation practices
Partner with technology, analytics, and operations teams to optimize systems, POCT workflows, and suspecting processes
Own performance management frameworks that track adoption, engagement, and effectiveness of risk and quality initiatives
Identify gaps in process, system configuration, or data integrity that impact documentation or quality outcomes and drive resolution
Collaborate with clinical leadership and field teams to reinforce consistent risk and quality practices across markets
Support vendor management related to enablement tools, quality platforms, or data solutions
Partner with Risk Coding Operations to ensure alignment between enablement efforts and operational coding outcomes
Lead troubleshooting and root-cause analysis related to documentation gaps, workflow breakdowns, or system limitations
Drive alignment across departments to improve execution of risk and quality strategy
Build scalable education and enablement models that support growth and evolving CMS requirements
Qualification
Required
Bachelor's degree
8+ years of experience in healthcare operations, clinical enablement, quality, or managed care
7+ years of experience supporting risk adjustment, HEDIS, or quality improvement initiatives
Strong understanding of CMS risk adjustment and quality measurement principles
Experience working directly with clinical teams and providers
Ability to travel and be onsite as business needs require
Reliable internet connectivity meeting minimum technical requirements
Efficient and reliable transportation allowing for the ability to commute to hospitals
Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency
Preferred
Master's degree in healthcare administration, business, or related field
4+ years of leadership experience in cross-functional or matrixed environments
Clinical, coding, or quality certification (e.g., RN, CRC, CPHQ)
Experience in value-based care or MSO environments
Strong change-management and communication skills
Ability to translate complex requirements into clear, clinician-friendly guidance
Proven ability to build alignment across diverse stakeholders in fast-paced environments
Benefits
Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
Financial & Retirement Support – Competitive compensation with a performance-based discretionary bonus program, 401k with employer match, and financial wellness resources.
Time Off & Leave – Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.
Company
Strive Health
Strive Health is a value-based kidney care provider with an integrated system supporting the journey of individuals with kidney disease.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$936MKey Investors
New Enterprise AssociatesHercules CapitalCapitalG
2025-09-09Series D· $300M
2025-09-09Debt Financing· $250M
2023-05-31Series C· $166M
Leadership Team
Chris Riopelle
Co-Founder & Chief Executive Officer
Keith Bellovich
Chief Nephrologist
Recent News
2025-11-02
CB Insights
2025-10-29
Company data provided by crunchbase