Overview
VP - Product, Assessment Solutions (Risk Adjustment & Quality)
(Remote)
About Us
Matrix Medical Network is the nation’s leading independent provider of comprehensive in-home health assessments, serving Medicare Advantage, Managed Medicaid and Commercial patients across all 50 states. With a network of 3,000 + clinicians, we deliver personalized Whole Person Care that includes diagnostic testing, risk identification, medication management and preventive health education, empowering people to better manage acute and chronic conditions.
Guided by our mantra-
We see you. We hear you. We’ve got you.- and our core values of Integrity, Accountability, Trust, Respect and Passion, we are committed to creating a culture where both patients and teammates feel valued, supported and heard.
Responsibilities
About the Role:
- Type: Full-Time, Salaried
- Compensation: $245K (target base salary)
- Location: Fully Remote (must be located in the United States)
- Hours: Full-Time, Days
- Benefits Offered: Medical, dental, vision, paid time off, paid holidays, 401(k) with company matching, voluntary life insurance, short-term disability, long-term disability, employee assistance program, health savings account, flexible spending accounts, and additional voluntary benefits.
Job Summary
The Vice President for Assessment Solutions (Risk Adjustment & Quality) owns the end-to-end strategy, P&L and outcomes for Matrix’s assessment-based Risk Adjustment & Quality business (e.g., Comprehensive Health Assessments and quality gap closure programs). You will be the single-threaded owner for this product line—setting priorities, making tradeoffs and delivering measurable financial and clinical performance. This role sits in Product and partners closely with Operations, Clinical, Data & Analytics, Commercial and Account Management.
Key Responsibilities
Strategic Leadership
- Set the multi-year strategy, roadmap, and annual operating plan for the Risk Adjustment & Quality portfolio; own revenue growth, contribution margin and capital allocation.
- Act with clear decision-making authority, informed by stakeholder input and organizational guardrails.
- Decide where to play and how to win across MA, Medicaid and ACA; define market segmentation, packaging, and pricing (e.g., PMPM, per-assessment, shared savings).
- Anticipate market and regulatory shifts (CMS/HHS/state Medicaid, Stars/HEDIS) and translate them into competitive differentiation and compliant delivery.
Business Ownership
- Own full financial performance, including revenue growth, margin optimization, and long-term business sustainability. Drive investment decisions, resource allocation and commercialization strategies to ensure profitability and competitive differentiation.
- Identify and capture new growth opportunities in payer, provider and employer markets. Develop go-to-market strategies and pricing models that expand market share and position Matrix as a leader in risk adjustment and gap closure.
- Ensure operating models, delivery workflows, and partnerships scale efficiently with business growth. Drive cost optimization and operational performance alongside product innovation.
Client & Market Engagement
- Serve as executive sponsor in client engagements, representing the strategy and results of the business line.
- Translate client and market input into actionable initiatives that grow retention, adoption, and expansion.
- Partner with Commercial teams to position Risk Adjustment & Gap Closure as a core differentiator in the Matrix portfolio.
Cross-Functional Leadership
- Foster a culture of accountability, client empathy, and innovation.
- Establish best practices across teams to create cross-functional alignment.
- Collaborate with Engineering, Data & Analytics, and Operations to deliver scalable, high-quality client solutions.
- Align with Compliance, Legal and Clinical teams to ensure solutions meet industry, regulatory, and contractual standards.
- Partner with Marketing to develop client-facing product communications and adoption strategies.
Data-Driven Decision Making
- Define and monitor KPIs to drive excellence within the business and prioritize opportunities for growth.
- Use data and market insights to prioritize roadmap decisions and strengthen value delivery.
- Create frameworks to proactively identify and resolve friction points in the value delivery stream.
Qualifications
Experience:
- 10+ years in health plan or payer-services roles spanning Risk Adjustment and Quality/Stars across MA, Medicaid, and ACA—with direct accountability for performance (not advisory only).
- Demonstrated success owning strategy and outcomes for a business line or P&L.
- Deep expertise in value drivers for Medicare Advantage, Medicaid, and ACA payers.
- Experience with CMS programs, Stars/HEDIS and value-based care models.
- Firsthand experience in risk adjustment coding and clinical operations: ICD-10-CM/HCC guidelines, documentation integrity, coding QA/second-level review, RAF mechanics, chart retrieval & submission, RADV/audit readiness and end-to-end assessment workflows (scheduling → completion → coding).
Education
- Bachelor’s degree required; MBA, MPH or related advanced degree preferred.
Skills & Expertise
- Builder-operator mindset with clear decision rights and bias to measurable outcomes; expertise in enterprise product strategy and execution.
- Excellent leadership and collaboration skills across clinical, operations, sales, client management and product teams.
- Strong executive presence and communication skills to engage with C-level executives and drive alignment across diverse stakeholders.
- High emotional intelligence, business acumen and passion for excellence in healthcare.
Preferred Qualifications
- Experience supporting payer, provider or large employer clients.
- Deep experience in Medicare Advantage, Medicaid or value-based care models.
- Bilingual or multicultural client experience is a plus.
- Certifications in product management or client success frameworks are a plus.
Metrics For Success
- Demonstrated profitability improvements, ROI on product and operational investments, and contribution to enterprise financial and strategic goals.
- Strong client satisfaction, retention, and growth rates.
Work Environment
- Remote role with periodic travel for client meetings, team collaboration and field insights.
- Fast-paced, mission-driven and collaborative culture focused on measurable impact and long-term partnerships.
Our Culture
- We have a clear vision of where we are going, and we are guided by core values that embody our organization and our culture.
- We emphasizes innovation and growth, and you will be given the opportunities and tools to develop personally and professionally.
- We encourage and celebrate collaboration.
- We have a deep commitment to positively impact the communities in which we work and to make a difference in the lives of who we serve.
Matrix Medical Network is an Equal Employment Opportunity Employer. It is the policy of Matrix to provide equal employment opportunities without regard to race, color, religion, sex, gender identity or expression, pregnancy, age, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law. It is also the policy of Matrix that qualified individuals with disabilities receive equal opportunity in regard to job application procedures, hiring, and all aspects of the employment process. Matrix is committed to the full inclusion of all qualified individuals. Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of Matrix to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, pre-employment testing, to otherwise participate in the selection process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact MatrixHR@matrixhealth.net.
