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Market Director Population Health Quality and Risk
Company : Catholic Health Initiatives
Location : Little Rock, AR
Job Type : Full Time
Salary : 52.02-77.38 HOUR
Date Posted : 12 January 2026
Job Summary and Responsibilities
Will have oversight for Arkansas, Tennessee/Georgia, Kentucky and Ohio markets. Work-mode is flexible/remote; preferably reside either in the EST or in CST zones, and up to 25-50% professional travel may be involved.
Supports quality, clinical practice, safety, risk coding, compliance, patient experience and Health Information Management functions within the Value Hub (Clinically Integrated Networks/CINs).
Facilitates quality and patient experience performance across the SE Region Value Hub (VH) of CommonSpirit Health.
Demonstrates productive and organized leadership in the development and implementation of performance improvement plans and programs necessary to meet strategic objectives.
Conducts provider and quality incentive programs in the value hub.
Manages a team of managers/personnel with varying critical organizational roles.
Serves as market liaison, interfacing with internal clinical leaders and external payer partners for all things quality and risk for the value hub.
Through Risk Management/Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas and Kentucky CIN.
- Educate providers to improve documentation and coding practices, for accurate claims submissions and accurate reimbursement.
Continue to work closely with managers and providers to build relationships, establish trust and open communication related to documentation best-practices, accurate documentation and coding, and claims submissions
Participate/assist in pilot programs for concurrent and retrospective review processes. Assist in the creation of workflows and guidelines for these new processes.
Support the Risk Auditor Manager of closely working with the HCC Risk auditors to establish, and update daily workflows and audit processes. Ensure that auditors stay current on guidelines and best practices and maintain the highest level of ethics in their chart reviews and provider interactions. Use the weekly auditor’s roundtable to challenge each other and expand our knowledge on the most complicated areas of documentation and coding.
- Bachelors Degree in Nursing required
- Current, unencumbered RN license in primary state of residence with ability to apply for multistate licensure (AR, KY, TN, GA, OH) per the NLC
- 5 years leadership experience
- Extensive CIN/Population Health Management experience required
- Must have experience with risk adjustment coding and value based reimbursement models of payment
- Knowledge of CMS, NCQA, ambulatory care, quality, and population health
Centennial, CO
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Frequently asked questions
Managing quality and risk across diverse states requires adapting to varying healthcare regulations and payer partnerships. A Market Population Health Quality and Risk director must coordinate clinical integration networks while aligning strategies with regional patient populations to optimize outcomes and compliance effectively.
Expertise in risk adjustment coding, population health management, and familiarity with CMS and NCQA standards are critical. Leadership in orchestrating quality improvement initiatives and understanding value-based reimbursement models underpin success in this complex healthcare environment.
Professionals often advance toward executive roles such as Chief Quality Officer or VP of Population Health, leveraging their expertise in clinical integration, data-driven decision making, and managing multi-state healthcare initiatives to influence broader organizational strategies.
Catholic Health Initiatives embeds these directors within clinically integrated networks and payer partnerships to bridge quality, risk, and compliance efforts. This integration fosters aligned strategies and shared resources to enhance patient care and streamline value-based contract performance.
Navigating diverse regulatory landscapes, managing cross-functional teams remotely across time zones, and harmonizing quality and risk protocols across several state markets require adaptive leadership and strong communication skills tailored to Catholic Health Initiatives’ collaborative healthcare model.
Little Rock’s healthcare sector demands professionals with certifications like Certified Professional in Healthcare Quality (CPHQ) and familiarity with state Medicaid programs. The competition is moderate, favoring candidates who demonstrate regional expertise and multi-state licensure under the Nurse Licensure Compact.
The Southeast Value Hub emphasizes collaborative culture, flexibility with remote work options, and high ethical standards in quality and risk management. Professionals are expected to engage in continuous learning and foster transparent communication across integrated networks.
Market data suggests salaries typically range from $130,000 to $160,000 annually, reflecting the role’s leadership scope and multi-state responsibilities. Compensation packages often include benefits aligned with healthcare leadership positions in value-based care environments.
This role spearheads the establishment and oversight of risk adjustment coding departments, collaborating with auditors and providers to ensure accurate documentation and compliance. It drives coding accuracy that directly impacts reimbursement and quality metrics within these state-specific clinical networks.
Catholic Health Initiatives prioritizes integrated leadership that connects clinical practice, payer relations, and population health strategies. Their directors enjoy access to shared tools and resources across multiple states and benefit from a culture recognized as one of the best workplaces, fostering innovation in quality improvement.