Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Daymark’s comprehensive, personalized cancer care platform empowers patients with dedicated care navigation, symptom-focused support, behavioral health care, and social resources. Combined with evidence-based health interventions and a hybrid in-person + virtual care model, Daymark is improving the overall cancer experience for patients, providers, and health plans – and setting a new standard in cancer care. Daymark’s groundbreaking approach is led by CEO Dr. Justin Bekelman, a pioneer in transforming cancer care, alongside some of the nation’s foremost leaders in oncology and value-based care. Daymark Health is backed by Maverick Ventures, Yosemite, Oncology Ventures, Healthier Capital, Blue Venture Fund, and Healthcare Foundry. Be cautious of recruitment fraud, and always confirm that communications are coming from an official Daymark Health email. ABOUT THE ROLE We are seeking a highly capable Senior Manager or Director to lead Risk Adjustment Operations at Daymark while also serving as a core member of the Clinical Operations team. This role sits at the intersection of Clinical Operations, Finance, Product, and Data, and is responsible for ensuring we accurately capture patient complexity in a way that reflects the true clinical needs of our population. You will take the lead in building and scaling our risk adjustment approach, from identifying opportunities to embedding workflows into care delivery to driving measurable performance improvement. Beyond risk adjustment, this role is part of the broader Clinical Operations team and will flex into other high-priority operational initiatives, including market launches, care delivery workflows, and enrollment operations. This role is ideal for someone who enjoys owning a critical domain while also working across a wide range of operational problems in a fast-moving, early-stage environment. WHAT YOU’LL DO Build and Scale Daymark’s Risk Adjustment Operations - Define and operationalize our approach to risk capture, aligned with our care model and payer contracts - Identify opportunities for improving documentation (e.g., suspects and refreshables) - Design and implement workflows that integrate risk adjustment into care delivery and partner with Care Teams to ensure those workflows are usable, adopted, and effective - Partner with Product and Data to ensure workflows are reflected in tools and supported by accurate, timely data - Evaluate and manage vendors supporting chart prep, suspecting, and coding workflows - Establish performance tracking, reporting, and review cadences and Identify gaps in performance to drive targeted improvements Broader Clinical Operations Priorities and Execution. - Improve care delivery workflows, enrollment operations, and cross-team coordination - Diagnose operational friction and implement solutions that improve reliability and efficiency - Partner with cross-functional teams to translate operational needs into workflows, tools, and processes - Support operational readiness for new markets and service lines - Step into high-priority operational initiatives as they emerge Operational Infrastructure & Scaling - Translate strategic priorities into operational workplans - Ensure KPIs have clear ownership and follow-through - Support operational review cadence and performance visibility - Identify execution gaps and help drive resolution WHAT WE ARE LOOKING FOR Experience - Experience in risk adjustment, population health, or value-based care operations - Strong understanding of HCC coding, suspecting, and chart review workflows - Experience working with clinicians and embedding workflows into care delivery - Experience partnering with Product, Data, and Analytics teams - Startup or high-growth experience is a plus Qualities - You are both strategic and highly execution-oriented - You can translate complex concepts into practical workflows - You are comfortable working across clinical, operational, and technical teams - You thrive in ambiguity and enjoy building from scratch - You are excited to own a domain while also contributing more broadly across the business Additional Information This role is remote within the Northeast US, with a strong preference for candidates based in Boston, MA, New York, NY, or Providence, RI. Anticipated compensation for this role is $120,000 to $150,000 annually, depending on location and experience. Daymark Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

• Implement project risk reviews with subject matter experts at the project level to ensure identification of main risks • Screen top risks with commercial, project and operations leadership and identify risks to be addressed • Present risk analysis findings using data-driven insights and scenario planning techniques • Be a subject matter expert for risk management platforms and tools and improve adoption of digital risk solutions across the team • Communicate and ensure compliance with risk processes • Develop and deliver executive-level risk reports, facilitate risk workshops, and contribute to strategic risk discussions at the business unit level

Are you passionate about safety and risk management? Do you thrive in dynamic environments and enjoy making a meaningful impact? MEM Insurance is seeking a mid-level Safety and Risk Services (SRS) Consultant to join our team. This field-based role is ideal for professionals who are self-motivated, results-driven, and eager to foster positive change in workplace safety practices. As an SRS Consultant, you’ll work directly with policyholders of varying sizes and industries to deliver high-value risk reduction services, promote safety culture, and support MEM’s mission to protect people and empower businesses. Essential Duties and Responsibilities - Represent MEM’s vision, mission, and values in all interactions. - Prioritize workload to ensure the business and ethical needs of both MEM and policyholders are met. This includes processing work generated by others, as well as, some self-generated activities. Regardless of a survey’s origin, the SRC focuses on risk anticipation, evaluation, reporting, and reduction, data gathering, business acquisition and business retention while providing value and fostering change across a broad spectrum of occupational safety and health, regulatory and risk management topics. - Schedule, conduct, and document surveys of prospective and existing policyholders for the purpose of gathering risk related data and evaluating loss exposures for underwriting (pricing) and departmental (safety & risk improvement) purposes. - The SRC must identify, properly classify, and clearly convey the severity of uncontrolled hazards, as well as, feasible mitigation strategies. Mitigation strategies follow the established hierarchy of controls and meet if not exceed accepted best practices. - Working with various size policyholders and agents, the SRC seeks to influence the safety and risk management systems of policyholders, with varying degrees of sophistication, in a positive direction. - The SRC reviews assigned book of business to identify policyholders who would benefit from Safety and Risk Services resources. - Consult with policyholders, producers, sales, Claims, and Underwriting to promote best practices and safety culture to reduce and/or eliminate claims. - Initiate and conduct systems-based incident investigations and analysis to identify management deficiencies, root cause, and corrective actions with the intention of preventing future occurrences. - Continuous self-study designed to fortify knowledge gaps with the intention of better servicing and leveraging change in the assigned territory by promoting risk management best practices and safety culture. Qualifications - Education: Bachelor’s Degree in Industrial Safety, Engineering, Business, or related field. - Licenses: Valid driver’s license required. - Experience: - 3–5 years of professional experience in occupational safety and/or industrial hygiene. - 2+ years of workers’ compensation experience preferred. - Certifications (Preferred but not required): - Associate in Loss Control Management (ALCM) - Associate Safety Professional (ASP) - Associate in Risk Management (ARM) - Certified Safety Professional (CSP) - Certified Industrial Hygienist (CIH) - Graduate Safety Professional (GSP) - Professional Engineer (PE) Company Culture and Values At MEM Insurance, we are committed to our vision, mission, and values. We foster a culture of collaboration, integrity, and innovation. Our team is passionate about delivering exceptional service to our customers while supporting each other’s growth and success. We believe in accountability, continuous learning, and creating an environment where employees feel valued and empowered. Diversity Statement MEM Insurance is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that varied perspectives drive innovation and strengthen our ability to serve our customers and communities. Total Rewards Overview - Competitive base salary - Annual performance bonus - Company car - Health Plans: Medical, Dental, and VisionIncludes fertility benefits, fully paid preventative care, and adult orthodontia. - Employer-Paid Life and Disability Benefits:Life Insurance (3x base salary), AD&D, Short and Long-term Disability. - Wellness and Recognition Program: Employer-paid incentives for employees and spouses. - Flexible Spending Account and Dependent Care options - Health Savings Account: Generous employer contribution. - Time Away from Work:Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave. - Employee Assistance Programs - 401k Retirement Plan: Employer match and profit sharing. - Adoption Assistance and Tuition Assistance Notice Regarding Use of Artificial IntelligenceMEM may use artificial intelligence (AI) tools to more efficiently facilitate and assist in decisions involving recruitment, hiring, promotion, renewal of employment, selection for training or apprenticeship, discharge, discipline, tenure, or the terms, privileges, or conditions of employment. Any such use of AI tools will comply with all applicable laws.

Job Description: Summary: The Risk Adjustment Project Coordinator supports the risk adjustment initiatives for Excellus Health Plan. Essential Primary Responsibilities/Accountabilities: Level I: - Review, monitor and track the medical record retrieval reports to identify provider issues such as but not limited to, refusals to comply with medical record requests. - Initiate outbound phone calls to noncompliant providers to resolve provider refusal and/or concerns related to the Health Plan’s request for medical records. - Builds and maintains strong working relationship with providers and office staff. - Educate providers of their contractual obligation to comply with Health Plan’s request in a professional manner to minimize provider abrasion. - Directly negotiates with providers to procure scheduled commitment to deliver requested medical records, retrieval method, and payable fees for the medical records. - Identify and escalate program related issues to the Project Manager and/or Manager as appropriate. - Identify patterns generated by external and internal action effecting provider adherence as it relates to medical record requests. - Communicates issues/findings to the Project Manager and appropriate team members. - Responsible for collecting and scanning project related documents and disbursing to the appropriate audience. - Analyze, compile, and prepare retrieved medical records for transfer. - Initiate Health Plan check requests for provider payments. - Collaborate with various stakeholders to resolve provider issues to relative to medical record retrieval activities. - Fosters an environment of continuous improvement and encourages innovative thinking. - Constantly exploring ways to increase efficiencies and productivity, reducing waste, and reducing costs. - Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs. - Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. - Regular and reliable attendance is expected and required. - Performs other functions as assigned by management. Level II (in addition to Level I essential responsibilities/accountabilities): - Manage the respective risk adjustment failed quality assurance (QA) medical records reports through research and analysis to include but not limited to, review/verify medical record failed according to QA guidelines, triage 2nd level review of as needed, identify problematic trends, prepare summary of trends for review and discussion. - Monitors and reports on the progress of the resolution of high impact problems according to established standards. - Identify opportunities through trend analysis for improvement including but not limited to, non-compliant providers, medical recording targeting anomalies, vendor retrieval processes. - Serve as designated liaison between special handle provider that include, large provider groups and hospitals. - Initiate communication with special handle providers of upcoming medical record requests campaign. - Directly negotiate with special handle providers to procure schedule commitment, payments, etc. - Initiate requests for customized reports for special handle providers and deliver to the requestor. - Performs daily data import to the Provider Issue Tracking database, assign provider escalation work items to the Project Coordinators, etc. - Acts as a resource for team questions. - Monitors and executes reports on provider escalation open inventory. - Serve as the liaison and facilitator for member related requests and/or inquiries relative to the prospective risk adjustment programs. Will triage and track issues through resolution. Level III (in addition to Level II essential responsibilities/accountabilities): - Performs project management duties over small-tier risk adjustment or other initiatives as assigned. - Drives medical record retrieval activities in support of risk adjustment programs. - Works closely with Project Manager providing vendor oversight. - Assist Project Manager to determine project schedules, deliverables, assignments, tasks, project meetings (scheduling and meeting notes), status reporting, communication, and action items, as required. - Assist Project Managers and project teams to track work, tasks, and project assignments in order to keep projects on-time and within scope. - Serve as backup for Project Manager as needed. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels: - Associate degree in Business Administration or related field required. In lieu of degree, High School Diploma and three years related work experience required. - One year of related work experience required. - Demonstrates ability to operate within shifting priorities, demands and timelines. - Persuasive, encouraging, and motivating. - Strong all-around soft skills and high level of proficiency using written and oral communication skills - Demonstrated problem solving skills. - Strong organizational skills and ability to prioritize, multi-task, and work in a fast pace environment - Demonstrates technical proficiency in the following applications: MS Teams, Outlook, Word, OneNote and Excel. - Knowledge of claims, provider, and membership systems - Demonstrates ability to work effectively as a member of a team Level II (in addition to Level I minimum qualifications): - Four years related work experience is required. - A relevant bachelor’s degree is preferred. - Self-motivated; ability to take initiative and ownership. - Interfaces effectively with all levels of management. - Demonstrated analytical and business process development skills. - In-depth knowledge of Health Plan Operations and/or Risk Adjustment Operations. - Ability to maintain poise and composure under pressure and in difficult situations. Level III (in addition to Level II minimum qualifications): - Six years of related work experience is required. - Strong meeting facilitation skills - Ability to create, and manage project plans and schedule - Experience in drafting both internal and external communications to convey project findings and status. - Adept at conducting research when project-related issues occur - Expert knowledge of Health Plan Operations and/or Risk Adjustment Operations - Experience drafting concise and informative communication pieces at the department and/or project team level. Physical Requirements: - Works from a desk most of the time. ************ In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade N5: Minimum $20.02 - Maximum $33.03 Level II: Grade N6: Minimum $21.83 - Maximum $34.92 Level III: Grade N7: Minimum $23.56 - Maximum $37.70 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.