Director, Risk Adjustment Products - Remote Leader

HealthEdge® was founded in 2005 to deliver a next-generation Core Administrative Processing System – one that would not only increase accuracy and efficiency but also enable health plans to innovate and bring new lines of business to market swiftly. Our flagship product, HealthRules® Payer, has quickly gained acceptance and has positioned HealthEdge as a leader in digital transformation for healthcare payers.

Today, HealthEdge’s suite of cloud-based solutions enables health plans to thrive amidst the complexities of the healthcare landscape. We empower payers through increased operational efficiency, enhanced member engagement, and streamlined claims processing. Our goal is to drive down administrative costs while improving quality and patient outcomes, thereby creating a healthcare model that is sustainable for the future. By adopting our solutions, organizations can successfully transition into digital payers, ensuring compliance and efficiency in a rapidly evolving market.