This leader will also serve as an enterprise thought leader on evolving risk adjustment policy and methodology, interpreting CMS, HHS, and state regulatory developments to assess business and financial impact, guide strategic planning, inform executive decision-making, support predictive modeling and scenario analyses, and provide expertise to internal and external policy, advocacy, and stakeholder engagement efforts. Risk Stratification and Prospective Algorithms to Determine Patient Risk: Evaluate and implement analytical and predictive models (e.g., risk scoring, predicting gaps in care, forecasting, margin optimization, member segmentation) that directly support business goals such as margin improvement, support quality of care delivery, pricing strategy, value-based contracting, and regulatory compliance.