Risk Adjustment Jobs
Browse 29 exciting jobs hiring in Risk Adjustment now. Check out companies hiring such as Amazon, Oscar Health, Datavant in Port St. Lucie, Honolulu, Colorado Springs.
Amazon One Medical seeks a detail-oriented Medical Coder I to ensure accurate ICD-10-CM and CPT coding, support risk adjustment initiatives, and drive revenue cycle quality improvements.
Oscar Health is hiring a Senior Specialist, Risk Adjustment to conduct ICD-10-CM coding and medical record reviews across MA and ACA lines while supporting CMS audit readiness and process improvements.
Datavant is hiring an experienced HCC Risk Adjustment Coding Auditing Team Lead to oversee auditor quality, mentor coders, and maintain high accuracy in a fully remote role.
Experienced coding leader sought to lead remote Florida-based medical coding teams, driving risk-adjustment strategy, coding quality, and GenAI-enabled productivity across markets.
firsthand is hiring a detail-oriented, part-time Clinical Documentation Integrity Specialist (remote) to perform ICD-10/HCC-focused chart reviews and ensure accurate clinical documentation for risk adjustment.
Experienced healthcare data analyst needed to analyze claims and clinical datasets, build SQL-driven reports, and deliver actionable insights to reduce costs and improve outcomes at a large national health organization.
Presbyterian Healthcare Services seeks a Hybrid Remote RN Nurse Auditor to perform clinical validation and HCC coding support for Medicare Risk Adjustment across PMG and AHWA clinics.
Datavant is hiring a remote Risk Adjustment Auditing Supervisor to lead and coach a coding/auditing team focused on HCC and risk-adjustment quality and productivity.
Risant Health is hiring a Senior Analyst/Data Scientist to build scalable analytics and AI-augmented models that drive measurable value across community-based value‑based care programs.
Humana seeks a Medical Records Retrieval Specialist in Virginia to retrieve and securely scan provider records, ensuring accurate clinical documentation to support risk adjustment and quality initiatives.
Senior data scientist needed to design and operationalize risk-adjustment analytics that ensure coding quality, regulatory compliance, and scalable process automation.
Vatica Health is hiring a Provider Engagement Manager to improve provider satisfaction and performance across contracted practices through strategic engagement, data-driven recommendations, and cross-functional collaboration.
Senior actuarial leader needed to drive pricing, risk adjustment, and forecasting for healthcare and Medicare-focused products while partnering with finance, underwriting, clinical, and analytics teams.
Humana is hiring a Medical Records Retrieval Representative to obtain and upload provider medical records for risk adjustment review while building relationships with local provider offices and supporting coding accuracy.
Cigna Healthcare is hiring a Program Management Advisor to lead financial oversight, project execution, and supplier/compliance management for the IFP Risk Adjustment program in a remote capacity.
BCBST is hiring a Remote Medical Record Scheduling & Imaging Technician to acquire, upload, and QA medical records while coordinating provider scheduling and record retrieval.
BCBST is hiring a Remote Medical Record Scheduling & Imaging Technician to manage medical record acquisition, upload, and scheduling for risk adjustment operations.
Experienced health information professional needed to lead complex code set mapping and QA efforts at IMO Health while mentoring teammates and driving cross-functional mapping improvements.
A remote Risk Adjustment Data Analyst role focused on SQL-driven automation, CMS HCC risk scoring, and Tableau/Power BI reporting to support Medicare analytics and financial forecasting.
Lead remote risk-adjustment coding operations as the Client Coding Project Manager, overseeing QA, audits, vendor management, and process improvement to ensure coding accuracy and compliance.
Oscar Health is seeking a hands-on Director to architect and build a next-generation medical economics reporting and analytics suite that drives Total Cost of Care insights and decision-making.
Advantmed is hiring a Nurse Practitioner to conduct in-home risk adjustment and wellness assessments for Medicare members across Bronx County on a flexible 1099 (PRN) schedule.
Experienced Nurse Practitioner needed in Kissimmee, FL to perform in-home Medicare risk adjustment assessments and deliver individualized care as a flexible 1099 (PRN) provider.
Provide comprehensive in‑home wellness and risk adjustment assessments for Medicare members as a contracted Nurse Practitioner supporting Advantmed’s value‑based care programs.
Experienced Nurse Practitioner needed to conduct in-home risk adjustment and wellness assessments for Medicare members across Suffolk County, NY on a flexible 1099 (PRN) schedule.
Advantmed seeks a licensed Nurse Practitioner to perform in-home risk adjustment and wellness assessments for Medicare and at-risk members in Nassau County on a flexible 1099 PRN schedule.
Experienced Nurse Practitioner needed to conduct in-home risk adjustment and wellness assessments for Medicare members as a flexible 1099 PRN provider with Advantmed in Brooklyn, NY.
Lead the technical product strategy and execution for Aledade’s risk stratification engine, translating clinical and regulatory requirements into scalable, production-ready solutions for Medicare Advantage and other lines of business.
Arbital Health seeks a seasoned Consulting Actuary to lead actuarial engagements, translate complex claims data into actionable insights, and partner with clients and engineering to scale value-based care solutions.
How much do risk adjustment jobs pay?
Below 50k*
6
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50k-100k*
15
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Over 100k*
8
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Top companies hiring for risk adjustment jobs
Best cities to find risk adjustment jobs
- Remote 3
- Washington 1
- Albuquerque 1
