Risk Adjustment Jobs
Browse 26 exciting jobs hiring in Risk Adjustment now. Check out companies hiring such as Sprinter Health, Humana, Porter Cares, Inc. in Arlington, Nashville-Davidson, Birmingham.
Lead enterprise health plan partnerships for Sprinter Health, driving high-value deals that expand in-home preventive care across the U.S.
CarePlus (a Humana company) seeks a field-based Medical Record Retrieval Specialist in Miami‑Dade to collect and scan provider records for risk adjustment while maintaining HIPAA standards.
Porter seeks an experienced operator to build and scale a high-performing national NP and LPN provider network that delivers reliable, compliant in‑home and virtual assessments.
Experienced HCC Coding Specialist needed to accurately assign ICD-10-CM/HCC codes and drive documentation improvements for a national tele-neurology provider.
Lead GTM strategy and commercial enablement at Abridge to position and launch RCM capabilities that translate ambient clinical conversations into measurable revenue outcomes for enterprise health systems.
Lead product strategy and delivery for Abacus's AI/GenAI solutions, translating payer business needs and healthcare data standards into scalable cloud-native products.
Mass General Brigham is hiring a remote Clinical Review Specialist to perform pre-visit chart reviews, identify HCC/risk-adjustment opportunities, and educate providers to improve documentation accuracy.
Lead and scale Aledade’s generative AI risk stratification product as VP of Product Management, guiding cross-functional teams to deliver predictive analytics and workflow solutions that improve diagnosis coding and primary care condition management.
Arcadia is hiring a Manager of Training and Enablement (medical economics expert) to create and deliver targeted enablement that accelerates customer success with value-based care solutions.
Amazon One Medical seeks a detail-oriented Medical Coder I to ensure coding accuracy for professional fee and risk-adjustment claims while partnering with revenue cycle and Medicare risk teams.
Lead the strategy and delivery of EMR-integrated clinical products, owning end-to-end product lifecycle and vendor integrations to drive adoption and measurable clinical and financial value.
Lead quality assurance auditing and training efforts for outreach and engagement programs to improve member experience and performance across HEDIS, Medicare Stars, and Risk Adjustment initiatives.
Advantmed is hiring a certified Nurse Practitioner to conduct in-home risk adjustment and wellness assessments for Medicare and at-risk members in Christian County, MO as a flexible 1099 PRN provider.
Experienced coding and clinical documentation specialist needed to lead quality audits, mortality and HAC/PSI reviews, and education initiatives across Northwestern Medicine's health system (remote, must reside in IL/IN/IA/WI).
Advantmed is hiring a Nurse Practitioner to perform in-home wellness and risk adjustment assessments for Medicare and at-risk members in Taney County, MO on a flexible 1099 PRN schedule.
Provide in-home wellness and risk-adjustment assessments as a contract Nurse Practitioner serving Medicare members in Greene County, Missouri.
CenterWell seeks an experienced Consultative Coder to serve as the clinician-facing coding expert, performing documentation support, QA, education, and on-site visits across Palm Beach County in a hybrid role.
Belong seeks an experienced Business Intelligence Analyst to translate complex healthcare data into actionable insights and Tableau-driven dashboards that improve cost, utilization, and quality outcomes for Medicare programs.
Experienced healthcare client-facing leader needed to manage complex client engagements, drive implementation success, and grow strategic partnerships at Vatica Health.
Porter seeks an experienced Implementation Specialist - Project Manager to drive payer client implementations and program enhancements across government-sponsored health plans.
Presbyterian seeks a Medical Economics Analyst to analyze medical and pharmacy claims, communicate cost trends, and support pricing, contracting and utilization-improvement efforts across product lines.
Blue Cross Blue Shield of Wyoming is hiring a Certified Risk Adjustment Coder to perform accurate HCC coding and support risk-adjustment audits and analytics for Wyoming members.
Lead and scale the actuarial function at Honest Health, guiding forecasting, pricing, and enterprise risk for Medicare and value-based care programs while mentoring a growing team.
Theoria Medical is hiring a remote Clinical Care Specialist (RN) to manage chronic care services, coordinate care across post-acute settings, and support patients and clinicians through telephonic and digital care delivery.
Lead and operationalize risk adjustment and documentation strategies for myPlace Health’s PACE model, combining hands-on coding work with team leadership and process improvement to accurately capture participant complexity.
Lead DaVita IKC’s Coding team focusing on workflow, compliance, audits, and cross-functional collaboration to improve outcomes in kidney care.
How much do risk adjustment jobs pay?
Below 50k*
1
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50k-100k*
13
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Over 100k*
13
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Top companies hiring for risk adjustment jobs
Best cities to find risk adjustment jobs
- Remote 3
- Chicago 2
- Albuquerque 2
- San Francisco 1
