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Adjustment Analyst Jobs (NOW HIRING)

Harris Health System

Claims Adjustment Analyst

Houston, TX · On-site

$23.46 - $29.32/hr

The Claims Adjustment Analyst supports the review and closure of payment disputes including corrected claims, retro authorizations, and incorrect denial requests in a timely manner. This position is ...

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Risk Adjustment Analyst

Madison, WI · Remote

$20/hr

We are looking for a Risk Adjustment Analyst to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality ...

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Risk Adjustment Analyst

Helena, MT · Remote

$20/hr

We are looking for a Risk Adjustment Analyst to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality ...

DataAnnotation

Risk Adjustment Analyst

Jackson, MS · Remote

$20/hr

We are looking for a Risk Adjustment Analyst to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality ...

DataAnnotation

Risk Adjustment Analyst

Springfield, IL · Remote

$20/hr

We are looking for a Risk Adjustment Analyst to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality ...

DataAnnotation

Risk Adjustment Analyst

Lansing, MI · Remote

$20/hr

We are looking for a Risk Adjustment Analyst to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality ...

DataAnnotation

Risk Adjustment Analyst

Juneau, AK · Remote

$20/hr

We are looking for a Risk Adjustment Analyst to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality ...

DataAnnotation

Risk Adjustment Analyst

El Paso, TX · Remote

$20/hr

We are looking for a Risk Adjustment Analyst to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality ...

P3 Health Partners

MRA Adjustment Analyst

Henderson, NV · On-site

$70K - $80K/yr

Overall Purpose The Market MRA Analyst works closely vendor partners, health plans & designated ... At least 5 years previous work experience within risk adjustment. Education * Bachelor's degree ...

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Risk Adjustment Analyst

California, MO · Remote

$20/hr

We are looking for a Risk Adjustment Analyst to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality ...

DataAnnotation

Risk Adjustment Analyst

Wausau, WI · Remote

$20/hr

We are looking for a Risk Adjustment Analyst to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality ...

DataAnnotation

Risk Adjustment Analyst

Nevada, IA · Remote

$20/hr

We are looking for a Risk Adjustment Analyst to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality ...

P3 Health Partners

MRA Adjustment Analyst

Henderson, NV · On-site +1

$70K - $80K/yr

Overall Purpose The Market MRA Analyst works closely vendor partners, health plans & designated ... At least 5 years previous work experience within risk adjustment. Education * Bachelor's degree ...

CINQCARE

Sr. Analyst, Risk Adjustment (0779)

Washington, DC · Remote

$81.39K - $101.73K/yr

Position Overview The Sr. Risk Adjustment Analyst is a high-impact individual contributor on CINQCARE's risk adjustment team, reporting directly to the Sr. Director of Risk Adjustment. This role is ...

CINQCARE

Sr. Analyst, Risk Adjustment (0779)

Washington, DC · On-site

$81.39K - $101.73K/yr

Position Overview The Sr. Risk Adjustment Analyst is a high-impact individual contributor on CINQCARE's risk adjustment team, reporting directly to the Sr. Director of Risk Adjustment. This role is ...

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Adjustment Analyst information

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$31K

$73.3K

$130K

How much do adjustment analyst jobs pay per year?

As of May 30, 2026, the average yearly pay for adjustment analyst in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Adjustment Analyst, and why are they important?

To thrive as an Adjustment Analyst, you need strong analytical skills, attention to detail, and a background in finance, accounting, or business administration. Familiarity with claims management systems, data analysis tools like Excel, and sometimes industry certifications such as AIC (Associate in Claims) are commonly required. Excellent communication, problem-solving abilities, and organizational skills help you collaborate with stakeholders and resolve discrepancies effectively. These skills and qualities are crucial for ensuring accurate claim adjustments, maintaining compliance, and supporting efficient business operations.

How does an Adjustment Analyst typically collaborate with other departments to resolve discrepancies?

Adjustment Analysts frequently work cross-functionally with finance, operations, and customer service teams to investigate and resolve discrepancies in billing, payments, or account records. Collaboration often involves gathering documentation, clarifying transaction details, and ensuring accurate adjustments are made in company systems. Effective communication and attention to detail are key, as analysts must coordinate findings and solutions to maintain financial accuracy and customer satisfaction. Regular meetings and shared digital tools are common practices to facilitate this teamwork.

What does an Adjustment Analyst do?

An Adjustment Analyst is responsible for reviewing, analyzing, and processing claims or financial transactions that require corrections or adjustments. They ensure the accuracy of billing, payments, or account records by identifying discrepancies and making necessary changes. Their work often involves communicating with internal departments or external clients to resolve issues efficiently and maintain accurate records. Adjustment Analysts play a key role in preventing financial errors and ensuring compliance with company policies and regulations.

How much do risk adjustment coders make in the US?

Risk adjustment coders, including Adjustment Analysts, typically earn between $50,000 and $75,000 annually in the US, depending on experience, certification, and location. Salaries can vary based on the complexity of coding, employer size, and whether the role is remote or onsite.

What is the difference between Adjustment Analyst vs Claims Processor?

AspectAdjustment AnalystClaims Processor
Required CredentialsTypically requires a bachelor's degree in finance, accounting, or related fieldOften requires a high school diploma or equivalent; some roles prefer post-secondary education
Work EnvironmentOffice setting, analyzing financial data and making adjustmentsOffice setting, processing insurance claims and verifying information
Employer & IndustryInsurance companies, financial institutions, healthcare providersInsurance companies, healthcare providers, government agencies

Adjustment Analysts focus on reviewing and making financial adjustments based on data analysis, while Claims Processors handle the processing and verification of insurance claims. Both roles are common in insurance and healthcare industries and often require similar credentials, but their core responsibilities differ significantly.

More about Adjustment Analyst jobs
What job categories do people searching Adjustment Analyst jobs look for? The top searched job categories for Adjustment Analyst jobs are:
Adjustment Analyst jobs near you
Infographic showing various Adjustment Analyst job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 75% Physical, 6% Hybrid, and 19% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.
Claims Adjustment Analyst

Claims Adjustment Analyst

Harris Health System

Houston, TX • On-site

$23.46 - $29.32/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 17 days ago

Harris Health System rating

8.0

Company rating: 8.0 out of 10

Based on 99 frontline employees who took The Breakroom Quiz

87th of 864 rated healthcare providers

Job description

About Us
Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:
• Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women
• Children's Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR
• Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.
• Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.
Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.
Job Profile
JOB SUMMARY: The Claims Adjustment Analyst supports the review and closure of payment disputes including corrected claims, retro authorizations, and incorrect denial requests in a timely manner. This position is responsible for processing medical claims, using industry standard practices for medical claims processing. The Claims Adjustment Analyst applies relevant rules and regulations specific to coding, providers, plan benefits, contracts, state and federal guidelines as well as Community Health Choices policies and procedures.
MINIMUM QUALIFICATIONS:
1. Education/Specialized Training/Licensure: High School Diploma, GED or Equivalent.
2. Work Experience (Years and Area): One (1) year of high-performance claims processing analyst experience or Two (2) years of Claims Adjustment experience.
3. Software Operated: Microsoft Office (Word, Excel, Outlook, etc.)
4. Other Requirements:
Analytical problem solving and documentations; Reimbursement methodologies; ability to adjudicate.
Ability to speak, listen and write effectively.
Team player with the ability to establish and maintain effective work relationships.
1. Communication Skills:
Writing /Composing (Correspondence / Reports)
2. Other Skills:
Analytical
Mathematics
Medical Terminology
Research
MS Word
3. Work Schedule: Flexible, Overtime
Benefits & EEOC
Community employees¿ benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and choices in meeting your specific needs.
Community is an Equal Opportunity Employer. Harris Health System's benefits program is designed to provide you with more flexibility and choices in meeting your specific needs. Harris Health System's benefits program allows you to protect your income in case of illness, death and disability, and to help you save for retirement.
It is the policy of Harris Health System to provide equal opportunity for all applicants for employment regardless of political affiliation, race, color, national origin, age, sex, religious creed or disability. Applicants may request any reasonable accommodation(s) to participate in the application process.

What Harris Health System employees say

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About Harris Health System

Sourced by ZipRecruiter

Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes community health centers, same-day clinics, three multi-specialty clinic locations, a dental center, mobile health units and two full-service hospitals.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Houston, TX, US

Year founded

1966

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