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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 Jul 11, 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 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.

What does a risk adjustment analyst do?

A risk adjustment analyst reviews healthcare data to assess the accuracy of patient risk scores used for reimbursement and quality measurement. They analyze medical records, coding, and claims data to identify discrepancies and ensure proper risk adjustment, often using specialized software and maintaining compliance with industry regulations.

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.

What jobs in the US pay 300,000 a year?

Adjustment analysts typically do not earn $300,000 annually; high-paying roles in finance, medicine, law, and executive management often reach or exceed this level. Senior positions such as investment bankers, surgeons, corporate executives, and specialized attorneys are more likely to have salaries around or above this threshold, especially with experience and advanced certifications.

What jobs pay $500,000 a year in the US?

Adjustment analysts typically do not earn $500,000 annually; such high salaries are usually associated with executive roles, specialized surgeons, or successful entrepreneurs. High-paying jobs often require advanced skills, extensive experience, or ownership of a business. Compensation at this level is rare in standard analyst positions and more common in executive or highly specialized fields.

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.

Which analyst job pays the most?

Senior or specialized analyst roles, such as financial analysts, data analysts, or management analysts, tend to offer the highest salaries within the analyst job category. These positions often require advanced skills, certifications, and experience, and they typically pay more than entry-level or general analyst roles.
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 July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 14% Part Time, and 7% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.
Lead Actuarial Analyst, MA Risk Adjustment

Lead Actuarial Analyst, MA Risk Adjustment

Strive Health

Seattle, WA • On-site

$99K - $124K/yr

Other

Medical

Re-posted 12 days ago

Job description

What You'll Do

We are seeking a Lead Actuarial Analyst, MA Risk Adjustment to join our high-performing, insights-driven team. You will play a critical role in evaluating financial performance, uncovering areas of opportunity, and use your 3+ actuarial exam progress to help translate complex data into actionable strategies. Your work will directly influence how Strive supports patients, clinicians, and markets in achieving both clinical and financial success. (This position is internally titled Lead Analyst, Risk Adjustment Analytics). We offer a competitive Actuarial Study Program designed to help you succeed, including exam fee support, study resources, and rewards for passing exams and achieving actuarial credentials.

Essential Functions 

  • Translate RA performance data into clear financial insights (i.e. revenue impact, payment accuracy, ROI, forecasting). 
  • Analyze CMS data to identify areas of opportunity to increase operational efficiency. 
  • Interpret trends, model scenarios, and assess program and policy impacts. 
  • Enable data-driven decisions by linking operational performance to enterprise financial outcomes. 
  • Perform end-to-end reconciliation from submissions to CMS acceptance, RAF leakage, and implement controls. 
  • Develop business cases to assess opportunity, determine target metrics, and provide data driven insights to support investment decisions (i.e. staffing, tech, etc.). 
  • Prepare and deliver clear and concise reports, presentations, and recommendations to senior leadership, illustrating the findings and implications of analyses conducted. 

Who You Are 

  • A highly analytical problem-solver with a strong sense of ownership and intellectual curiosity. 
  • Able to manage a high volume of recurring and ad hoc deliverables without compromising quality. 
  • Comfortable navigating ambiguity and bringing structure to complex problems. 
  • An exceptional communicator who can translate technical findings into actionable business recommendations. 

Qualifications 

  • 4+ years of experience in risk adjustment analytics. 
  • 4+ years of experience analyzing MMR, MOR, MAO-004 and medical claims data. 
  • 3+ actuarial exams passed. 
  • High degree of proficiency in Microsoft Excel and SQL.  
  • Experience with PBI, Redshift, dbt docs is a plus. 
  • Bachelor's degree in a quantitative or health-related field (e.g., Economics, Public Health, Statistics, Health Services Research, Math, Finance). 

Annual Salary Range: $99,000 - $124,000. This position is also eligible for a target annual bonus of 10%

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