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Adjustment Analyst Jobs (NOW HIRING)

Mercor

HCC Coding Leader - Risk Adjustment

New York, NY · Remote

$110/hr

Experience with risk adjustment analytics platforms and chart retrieval systems. * Background in health plan, Medicare Advantage organisation , or value-based care setting. * Familiarity with AI ...

HealthEdge

Senior Financial Analyst, Risk Adjustment

$85K - $106K/yr

Join HealthEdge as a Senior FP&A Analyst - Risk Adjustment and play a vital role in shaping our financial future. In this position, you will be responsible for preparing and analyzing financial ...

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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.
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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.
Sr. Manager, Risk Adjustment Analytics

Sr. Manager, Risk Adjustment Analytics

Staffingine LLC

Denver, CO • On-site

Full-time

Re-posted 22 hours ago

Job description

Job Title: Sr Manager, Risk Adjustment Analytics 
Job Location: Denver, CO 
Job Type: Full Time 

Job Description:  

  • Provide strategic leadership and management for the IKC Risk Adjustment Accuracy 

  • Create and maintain leadership reports on IKC revenue financials and estimating impact IKC initiatives had on Medical Loss Ratio (MLR) 

  • Write SQL queries against data warehouses containing clinical operations and medical claims data to support analytic requests and deliver insights to various stakeholders 

  • Monitor evolving regulations and policies to ensure all processes and reporting meet compliance requirements 

  • Partner with clinical, financial, operational, legal, compliance, and IT teams to improve risk adjustment accuracy 

  • Serve as a subject matter expert on CMS risk adjustment for the enterprise and stay current on the latest industry trends 

  • Other duties as assigned 

Required Experience: 

  • 3 or more years’ professional experience with healthcare data, specifically medical claims and/or encounter data using SQL 

  • 3 or more years’ experience in healthcare financial management, healthcare consulting, medical economics, population health, and/or similar experience  

  • At least a year’s experience in creation, implementation, and impact estimation of prospective and retrospective risk adjustment initiatives, including CMS RAPS/Encounter data submissions 

  • Experience developing and managing direct reports 

Skills and knowledge needed to succeed in this role: 

  • Expert level knowledge of CMS-HCC models V24 and V28, claims data lifecycle, submission systems, regulation, compliance, and audits related to risk adjustment 

  • Strong understanding of healthcare economics, population health, and value based care 

  • Ability to work collaboratively in a cross functional team environment and communicate effectively with teammates at all levels in an organization 

  • Comfortable presenting complex analysis and insights to executive audience 

  • Intellectual curiosity, strategic thinking and strong project management skills 

  • Comfort with ambiguous, ever-changing situations 

  • Strong entrepreneurial mindset with the motivation to continuously improve the status quo and drive this independently 

Must-haves 

  • Experience developing and managing direct reports Expert level knowledge of CMS-HCC models V24 and V28, claims data lifecycle, submission systems, regulation, compliance, and audits related to risk adjustment Strong understanding of healthcare economics, population health, and value based care Ability to work collaboratively in a cross functional team environment and communicate effectively with teammates at all levels in an organization Comfortable presenting complex analysis and insights to executive audience Intellectual curiosity, strategic thinking and strong project management skills Comfort with ambiguous, ever-changing situations Strong entrepreneurial mindset with the motivation to continuously improve the status quo and drive this independently