ZipRecruiter

Log In

1

Associate Risk Adjustment Analyst Jobs (NOW HIRING)

Boston Medical Center

Risk Adjustment Coder

$19.25 - $25.50/hr

Create and analyze reports for coding improvement trending and high-level dashboards for ongoing ... Associates Degree preferred (or direct work experience equivalent to at least 2 years) CERTIFICATES ...

Mass Advantage

Manager, Risk Adjustment

Worcester, MA · On-site

The Manager of Risk Management is also responsible for analysis, projections, and assessment of Medicare revenue initiatives for senior products; leading and coordinating enterprise risk adjustment ...

next page

Showing results 1-20

All JobsAssociate Risk Adjustment Analyst Jobs

Associate Risk Adjustment Analyst information

See salary details

$29K

$73.7K

$125.5K

How much do associate risk adjustment analyst jobs pay per year?

As of Jun 17, 2026, the average yearly pay for associate risk adjustment analyst in the United States is $73,654.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,000.00 and $81,500.00 per year, depending on experience, location, and employer.

What is the difference between Associate Risk Adjustment Analyst vs Risk Adjustment Analyst?

AspectAssociate Risk Adjustment AnalystRisk Adjustment Analyst
Required CredentialsTypically requires a bachelor's degree, certifications like CPC or RHIA are commonSimilar credentials, often with additional certifications like CRC or RAC
Work EnvironmentHealthcare organizations, insurance companies, consulting firmsSame as Associate Risk Adjustment Analyst, often with more experience
Employer & Industry UsageUsed in health insurance, healthcare analytics, and risk managementSame industry, usually a more experienced role

The main difference between an Associate Risk Adjustment Analyst and a Risk Adjustment Analyst lies in experience and responsibility level. The Associate role is often entry-level or junior, focusing on data collection and basic analysis, while the Risk Adjustment Analyst typically has more experience and handles complex data analysis and reporting tasks.

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

To thrive as an Associate Risk Adjustment Analyst, you need analytical skills, attention to detail, and a foundational understanding of healthcare data and coding, often supported by a degree in health information management or a related field. Familiarity with risk adjustment software, ICD-10 coding systems, and data analysis tools like Excel or SQL is commonly required. Strong communication, problem-solving abilities, and organizational skills help you collaborate across teams and manage complex data sets. These skills are crucial for accurately evaluating risk, ensuring regulatory compliance, and supporting effective healthcare decision-making.

What are some common challenges faced by Associate Risk Adjustment Analysts when working with healthcare data?

Associate Risk Adjustment Analysts often encounter challenges related to the complexity and variability of healthcare data, such as incomplete patient records, inconsistent coding practices, and evolving regulatory requirements. These factors require strong attention to detail and problem-solving skills to ensure accurate analysis and reporting. Collaborating closely with other teams, such as coding specialists and clinical staff, is essential to clarify data discrepancies and maintain data quality. Staying current with industry updates and adopting best practices can help mitigate these challenges and support effective risk adjustment processes.

What are Associate Risk Adjustment Analysts?

Associate Risk Adjustment Analysts are entry-level professionals who support healthcare organizations in reviewing and analyzing patient data to ensure accurate risk adjustment coding and reporting. Their work helps organizations receive appropriate reimbursement from health plans based on the health status of their patients. These analysts often validate diagnosis codes, identify documentation gaps, and assist in implementing process improvements to optimize risk scores. They typically work under the supervision of senior analysts or managers and may collaborate closely with coding, compliance, and clinical teams.
What states have the most Associate Risk Adjustment Analyst jobs? States with the most job openings for Associate Risk Adjustment Analyst jobs include:
Director of Risk Adjustment

Director of Risk Adjustment

Baystate Health

Springfield, MA • On-site

Full-time

Posted 2 days ago

Baystate Health rating

6.5

Company rating: 6.5 out of 10

Based on 138 frontline employees who took The Breakroom Quiz

592nd of 872 rated healthcare providers

Job description

Summary:

Location: Monarch Place; Springfield MA (MA & CT candidates only)

Schedule: Monday-Friday; fulltime; 40hrs.

Job Responsibilities:

  • Develops and implements risk adjustment strategy, policies and standard operating procedures
  • Collaborates with physicians, mid-level providers, other personnel, including coding experts, in risk adjustment review of the medical record
  • Serves as Health New England's ambassador in the Risk Adjustment Community
  • Works with industry on best practices for risk adjustment
  • Manages, measures, and evaluates performance of Health New England's risk adjustment vendors
  • Manages all data submission requirements
  • Prepares risk adjustment training programs for network physicians, mid-level providers, and plan personnel
  • Ensures that all risk adjustment related activities are compliant with CMS/ACA and state requirements
  • Serves as the risk adjustment compliance point of contact for HNE's Compliance Department
  • Collaborates with data management personnel in the appropriate formatting and methodology of risk adjustment analysis and related reporting
  • Develops productivity standards for risk adjustment auditing of claims or medical records
  • Collaborates with the Provider Relations Department to provide coding and risk adjustment education and resource information to network providers
  • Conducts educational events as necessary
  • Participates in administrative team's preparation of Medicare Advantage annual bids risk adjustment determination
  • Maintains expert knowledge of AMA's Coding systems, including ICD-9 & 10 diagnostic, CPT, HCPCS codes and any national updates or revisions of medical diagnostic, procedural, or medical supply coding
  • In collaboration with Plan management, participates in regulatory review and/or audit of submitted claims risk adjustment coding
  • Develops risk adjustment training materials for network providers, plan personnel and prospective network providers
  • Maintains working knowledge of Plan information management systems
  • Collaborates with the Managed Care Data Systems personnel in the development of reports and/or customized applications utilized for risk adjustment data analysis and reporting
  • Establishes business and functional requirements needed to define technology/systems platform
  • Creates executive level reports and performance metrics to keep Health New England up-to-date on risk adjustment
  • Manages, trains, coaches and develops staff

Minimally Required Education

Bachelor's degree in a related field.

Preferred Education

Master's degree in healthcare administration, public health, health informatics, population health, or a related healthcare field.

Professional certification such as Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or similar coding credential.

Minimally Required Experience

7-10 years of experience in an HMO or MCO with direct HCC risk adjustment experience.

At least 2 years of management experience.

Experience with medical claims review, coding, or utilization management.

Knowledge of CMS risk adjustment methodologies and ICD-9/ICD-10 coding.

Preferred Experience

Experience in population health analytics and risk adjustment strategy.

Experience across multiple lines of business including ACA, Medicare Advantage (MA), and Medicaid models.

Certification:

Ability to obtain relevant coding or risk adjustment certification within a reasonable timeframe if not already held.

Education:

Bachelors Degree (Required)

Certifications:

Ambulatory Clinical Pharmacist - Board of Pharmacy SpecialistBoard of Pharmacy SpecialistBoard of Pharmacy Specialist, Licensed Attorney - Massachusetts Bar AssociationMassachusetts Bar AssociationMassachusetts Bar Association, Licensed Clinical Social Worker - OtherOtherOther, Registered Nurse - State of MassachusettsState of MassachusettsState of Massachusetts

Compensation

Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.

Minimum - Midpoint - Maximum

$174,283.00 - $200,324.00 - $236,891.00

Equal Employment Opportunity Employer

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

What Baystate Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply