Risk Adjustment * HCC Coding * Medicare Advantage * Medicaid Managed Care * Quality Programs * Population Health * Value-Based Care * Demonstrated success meeting or exceeding sales quotas.
Risk Adjustment * HCC Coding * Medicare Advantage * Medicaid Managed Care * Quality Programs * Population Health * Value-Based Care * Demonstrated success meeting or exceeding sales quotas.
Risk Adjustment * HCC Coding * Medicare Advantage * Medicaid Managed Care * Quality Programs * Population Health * Value-Based Care * Demonstrated success meeting or exceeding sales quotas.
Risk Adjustment * HCC Coding * Medicare Advantage * Medicaid Managed Care * Quality Programs * Population Health * Value-Based Care * Demonstrated success meeting or exceeding sales quotas.
Sales & BizDev Manager - healow Insights
Westborough, MA ยท On-site +1
Leverage expertise in Risk Adjustment and RAF optimization to identify client opportunities. * Consult with prospects on strategies to improve documentation, coding accuracy, and risk score ...
Sales & BizDev Manager - healow Insights
Westborough, MA ยท On-site +1
Leverage expertise in Risk Adjustment and RAF optimization to identify client opportunities. * Consult with prospects on strategies to improve documentation, coding accuracy, and risk score ...
Leverage expertise in Risk Adjustment and RAF optimization to identify client opportunities. * Consult with prospects on strategies to improve documentation, coding accuracy, and risk score ...
Leverage expertise in Risk Adjustment and RAF optimization to identify client opportunities. * Consult with prospects on strategies to improve documentation, coding accuracy, and risk score ...
Leverage expertise in Risk Adjustment and RAF optimization to identify client opportunities. * Consult with prospects on strategies to improve documentation, coding accuracy, and risk score ...
Leverage expertise in Risk Adjustment and RAF optimization to identify client opportunities. * Consult with prospects on strategies to improve documentation, coding accuracy, and risk score ...
Leverage expertise in Risk Adjustment and RAF optimization to identify client opportunities. * Consult with prospects on strategies to improve documentation, coding accuracy, and risk score ...
Leverage expertise in Risk Adjustment and RAF optimization to identify client opportunities. * Consult with prospects on strategies to improve documentation, coding accuracy, and risk score ...
... ICD-10 risk adjustment coding across clinical documentation Partner with compliance and data teams to monitor coding accuracy and drive improvements What We Are Looking For Qualifications ...
... ICD-10 risk adjustment coding across clinical documentation Partner with compliance and data teams to monitor coding accuracy and drive improvements What We Are Looking For Qualifications ...
Director of Community Geriatrics - Full-Time | Lead & Transform Senior Care
Lawrence, MA ยท On-site
$1 - $100/hr
Ensure accurate and HCC and ICD-10 risk adjustment coding across clinical documentation * Partner with compliance and data teams to monitor coding accuracy and drive improvements What We Are Looking ...
Quick apply
Director of Community Geriatrics - Full-Time | Lead & Transform Senior Care
Lawrence, MA ยท On-site
$1 - $100/hr
Ensure accurate and HCC and ICD-10 risk adjustment coding across clinical documentation * Partner with compliance and data teams to monitor coding accuracy and drive improvements What We Are Looking ...
Quality Specialist LPN
Greenfield, MA ยท On-site
$26.21 - $37.33/hr
HCC coding and risk adjustment review and analysis: review patients for targeted diagnosis gaps and update the EMR to reflect appropriate HCC diagnosis, and perform chart prep for the upcoming ...
Quick apply
Quality Specialist LPN
Greenfield, MA ยท On-site
$26.21 - $37.33/hr
HCC coding and risk adjustment review and analysis: review patients for targeted diagnosis gaps and update the EMR to reflect appropriate HCC diagnosis, and perform chart prep for the upcoming ...
Senior Data Submissions Operations Associate
Waltham, MA ยท On-site
$55K - $90K/yr
... coding or risk adjustment data. Salary Information Salary range: $55,000 - $90,000 / year. The pay range listed for this position is the range the organization reasonably and in good faith expects to ...
Senior Data Submissions Operations Associate
Waltham, MA ยท On-site
$55K - $90K/yr
... coding or risk adjustment data. Salary Information Salary range: $55,000 - $90,000 / year. The pay range listed for this position is the range the organization reasonably and in good faith expects to ...
Manager, Revenue Cycle Management
$120K - $135K/yr
Experience with HCC coding, risk adjustment suspecting, and chart review workflows * Familiarity with AI applications in RCM and a genuine interest in applying them * Experience at a startup or high ...
Quick apply
Manager, Revenue Cycle Management
$120K - $135K/yr
Experience with HCC coding, risk adjustment suspecting, and chart review workflows * Familiarity with AI applications in RCM and a genuine interest in applying them * Experience at a startup or high ...
PACE Finance Director
Boston, MA ยท On-site
$146K - $219K/yr
Experience with Medicare risk adjustment factor coding and/or Medicare Part D bid and reconciliation * Excellent verbal and written communication skills communicating with a wide audience (e.g ...
New
PACE Finance Director
Boston, MA ยท On-site
$146K - $219K/yr
Experience with Medicare risk adjustment factor coding and/or Medicare Part D bid and reconciliation * Excellent verbal and written communication skills communicating with a wide audience (e.g ...
New
Senior Consultant - Clinical Documentation Specialist
Boston, MA ยท On-site
$37.75 - $50.75/hr
Case Management or Medical coding certification a plus (CRC, CCA, CCS-P, CCS, CPC, CDIP, CCM ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
Senior Consultant - Clinical Documentation Specialist
Boston, MA ยท On-site
$37.75 - $50.75/hr
Case Management or Medical coding certification a plus (CRC, CCA, CCS-P, CCS, CPC, CDIP, CCM ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
Primary Care Physician | Outpatient | $200K-$225K + 7 Weeks PTO
Boston, MA ยท On-site
$200K - $225K/yr
... based care initiatives through quality coding and documentation Collaborate with an ... risk-adjustment diagnoses Support patients through preventive care and chronic disease management ...
Primary Care Physician | Outpatient | $200K-$225K + 7 Weeks PTO
Boston, MA ยท On-site
$200K - $225K/yr
... based care initiatives through quality coding and documentation Collaborate with an ... risk-adjustment diagnoses Support patients through preventive care and chronic disease management ...
ICD-10, CPT, SNOMED CT coding systems. Cross-Functional Skills Agile and Scrum methodologies (CSM ... Experience with population health platforms, clinical decision support, risk adjustment, or quality ...
ICD-10, CPT, SNOMED CT coding systems. Cross-Functional Skills Agile and Scrum methodologies (CSM ... Experience with population health platforms, clinical decision support, risk adjustment, or quality ...
Health Data Science Consultant- Senior Associate
Boston, MA ยท On-site
$77K - $202K/yr
... code sets such as ICD, CPT, HCPCS, NDC, and DRG - Building machine learning models across ... risk adjustment methodologies such as HCC, CDPS, and HHS-HCC, along with medical economics concepts ...
Health Data Science Consultant- Senior Associate
Boston, MA ยท On-site
$77K - $202K/yr
... code sets such as ICD, CPT, HCPCS, NDC, and DRG - Building machine learning models across ... risk adjustment methodologies such as HCC, CDPS, and HHS-HCC, along with medical economics concepts ...
... data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment * Prior experience with Business Intelligence tools such as MicroStrategy, Tableau or SAS * Excellent ...
... data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment * Prior experience with Business Intelligence tools such as MicroStrategy, Tableau or SAS * Excellent ...
Vocational Case Manager - Boston / Springfield, MA
Rockport, MA ยท Remote
$22 - $26.75/hr
Deep clinical expertise is the foundation for every part of Paradigms business: risk-based clinical ... CRC, CCM, or CDMS certification required. * Valid drivers license and good driving history
Vocational Case Manager - Boston / Springfield, MA
Rockport, MA ยท Remote
$22 - $26.75/hr
Deep clinical expertise is the foundation for every part of Paradigms business: risk-based clinical ... CRC, CCM, or CDMS certification required. * Valid drivers license and good driving history
Vocational Case Manager - Boston / Springfield, MA
Rockport, MA ยท On-site
$69K - $92K/yr
Deep clinical expertise is the foundation for every part of Paradigm's business: risk-based ... CRC, CCM, or CDMS certification required. * Valid driver's license and good driving history
Vocational Case Manager - Boston / Springfield, MA
Rockport, MA ยท On-site
$69K - $92K/yr
Deep clinical expertise is the foundation for every part of Paradigm's business: risk-based ... CRC, CCM, or CDMS certification required. * Valid driver's license and good driving history
... risk constraints, and tradability adjustments using mixed-integer optimization to simplify ... code in MATrix LABoratory (MATLAB) and migrating to non-proprietary languages for improved ...
... risk constraints, and tradability adjustments using mixed-integer optimization to simplify ... code in MATrix LABoratory (MATLAB) and migrating to non-proprietary languages for improved ...
Crc Risk Adjustment Coder information
What is the difference between Crc Risk Adjustment Coder vs Medical Coder?
| Aspect | Crc Risk Adjustment Coder | Medical Coder |
|---|---|---|
| Certifications | CPMA, CPC, or RHIT/RHIA often preferred | CPC, CCS, or CPC-H |
| Work Environment | Healthcare facilities, insurance companies, risk adjustment teams | Hospitals, clinics, physician offices |
| Industry Usage | Risk adjustment, Medicare Advantage, health plans | Medical billing, coding, documentation |
The Crc Risk Adjustment Coder specializes in coding for risk adjustment programs, focusing on accurate documentation for insurance and Medicare plans. Medical Coders handle a broader range of medical records and billing tasks across various healthcare settings. While both roles require coding certifications, Crc Risk Adjustment Coders focus more on risk and reimbursement accuracy within insurance programs.
What are popular job titles related to Crc Risk Adjustment Coder jobs in Massachusetts?
For Crc Risk Adjustment Coder jobs in Massachusetts, the most frequently searched job titles are:
What job categories do people searching Crc Risk Adjustment Coder jobs in Massachusetts look for?
The top searched job categories for Crc Risk Adjustment Coder jobs in Massachusetts are:
What cities in Massachusetts are hiring for Crc Risk Adjustment Coder jobs?
Cities in Massachusetts with the most Crc Risk Adjustment Coder job openings:
Sales & BizDev Manager - healow Insights
Westborough, MA โข On-site
Other
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 13 days ago
Job description
Job Category: Software
Requisition Number: SALES002767
- Posted : August 18, 2026
- Full-Time
- Remote
Showing 1 location
Westborough, MA 01581, USA
We are eClinicalWorks. We are a privately held leader in healthcare IT, providing comprehensive, cloud based EHR/PRM solutions to medical professionals worldwide to improve workflows and reduce the risk of physician burnout. We care. We are committed to positive change. And thatโs where you come in. Do you value creativity and innovation? Great, so do we. At eClinicalWorks, we share a passion for improving healthcare through dedication, education, and teamwork. Everyone has that one thing theyโre really good at. We value your talent and want you to join our fast-paced, fun, and culturally diverse environment. Ready to make a difference? Apply today.
Job Title: Sales & Business Development Manager - healow Insights Position SummaryHealow Insights is seeking a highly motivated and results-driven Sales & Business Development Manager with deep expertise in Risk Adjustment, Quality Programs, HEDISยฎ, Stars, Value-Based Care and Health Plan Sales. The ideal candidate will be responsible for driving market expansion, developing strategic partnerships, generating new business opportunities, and selling healow Insights solutions to health plans, ACOs, MSOs, CINs, and value-based care entities. The individual will work closely with executive leaders, product teams, and prospective clients to demonstrate how healow Insights improves quality performance, closes care gaps, optimizes risk capture, and enhances value-based care outcomes.
Key Responsibilities: Business Development & Sales- Develop and execute strategic sales plans to achieve revenue and growth targets.
- Identify, qualify, and pursue new opportunities with health plans, provider groups, ACOs, CINs, FQHCs, and integrated delivery networks.
- Build and maintain executive-level relationships with C-suite leaders, medical directors, quality executives, and population health stakeholders.
- Own the full sales cycle, including prospecting, discovery, solution presentations, proposal development, contract negotiations, and deal closure.
- Collaborate with marketing and product teams to develop goโtoโmarket strategies and sales initiatives.
- Maintain a robust sales pipeline and provide accurate forecasting.
- Develop relationships with Medicare Advantage, Medicaid, ACA, Commercial, and DualโEligible health plans.
- Position healow Insights solutions to address payer challenges related to quality improvement, member engagement, risk adjustment, and valueโbased contracts.
- Understand health plan priorities associated with CMS Stars, HEDIS, CAHPS, and quality incentive programs.
- Support partnership development opportunities between health plans and provider organizations.
- Leverage expertise in Risk Adjustment and RAF optimization to identify client opportunities.
- Consult with prospects on strategies to improve documentation, coding accuracy, and risk score performance.
- Demonstrate value propositions related to:
- Prospective and retrospective risk adjustment
- Suspect condition management
- Hierarchical Condition Categories (HCC)
- Clinical documentation improvement
- Quality measure performance
- Care gap closure
- Population health analytics
- Educate clients on best practices for quality improvement initiatives and value-based performance programs.
- Conduct product demonstrations and executive presentations.
- Translate client business challenges into customized healow Insights solutions.
- Collaborate with implementation and customer success teams to ensure successful client onboarding and adoption.
- Participate in industry conferences, trade shows, and networking events to promote healow Insights.
- Bachelor's degree in business, Healthcare Administration, Public Health, or related field.
- Healthcare sales and business development experience.
- Pharma and Life Sciences sales
- Proven experience selling to:
- Health Plans
- ACOs
- MSOs
- CINs
- Value-Based Care Organizations
- Strong understanding of:
- Risk Adjustment
- HCC Coding
- Medicare Advantage
- Medicaid Managed Care
- Quality Programs
- Population Health
- Value-Based Care
- Demonstrated success meeting or exceeding sales quotas.
- Excellent communication, presentation, and negotiation skills.
- Domestic Travel up to 50%.
- Experience with HEDISยฎ, CMS Stars, CAHPS, and quality reporting programs is preferred.
- Experience selling healthcare analytics, population health, care management, engagement, or quality improvement solutions is preferred.
- Existing relationships within health plans and provider organizations.
- Knowledge of EMR/EHR platforms such as eClinicalWorks, Epic, Cerner, Athenahealth, and NextGen.
- Experience selling data analytics, healthcare technology, or data solutions is preferred.
- Strategic Selling
- Business Development
- Relationship Management
- Executive Presence
- Consultative Solution Selling
- Quality Program Knowledge
- Contract Negotiation
- Cross-functional Collaboration
- Market Expansion
- New Annual Recurring Revenue (ARR) generated
- Qualified pipeline creation and conversion rates
- Number of new health plan and provider partnerships established
- Expansion of existing accounts
- Achievement of quarterly and annual sales targets
- Client adoption and retention rates
- Contribution to strategic growth initiatives
Join a fast-growing healthcare technology organization focused on helping health plans and provider organizations improve risk capture, quality performance, patient outcomes, and valueโbased care success through innovative analytics, engagement, and population health solutions. You will play a critical role in shaping the future growth of healow Insights and expanding its impact across the healthcare ecosystem.
Salary Range - $140,000 - $160,000 USD
This role will receive a competitive salary and benefits. The salary for employees hired into this role will be aligned with the range above, exclusive of potential bonuses. If you are hired, your base salary will be determined based on factors such as professional background, skills, education, and experience.
eClinicalWorks offers a rich suite of benefits which include the following: eighteen days of Paid Time Off per year which scales based on tenure; nine Paid Holidays and one Floating Holiday; insurance for eligible employees which includes medical, dental, vision, basic life, short term disability, long term disability, business travel accident, and accidental death and dismemberment.
As well, we offer a 401(k) plan with a Company safe harbor contribution; Flexible Spending Account for Health Care and Dependent Care for eligible employees; limited personal leave; additional voluntary benefits, including additional insurance (hospital indemnity, critical illness, accident, supplemental life, short term disability buy up, pet), genetic testing, legal plan, and supplemental accidental death and dismemberment; and an annual discretionary bonus for eligible employees.
eClinicalWorks is an Equal Opportunity Employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills, and experiences that bring us together and help create a healthy world.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.
About eClinicalWorks
Sourced by ZipRecruiter
Industry
Software development
Company size
1,001 - 5,000 Employees
Headquarters location
Westborough, MA, US
Year founded
1999