ZipRecruiter

Log In

1

Director Medicare Risk Adjustment Jobs in Raleigh, NC

Duke Health

Care Coordination Specialist

Durham, NC · On-site

Delivers the Important Message from Medicare according to CMS guidelines to all indicated patients ... Implements decided upon program adjustments. Coordinates projects and audits to improve processes ...

Duke Health

Care Coordination Specialist

Durham, NC · On-site

Delivers the Important Message from Medicare according to CMS guidelines to all indicated patients ... Implements decided upon program adjustments. Coordinates projects and audits to improve processes ...

Duke University

Care Coordination Specialist

Durham, NC · On-site

Delivers the Important Message from Medicare according to CMS guidelines to all indicated patients ... Implements decided upon program adjustments. Coordinates projects and audits to improve processes ...

Well Care Health

Clinical Resource, RN

Fuquay Varina, NC · On-site

$75 - $100/hr

This role provides direct nursing services, case management support, and care coordination during ... Supervising assigned aides, LPNs, and other delegated services in accordance with Medicare, federal ...

previous page

Showing results 41-60

All JobsMedicare Risk Adjustment JobsDirector Medicare Risk Adjustment JobsDirector Medicare Risk Adjustment Jobs in Raleigh, NC

Director Medicare Risk Adjustment information

See Raleigh, NC salary details

$99.2K

$132.1K

$139.5K

How much do director medicare risk adjustment jobs pay per year?

As of Aug 22, 2026, the average yearly pay for director medicare risk adjustment in Raleigh, NC is $132,070.00, according to ZipRecruiter salary data. Most workers in this role earn between $133,700.00 and $137,100.00 per year, depending on experience, location, and employer.

What does a director Medicare Risk Adjustment do?

A Director of Medicare Risk Adjustment oversees the strategy, operations, and compliance of risk adjustment programs for Medicare Advantage plans. They ensure accurate data collection, coding, and submissions to optimize reimbursement while maintaining regulatory compliance. This role involves collaborating with cross-functional teams, managing analytics, and implementing initiatives to improve documentation and risk score accuracy. Additionally, they monitor policy changes and adjust processes to align with evolving CMS regulations.

What are the key skills and qualifications needed to thrive as a director Medicare Risk Adjustment?

To thrive as a Director Medicare Risk Adjustment, you need a strong background in healthcare administration, Medicare regulations, data analytics, and risk adjustment methodologies, often supported by a bachelor's or master's degree in a related field. Familiarity with risk adjustment software, claims processing systems, and proficiency in data analysis tools like SQL or SAS is essential, and certifications such as CRC (Certified Risk Adjustment Coder) can be advantageous. Outstanding leadership, cross-functional collaboration, and strong communication skills help drive teams toward accurate documentation and coding compliance. These competencies are crucial for optimizing revenue, ensuring regulatory adherence, and guiding strategic organizational initiatives in a complex healthcare environment.

What are some common challenges faced by a director Medicare Risk Adjustment, and how do they impact daily work?

Directors of Medicare Risk Adjustment frequently tackle challenges such as interpreting evolving CMS guidelines, ensuring complete and accurate documentation, and aligning interdepartmental teams around risk adjustment best practices. Keeping up with regulatory changes, managing large data sets, and training staff on coding compliance are all critical aspects of the job. These challenges require strong analytical skills, attention to detail, and the ability to communicate complex information to various stakeholders. Addressing these issues effectively is key to maintaining compliance, optimizing revenue accuracy, and helping your organization deliver quality care to Medicare populations.

What are the most commonly searched types of Medicare Risk Adjustment jobs in Raleigh, NC?

The most popular types of Medicare Risk Adjustment jobs in Raleigh, NC are:

What are popular job titles related to Director Medicare Risk Adjustment jobs in Raleigh, NC?

For Director Medicare Risk Adjustment jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Director Medicare Risk Adjustment jobs in Raleigh, NC look for?

The top searched job categories for Director Medicare Risk Adjustment jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Director Medicare Risk Adjustment jobs?

Cities near Raleigh, NC with the most Director Medicare Risk Adjustment job openings:

Director Medicare Risk Adjustment jobs near you
Infographic showing various Director Medicare Risk Adjustment job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 9% Part Time, and 3% Contract. Highlights an 88% Physical, 5% Hybrid, and 7% Remote job distribution, with an average salary of $132,070 per year, or $63.5 per hour.

Senior Environmental Health & Safety Consultant

Triumvirate Environmental

Raleigh, NC • On-site

Full-time

Medical, Dental, Vision, Retirement

Re-posted 24 days ago

Triumvirate Environmental rating

5.8

Company rating: 5.8 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

74th of 91 rated recycling and waste

Job description

Senior Environmental Health & Safety Consultant
Industrial Hygiene - Pharmaceutical Manufacturing & Life Sciences
Triumvirate Environmental, one of the largest environmental services firms in North America, is seeking a Senior Environmental Health & Safety Consultant specializing in industrial hygiene for our Life Sciences team.
This highly motivated individual will provide guidance on Environmental Health & Safety (EHS) regulations and best practices to ensure workplace compliance and risk mitigation. This role involves staying up to date with regulatory requirements, analyzing data to improve safety performance, and advising clients on sustainable and compliant operational practices. In addition, this individual will design and lead industrial hygiene projects, as well as mentor other EHS Consultants in the practice of industrial hygiene activities.
Triumvirate provides leading institutions in the higher education, life sciences, healthcare, and industrial sectors with diverse services and advice to assist them with compliance management. At Triumvirate, we strive to WOW both our employees and our customers. Our unique culture fosters growth, development, education, and creativity.
This position reports to a Regional EHS Director. This role is based in Raleigh, North Carolina, supporting pharmaceutical manufacturing clients onsite.
Essential Responsibilities
  • Evaluate novel compounds and well-evaluated hazards for occupational exposure risks, applying the occupational exposure banding (OEB) process to classify hazard levels and determine appropriate controls.
  • Develop and implement industrial hygiene sampling plans autonomously, selecting appropriate methodologies (NIOSH, OSHA, ACGIH) based on direct observation of pharmaceutical manufacturing and life sciences processes.
  • Analyze sampling data and independently make recommendations for engineering controls, administrative controls, and personal protective equipment based on findings.
  • Measure occupational and environmental hazards, such as noise and ergonomics, using calibrated scientific equipment and/or collecting samples of dust, vapors, or gases according to defined operating procedures.
  • Assess the effectiveness of engineering control systems, including fume hoods, containment enclosures, and local exhaust ventilation systems, in pharmaceutical manufacturing environments.
  • Conduct workplace safety inspections evaluating the use of personal protective equipment, such as respirators, protective eyewear, and other required PPE appropriate to pharmaceutical manufacturing environments, in accordance with applicable regulations.
  • Identify potential physical and health hazards, such as toxic vapors, mold, mildew, and explosive gas-air mixtures, and implement appropriate control measures, such as adjustments to ventilation systems.
  • Investigate accidents and injuries, identifying root causes and recommending remedial actions.
  • Communicate with client personnel regarding workplace safety issues, recommending corrective actions.
  • Assist in the development of occupational health and safety systems, including drafting or updating policies, procedures, and manuals specific to pharmaceutical manufacturing operations.
  • Facilitate and document Job Hazard Analyses, evaluating risk and prioritizing Industrial Hygiene Assessments accordingly.
Basic Requirements
  • 4-5 years of hands-on industrial hygiene experience in pharmaceutical manufacturing and/or life sciences settings.
  • Demonstrated experience with making recommendations on appropriate controls required to reduce exposure potential in a pharmaceutical manufacturing environment.
  • Proven ability to develop and execute industrial hygiene sampling plans independently, with the confidence to make autonomous recommendations based on direct process observation.
  • Bachelor's degree in Occupational Health, Industrial Hygiene, Safety, or a related scientific field.
  • Excellent communication and customer service skills.
  • Detail-oriented with strong analytical and problem-solving abilities.
  • Ability to remain calm and effective in dynamic, high-stakes environments.
  • Valid driver's license and personal vehicle.
  • Applicants must be authorized to work in the US without sponsorship.
Preferred Requirements
  • Prior experience as a professional advisor or consultant to third-party clients.
  • Familiarity with cGMP environments and pharmaceutical manufacturing quality standards.
  • Completed two or more industry-recognized trainings (OSHA 10 or 30, ABSA, HAZWOPER, DOT/IATA HAZMAT Transportation).
  • Active membership in at least one national professional safety organization, including local chapters.

#LI-Onsite
#LI-JB1
Besides Health, Dental and Vision Insurance, we contribute to a 401k, offer a generous tuition reimbursement program, TONS of safety training for some positions with opportunities for external trainings and certifications, Mentorship & Career Succession Planning, Relocation Opportunities, Auto/Home insurance discounts, pet assistance discount plans, discounted movie passes & more!
To learn more about our business, culture, and the exciting work that we are doing in the industry, find us on LinkedIn, Instagram (@triumvirateenvironmental), or our website!
Triumvirate Environmental is committed to a diverse and inclusive workplace. As an Equal Opportunity Employer (EOE), Triumvirate does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Individuals with Disabilities and Protected Veterans are encouraged to apply.
If you have a disability and need accommodation during the application and hiring process, please contact us at https://www.triumvirate.com/contact or call us at 888-834-9697. The requirements listed above are representative of the knowledge, skill, and/or ability required. To view our California Privacy Notice and Policy, click here.

What Triumvirate Environmental employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply