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Director Medicare Risk Adjustment Jobs (NOW HIRING)

Hispanic Alliance for Career Enhancement

NY · On-site

$100 - $232/hr

Position Summary Revenue Integrity Informatics is seeking a Lead Director, Informatics to lead Medicare Advantage and ACA risk adjustment analytics, predictive modeling, intervention strategy, and ...

New

Hispanic Alliance for Career Enhancement

WI · On-site

$100 - $232/hr

Position Summary Revenue Integrity Informatics is seeking a Lead Director, Informatics to lead Medicare Advantage and ACA risk adjustment analytics, predictive modeling, intervention strategy, and ...

New

Hispanic Alliance for Career Enhancement

WI · On-site

$100 - $232/hr

Position Summary Revenue Integrity Informatics is seeking a Lead Director, Informatics to lead Medicare Advantage and ACA risk adjustment analytics, predictive modeling, intervention strategy, and ...

New

Stryker Corporation

$100 - $232/hr

Position Summary Revenue Integrity Informatics is seeking a Lead Director, Informatics to lead Medicare Advantage and ACA risk adjustment analytics, predictive modeling, intervention strategy, and ...

New

Hispanic Alliance for Career Enhancement

WI · On-site

$100 - $232/hr

Position Summary Revenue Integrity Informatics is seeking a Lead Director, Informatics to lead Medicare Advantage and ACA risk adjustment analytics, predictive modeling, intervention strategy, and ...

New

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All JobsMedicare Risk Adjustment JobsDirector Medicare Risk Adjustment Jobs

Director Medicare Risk Adjustment information

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$102K

$135.9K

$143.5K

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

As of Aug 14, 2026, the average yearly pay for director medicare risk adjustment in the United States is $135,863.00, according to ZipRecruiter salary data. Most workers in this role earn between $137,500.00 and $141,000.00 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 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 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.

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Director Medicare Risk Adjustment jobs near you
Infographic showing various Director Medicare Risk Adjustment job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 8% Part Time, and 3% Contract. Highlights an 88% Physical, 5% Hybrid, and 7% Remote job distribution, with an average salary of $135,863 per year, or $65.3 per hour.

PBO Risk Adjustment Coding

Broward Health

Fort Lauderdale, FL • On-site

Other

Posted 11 days ago

Broward Health rating

6.9

Company rating: 6.9 out of 10

Based on 91 frontline employees who took The Breakroom Quiz

458th of 887 rated healthcare providers

Job description

Broward Health Corporate ISC
Shift: Shift 1
FTE: 1.000000
Requisition: 31469
Summary: Ensures procedures E&M and diagnoses are coded as documented in the medical records according to ICD-10-CM CPT-4 and HCPCS in an effort to maintain accurate coding and obtain reimbursement all within the professional coding guidelines Centers for Medicare and Medicaid (CMS) guidelines and Broward Health policies. Review and audit documentation for appropriate capture of CAT II coding Medicare Annual Wellness Visits Medicare Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to submission to the payer.
Education: High School
Experience: 2-5 years of risk adjustment coding E/M procedures and diagnosis experience required.
Credentials: Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC)
Visit us online at www.BrowardHealth.org or contact Talent Acquisition
*Bonus Exclusions may apply in accordance with policy HR-004-026
Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race color national origin gender gender identity or gender expression pregnancy sexual orientation religion age disability military status genetic information or any other characteristic protected under applicable federal or state law.
At Broward Health the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.

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About Broward Health

Sourced by ZipRecruiter

A career with Broward Health means endless opportunities to grow through a wide range of experiences across the healthcare system. You will be part of a team that is continually raising the bar for patient care. Our competitive benefits package includes healthcare coverage, a matching retirement program, pension plan, and wellness programs.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Lauderdale, FL, US

Year founded

1938

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