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From Home Optum Health Coding Risk Adjustment Jobs in Phoenix, AZ

We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ... Health program. Call Center Representatives are responsible for fielding requests such as: card ...

We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ... Health program. Call Center Representatives are responsible for fielding requests such as: card ...

... major health issue or death. Responsibilities: * The ability to work primarily from home is ... necessary. * Work from anywhere when you have a reliable phone/internet connection. * Ability to ...

PB Coding Coordinator

Phoenix, AZ · On-site

$31.01 - $48.84/hr

Functionally work within Microsoft Office Suite products & Optum Encoder Pro. * Provides education ... Promotes mission, vision, and values of Intermountain Health, and abides by service behavior ...

Showing results 21-40

From Home Optum Health Coding Risk Adjustment information

See Phoenix, AZ salary details

$17

$21

$23

How much do from home optum health coding risk adjustment jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for from home optum health coding risk adjustment in Phoenix, AZ is $21.35, according to ZipRecruiter salary data. Most workers in this role earn between $17.88 and $22.69 per hour, depending on experience, location, and employer.

What is the difference between From Home Optum Health Coding Risk Adjustment vs From Home Optum Health Medical Coding?

AspectFrom Home Optum Health Coding Risk AdjustmentFrom Home Optum Health Medical Coding
CertificationsCCS, CPC, or RHIT/RHIACCS, CPC, or RHIT/RHIA
Work EnvironmentRemote, home-basedRemote, home-based
Industry UsageHealth insurance, risk adjustment programsHealthcare providers, hospital coding
Job FocusRisk adjustment coding for insurance accuracyClinical coding for medical records

While both roles involve medical coding from home, From Home Optum Health Coding Risk Adjustment focuses on coding for insurance risk adjustment programs, requiring specific risk adjustment knowledge. In contrast, From Home Optum Health Medical Coding emphasizes clinical coding for medical records, often in hospital or provider settings. Both roles require similar certifications and offer remote work, but their primary focus and industry applications differ.

What are the most commonly searched types of Optum Health Coding Risk Adjustment jobs in Phoenix, AZ?

The most popular types of Optum Health Coding Risk Adjustment jobs in Phoenix, AZ are:

What are popular job titles related to From Home Optum Health Coding Risk Adjustment jobs in Phoenix, AZ?

For From Home Optum Health Coding Risk Adjustment jobs in Phoenix, AZ, the most frequently searched job titles are:

What job categories do people searching From Home Optum Health Coding Risk Adjustment jobs in Phoenix, AZ look for?

The top searched job categories for From Home Optum Health Coding Risk Adjustment jobs in Phoenix, AZ are:

Senior Analyst, Risk & Quality Reporting - HEDIS

Molina Healthcare

Mesa, AZ • On-site

$60K - $117K/yr

Full-time

Re-posted 3 days ago


Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

164th of 309 rated insurance


Job description

Job Description

Job Summary

The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause analysis.

Job Duties

  • Works with assigned health plan to capture and document requirements, build custom health plan reports, and educate health plan users on how to use reports
  • Builds intervention strategy reporting for the Risk and Quality interventions and measures gap closure
  • Builds ad hoc reports as requested to track HEDIS performance and supplemental data monitoring
  • Develops and QA custom health plan reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP
  • Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates
  • Assists and collaborates with the national Risk and Quality department with testing of pre-production reporting for the assigned health plan
  • Calculates and tracks gap closure and intervention outcome reporting for the assigned state
  • Works in an agile business environment to derive meaningful information out of complex and large organizational data sets through data analysis, data mining, verification, scrubbing, and root cause analysis
  • Conducts root cause analysis for business data issues
  • Analyzes data sets and trends for anomalies, outliers, trend changes, and opportunities, using databricks SQL, PowerBi, excel, and techniques to determine significance and relevance
  • Assists with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations
  • Key partner to assist with testing changes in the Datawarehouse platform and perform transparent upgrades to reporting modules to ensure no impact to the end users
  • Conducts preliminary and post impact analyses for any logic and source code changes for data and reporting module keeping other variables as constant that are not of focus
  • Develops oneself as a HEDIS subject matter expert to help health plan improve performance on underperforming measures

Job Qualifications

REQUIRED QUALIFICATIONS:

  • Bachelor's Degree or equivalent combination of education and work experience
  • 3-5 years of experience in working with data mapping, scrubbing, scrapping, and cleaning of data
  • 3-5 years of experience in Managed Care Organization executing similar techno functional role that involves writing complex SQL Queries, Functions, Procedures and Data design
  • 3-5 years of experience working with Microsoft T-SQL, Databricks SQL and PowerBI
  • 1-3 years of experience with Microsoft Azure, AWS, or Hadoop
  • 3-5 years of experience in Analysis related to HEDIS and/or Risk Adjustment
  • 3-5 years of experience in working with complex data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing

Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $60,415 - $117,809 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

Pay

Benefits

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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