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Full Time Optum Health Coding Risk Adjustment Jobs in Philadelphia, PA

JP Morgan Chase

Risk Strategy Associate

Wilmington, DE · On-site

Previous experience with either SAS, SQL, Python, or Tableau analytic tools (other coding languages ... These benefits include comprehensive health care coverage, on-site health and wellness centers, a ...

Ennoble Care

Actuary

Philadelphia, PA · Remote

$150/hr

Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models ... In-depth knowledge of healthcare billing processes from both provider and CMS perspectives ...

Ennoble Care

Actuary

Marlton, NJ · Remote

$150/hr

Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models ... In-depth knowledge of healthcare billing processes from both provider and CMS perspectives ...

Bing Recruitment

Chief Risk Officer

Philadelphia, PA · On-site +1

$185K - $250K/yr

Exempt, Full-Time Location: Remote; AL; CA; IL; FL; MA; NC; NJ; NY; PA; TX; UT; VA Pay Salary: $185 ... healthcare. · Risk Identification & Assessment: Analyzing potential threats - including ...

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All JobsOptum Health Coding Risk Adjustment JobsFull Time Optum Health Coding Risk Adjustment JobsFull Time Optum Health Coding Risk Adjustment Jobs in Philadelphia, PA

Full Time Optum Health Coding Risk Adjustment information

See Philadelphia, PA salary details

$15

$26

$38

How much do full time optum health coding risk adjustment jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for full time optum health coding risk adjustment in Philadelphia, PA is $26.59, according to ZipRecruiter salary data. Most workers in this role earn between $21.83 and $29.86 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a full time Optum Health coding risk adjustment professional?

To excel in a Full Time Optum Health Coding Risk Adjustment role, you need a solid understanding of medical coding guidelines, risk adjustment models (such as HCC), and typically a certification like CPC or CRC. Proficiency with coding software, electronic health records (EHRs), and risk adjustment analytics platforms is crucial. Attention to detail, analytical thinking, and effective communication help ensure accuracy and collaboration in documentation and reporting. These skills are vital for optimizing compliant coding, improving patient outcomes, and supporting accurate reimbursement in value-based care environments.

What is a full time Optum Health coding risk adjustment?

A Full Time Optum Health Coding Risk Adjustment job involves reviewing medical records and coding data to ensure accurate risk adjustment for health plan members. Employees in this role typically analyze clinical documentation, assign diagnostic codes, and support compliance with regulatory requirements. Their work ensures that health plans receive appropriate reimbursement by capturing the complexity and severity of patient conditions. This role is essential to maintaining data integrity and supporting overall healthcare quality initiatives.

What is the difference between Full Time Optum Health Coding Risk Adjustment vs Full Time Medical Coder?

AspectFull Time Optum Health Coding Risk AdjustmentFull Time Medical Coder
CertificationsCPR, CPC, or CCS often preferredCPR, CPC, or CCS typically required
Work EnvironmentHealthcare insurance, risk adjustment teamsHospitals, clinics, outpatient facilities
Industry UsageHealth insurance, risk managementHealthcare providers, hospitals
Job FocusRisk adjustment coding, data analysisMedical record coding, billing

Full Time Optum Health Coding Risk Adjustment roles focus on risk adjustment coding within health insurance companies, requiring knowledge of risk models and specific certifications. Full Time Medical Coders primarily work in healthcare facilities, concentrating on accurate medical record coding for billing. While both roles involve coding, their environments and focus areas differ significantly.

What are some common challenges faced by full time Optum Health coding risk adjustment professionals, and how can they be addressed?

Professionals in Full Time Optum Health Coding Risk Adjustment roles often encounter challenges such as keeping up with frequent updates to coding guidelines, managing high volumes of complex patient data, and ensuring accuracy under tight deadlines. Staying current with ongoing training, leveraging available coding support resources, and collaborating closely with clinical teams can help address these challenges. Additionally, using advanced coding tools and regularly participating in team meetings can improve both accuracy and workflow efficiency.
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Full Time Optum Health Coding Risk Adjustment jobs near you

Risk Strategy Associate

JP Morgan Chase

Wilmington, DE • On-site

Full-time

Medical, Retirement

Posted 5 days ago

JPMorgan Chase & Co. rating

8.0

Company rating: 8.0 out of 10

Based on 493 frontline employees who took The Breakroom Quiz

73rd of 170 rated banks

Job description

Bring your expertise to JPMorgan Chase.  As part of Credit Risk Management, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emerging risks, and using your expert judgement to solve real-world challenges that impact our company, customers and communities. Our culture in Credit Risk Management is all about thinking outside the box, challenging the status quo and striving to be best-in-class.

As a Strategic Analytics Associate within the Credit Risk Management Team, you will play a pivotal role in identifying, assessing, and mitigating risks to ensure we operate within established risk parameters and achieve long-term performance goals for our cards business. This position requires a proactive individual with passion for continuous learning and intellectual curiosity.  

Job responsibilities

  • Lead comprehensive analytics to measure and challenge key business initiatives and be able to independently generate solutions

  • Provide thought leadership and lead initiatives end to end, including defining problem statements, identifying risks and opportunities, securing stakeholder buy-in, and bringing ideas to life

  • Work independently and with various teams to identify and assess performance trends, utilizing both statistical and data mining tools and quantitative methodologies

  • Conduct root cause analysis to provide clear, actionable recommendations to senior leadership and various stakeholders

  • Prepare and present detailed risk monitoring reports to senior management and stakeholders, ensuring clear communication of findings

  • Support the development and maintenance of the company's risk management framework, ensuring compliance with regulatory requirements

  • Monitor internal and external behavioral data along with public information on industry trends, regulatory changes, and credit risk management best practices to continuously improve risk management processes

Required qualifications, capabilities, and skills

  • A degree in a quantitative discipline (ex: Finance, Statistics, Economics, Mathematics, Operations Research, among others) 
  • Minimum 1+ years of analytics experience
  • Ability to logically structure and execute analyses using strong analytic, interpretive and problem solving skills
  • Ability to translate complex analysis into practical solutions and create concise presentations with sound business conclusions 
  • Possess the drive to succeed, be results oriented, have high attention to detail, and independently make decisions
  • Previous experience with either SAS, SQL, Python, or Tableau analytic tools (other coding languages would be considered)

  • Knowledge of consumer lending business

JPMorganChase, one of the oldest financial institutions, offers innovative financial solutions to millions of consumers, small businesses and many of the world's most prominent corporate, institutional and government clients under the J.P. Morgan and Chase brands. Our history spans over 200 years and today we are a leader in investment banking, consumer and small business banking, commercial banking, financial transaction processing and asset management.

We offer a competitive total rewards package including base salary determined based on the role, experience, skill set and location. Those in eligible roles may receive commission-based pay and/or discretionary incentive compensation, paid in the form of cash and/or forfeitable equity, awarded in recognition of individual achievements and contributions. We also offer a range of benefits and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement savings plan, backup childcare, tuition reimbursement, mental health support, financial coaching and more. Additional details about total compensation and benefits will be provided during the hiring process. 

We recognize that our people are our strength and the diverse talents they bring to our global workforce are directly linked to our success. We are an equal opportunity employer and place a high value on diversity and inclusion at our company. We do not discriminate on the basis of any protected attribute, including race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, age, marital or veteran status, pregnancy or disability, or any other basis protected under applicable law. We also make reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as mental health or physical disability needs. Visit our FAQs for more information about requesting an accommodation.

JPMorgan Chase & Co. is an Equal Opportunity Employer, including Disability/Veterans

Our professionals in our Corporate Functions cover a diverse range of areas from finance and risk to human resources and marketing. Our corporate teams are an essential part of our company, ensuring that we're setting our businesses, clients, customers and employees up for success.

Risk Management helps the firm understand, manage and anticipate risks in a constantly changing environment. The work covers areas such as evaluating country-specific risk, understanding regulatory changes and determining credit worthiness. Risk Management provides independent oversight and maintains an effective control environment.

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