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Hcc Risk Adjustment Jobs in Virginia (NOW HIRING)

Ennoble Care

Actuary

Richmond, VA · Remote

$150/hr

Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models * Experience working with CMS and CMMI total cost of care (ACO) programs * Proven track record ...

All JobsHcc Risk Adjustment JobsHcc Risk Adjustment Jobs in Virginia

Hcc Risk Adjustment information

See Virginia salary details

$10.9K

$141.1K

$188.4K

How much do hcc risk adjustment jobs pay per year?

As of Jul 23, 2026, the average yearly pay for hcc risk adjustment in Virginia is $141,102.00, according to ZipRecruiter salary data. Most workers in this role earn between $131,400.00 and $131,400.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Hcc Risk Adjustment position, and why are they important?

To excel in HCC Risk Adjustment, you need a solid understanding of medical coding, clinical documentation, healthcare regulations, and disease management, usually coupled with experience in coding certifications like CPC or CRC. Familiarity with Hierarchical Condition Category (HCC) models, data analytics tools, and electronic health record (EHR) systems is essential. Attention to detail, analytical thinking, and strong communication skills make a candidate stand out in this role. These skills ensure accurate risk adjustment coding and documentation, which are vital for appropriate reimbursement and compliance in the healthcare industry.

What are the main responsibilities of someone working in HCC Risk Adjustment?

Professionals in HCC Risk Adjustment are typically responsible for reviewing medical records, ensuring accurate coding of diagnoses aligned with CMS guidelines, and collaborating with providers to improve documentation. The role often involves analyzing patient data to identify risk gaps and providing education to clinical staff on best practices for compliant coding. Team members regularly coordinate with data analysts, providers, and compliance teams to support accurate reporting and optimal reimbursement. Overall, attention to detail and clear communication are key to meeting the organization's compliance and financial objectives.

What is an HCC Risk Adjustment job?

An HCC Risk Adjustment job involves reviewing medical records to ensure accurate coding of diagnoses under the Hierarchical Condition Category (HCC) model. This role helps determine risk scores for patients, which impact healthcare provider reimbursements in Medicare Advantage and other risk-adjusted programs. Professionals in this field, such as medical coders or auditors, analyze documentation to assign appropriate ICD-10-CM codes that reflect a patient's health status. Strong attention to detail and knowledge of coding guidelines are essential for success in this role.

What are the most commonly searched types of Hcc Risk Adjustment jobs in Virginia? The most popular types of Hcc Risk Adjustment jobs in Virginia are:
What are popular job titles related to Hcc Risk Adjustment jobs in Virginia? For Hcc Risk Adjustment jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment jobs in Virginia look for? The top searched job categories for Hcc Risk Adjustment jobs in Virginia are:
Hcc Risk Adjustment jobs near you
Infographic showing various Hcc Risk Adjustment job openings in Virginia as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $141,102 per year, or $67.8 per hour.

Medical Director, Quality and Value-Based Performance

Wapa

Newport News, VA • On-site

$233 - $302/hr

Other

Posted 16 days ago

Job description

Medical Director, Quality and Value-Based Performance

Riverside Medical Group is seeking a physician leader to serve as Medical Director of Quality and Value-Based Performance. This is a highly visible role focused on advancing value-based care across a growing, integrated health system. This opportunity offers the ability to shape strategy, influence outcomes, and partner directly with clinical and executive leadership to drive performance across MSSP and commercial value-based arrangements.

About the Role

The Medical Director will provide physician leadership across all value-based initiatives, with a focus on improving quality, outcomes, utilization, and financial performance through data-driven strategies and strong collaboration. This leader will play a key role in advancing Riverside’s participation in the Medicare Shared Savings Program and other payer programs, while helping standardize care delivery and elevate performance across the organization.

Key Responsibilities
  • Lead value-based performance initiatives across MSSP and commercial payer arrangements
  • Partner with physicians, advanced practice providers, and operational leaders to drive quality and utilization improvement
  • Analyze performance data and develop actionable strategies to improve outcomes and cost of care
  • Oversee development and implementation of population health dashboards and provider scorecards
  • Standardize clinical workflows and evidence-based protocols to enhance efficiency and care quality
  • Serve as Medical Director for ACO initiatives and participate in ACO governance and operations
  • Collaborate with payer partners and lead performance reviews, gap closure efforts, and improvement cycles
What Makes This Role Unique
  • Enterprise-level influence across a respected, physician-led organization
  • Direct impact on clinical quality, financial performance, and patient outcomes
  • Close collaboration with executive leadership and payer partners
  • Opportunity to help shape and scale a mature and evolving value-based care strategy
Qualifications
  • MD or DO, Board Certified in Internal Medicine, Family Medicine, Emergency Medicine, or Pediatrics
  • Eligible for or currently holding a Virginia medical license
  • 10+ years of experience, including meaningful involvement in value-based care models
  • Demonstrated experience with MSSP, ACOs, or other risk-based arrangements
  • Strong understanding of HCC risk adjustment, population health management, and utilization performance
  • Familiarity with payer performance, cost structures, and medical loss ratios
  • Experience working with data, dashboards, and performance reporting tools (Epic preferred)
  • Proven leadership, communication, and change management skills
About Riverside Medical Group

Riverside Medical Group is part of Riverside Health System, a mission-driven, physician-led organization committed to advancing care delivery across the region. With a strong foundation in quality and a growing focus on value-based care, Riverside offers an environment where physician leaders can make a meaningful and lasting impact.

Hiring Range

$233,000 - $302,000

Actual pay depends on specialty, experience and performance

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