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Manager Hcc Risk Adjustment Jobs in Illinois (NOW HIRING)

Strive Health

Nurse Practitioner

Chicago, IL · On-site

Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...

Strive Health

Nurse Practitioner

Champaign, IL · On-site

Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...

Strive Health

Nurse Practitioner

Chicago, IL

$120K - $151K/yr

Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...

Strive Health

Nurse Practitioner

Champaign, IL · On-site

$120K - $151K/yr

Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...

Wintrust

Risk Management Officer

Rosemont, IL · On-site

Provide independent model risk management and support for the VP of Model Risk as follows: Model ... Evaluate the model adjustments, such as overlays and buffers, wherever applicable. Ongoing Process ...

Wintrust

Risk Management Officer

Rosemont, IL · Hybrid

Provide independent model risk management and support for the VP of Model Risk as follows: Model ... Evaluate the model adjustments, such as overlays and buffers, wherever applicable. Ongoing Process ...

w3r Consulting

Developer - General

Chicago, IL · On-site

$46.75 - $64/hr

This position will support Client's Individual and Family Market Risk Adjustment division. The ... management reporting dashboards • Write SQL queries to generate the output for the reporting ...

Hcfl

Arts Director

Campus, IL · On-site

$84K - $134K/yr

... risk management, oversight of marketing efforts, event scheduling, contracts, facilities and ... In collaboration with the HCC Foundation, directs and oversees fundraising efforts to support arts ...

Tokio Marine HCC

Lead Underwriter, Cyber

Chicago, IL · On-site

About TMHCC Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry ... product, claims, actuarial, risk management, and operations to drive strong underwriting ...

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Manager Hcc Risk Adjustment information

What is the difference between Manager Hcc Risk Adjustment vs Hcc Risk Adjustment Specialist?

AspectManager Hcc Risk AdjustmentHcc Risk Adjustment Specialist
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPC, CCS), and experience in healthcare or risk adjustmentOften requires similar certifications and experience but may have less managerial responsibility
Work EnvironmentSupervises teams, manages projects, and collaborates with multiple departmentsFocuses on data analysis, coding, and risk adjustment tasks, often working independently or in small teams
Employer & Industry UsageCommonly employed by health plans, healthcare providers, and risk adjustment vendorsFound within similar organizations, often as a specialized role supporting risk adjustment processes

The main difference is that the Manager Hcc Risk Adjustment oversees teams and manages projects, while the Hcc Risk Adjustment Specialist focuses on technical tasks like data analysis and coding. Both roles require relevant certifications and industry experience, but the manager role involves leadership responsibilities.

What are the key skills and qualifications needed to thrive as a Manager HCC Risk Adjustment?

To thrive as a Manager HCC Risk Adjustment, you need expertise in healthcare coding (especially ICD-10), risk adjustment methodologies, and a background in health administration or a related field, often supported by a relevant degree and coding certifications like CRC or CPC. Familiarity with risk adjustment analytics platforms, EHR systems, and healthcare data reporting tools is important. Strong leadership, analytical thinking, and effective communication skills enable you to guide teams and collaborate across departments. These skills and qualifications are essential to ensure accurate risk scoring, regulatory compliance, and optimal reimbursement for healthcare organizations.

How does a Manager HCC Risk Adjustment typically collaborate with other departments to ensure accurate risk scoring?

A Manager HCC Risk Adjustment frequently partners with coding teams, clinical staff, and data analysts to ensure that documentation and coding accurately reflect patient conditions for risk adjustment purposes. This collaboration often involves leading training sessions, reviewing charts for compliance, and coordinating audits to identify documentation gaps. Working closely with these departments helps ensure data integrity, optimize risk scores, and support organizational goals related to reimbursement and quality reporting.

What is a Manager HCC Risk Adjustment?

Manager HCC Risk Adjustment jobs involve overseeing teams and processes that assess and improve Hierarchical Condition Category (HCC) coding and risk adjustment in healthcare organizations. These managers ensure accurate documentation and coding of patient diagnoses to optimize reimbursement and compliance with government regulations. They collaborate with coders, clinicians, and data analysts to monitor performance, provide training, and implement best practices. Their role is critical in maximizing risk-adjusted revenue while maintaining high standards of patient data integrity.

What are the most commonly searched types of Hcc Risk Adjustment jobs in Illinois?

The most popular types of Hcc Risk Adjustment jobs in Illinois are:

What are popular job titles related to Manager Hcc Risk Adjustment jobs in Illinois?

For Manager Hcc Risk Adjustment jobs in Illinois, the most frequently searched job titles are:

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Manager Hcc Risk Adjustment jobs near you

Nurse Practitioner

Strive Health

Chicago, IL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Job description

How You'll Make An Impact
At Strive Health, patients come first. We're on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey.
Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You'll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday.
If you're looking for meaningful work where your contributions truly matter, you'll feel right at home at Strive!
Benefits & Perks
  • Hybrid-Remote Flexibility -Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
  • Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
  • Financial & Retirement Support - Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources.
  • Time Off & Leave - Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
  • Wellness & Growth - Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.

To learn more about our offerings, click here.
How You'll Make An Impact
As a Clinical Lead within our interdisciplinary team, you do more than treat a diagnosis-you are the visionary architect of a better life for patients navigating the complexities of CHF, CKD/ESKD, and other chronic conditions. At Strive, we have shattered the constraints of the 15-minute office visit. Here, you are granted the true autonomy to provide longitudinal, deeply personal care that meets patients exactly where they are: in their homes and via telehealth.
In this role, you will harness the power of advanced analytics, cutting-edge technology platforms, and seamless interdisciplinary collaboration to ensure world-class care reaches the right patient at the precise moment they need it. As the trusted navigator for a dedicated panel, you will blend high-touch clinical expertise with a radical "whole-person" approach. Your mission is to move the needle on what truly matters:
  • Keeping patients out of the hospital.
  • Slowing disease progression, ensuring every individual feels seen, heard, and deeply cared for.

Strive is fiercely committed to advancing technology that makes the Nurse Practitioner role as efficient as it is impactful. We are obsessed with reducing administrative burden, clearing the path so you can reclaim your time for what you do best: meaningful clinical care and transformative patient engagement.
The Day to Day
  • Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates with external providers and care teams to ensure goals, treatment, and care plan alignment.
  • Obtains patient history, performs physical exam, orders and interprets diagnostic tests and formulates a plan for individual patient short-term and longitudinal needs.
  • Ensures assessment and plan of care incorporate best practices for chronic kidney care including management of all stages of CKD, ESKD and heart failure. Will support transitions to renal replacement therapy, transplant, or conservative care) as well as participation in shared decision-making and end-of-life/advanced care planning discussions.
  • Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care.
  • Presents patient cases and provides clinical support for clinical rounds and interdisciplinary team meetings.
  • Serves patients and performs patient visits in multiple care settings a including patient home, telehealth visits or dialysis clinics/partner MD space (where applicable).
  • Responsible for maintaining current board certification and state-specific continuing education requirements.
  • Adheres to expectations outlined in Strive's documentation policy
  • Provides in-person patient care which may include standing, sitting, walking, pushing, pulling, and lifting.

Minimum Qualifications
  • Master's degree in Nursing or similar field.
  • 2+ years experience as a Family Nurse Practitioner (NP), Primary Care Nurse Practitioner (NP) or equivalent with specialization in cardiology (CHF) or Nephrology (CKD)
  • 2+ years experience with Electronic Health Records (EHR)
  • Current state specific licensure.
  • National Board Certification.
  • Current Drug Enforcement Administration (DEA) license or eligible to obtain within 90 days of hire.
  • Current BLS or CPR Certification.
  • Efficient and reliable transportation, including an active driver's license, allowing for the ability to travel across an assigned region to meet patient needs. Locations may include offices, clinics, and patient homes.
  • Basic computer and Microsoft Office skills
  • Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.

Preferred Qualifications
  • Demonstrated expertise in CKD management (Stages 3-5), ESRD care, and dialysis management (hemodialysis and/or peritoneal dialysis, HHD), including medication optimization, volume assessment, and complication management
  • Experience leading care transitions across settings (hospital → outpatient → dialysis) with a focus on reducing readmissions and ensuring continuity of care
  • Proven ability to deliver comprehensive patient education on kidney disease progression, dialysis modality selection (home vs. in-center), and kidney transplant pathways to support informed, shared decision-making
  • 2+ years experience with Electronic Health Records (EHR).
  • Wound Care certification
  • Experience using audio-visual technology platforms

About You
  • Demonstrated proficiency in clinical assessment, diagnosis, planning, implementation, documentation, and evaluation of complex chronic patients.
  • Excellent communicator, team builder, and evidence of results.
  • Demonstrated knowledge and understanding of data and managing clinical, financial, and patient satisfaction outcomes.
  • Excels at developing and fostering strong patient and family relationships that center on engagement, trust, honesty, empathy, follow-through and doing what's best for the patient.

Annual Salary Range: $120,000.00 - $151,000.00. **This range is inclusive of a geographic differential if located within 50 miles of the Chicago Metro area. This position is also eligible for a target annual bonus of 10%
Final compensation will be determined based on location, experience, and qualifications.
Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talentacquisition@strivehealth.com.
We do not accept unsolicited resumes from outside recruiters/placement agencies. Strive Health will not pay fees associated with resumes presented through unsolicited means.

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