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Manager Hcc Risk Adjustment Jobs in Michigan (NOW HIRING)

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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 popular job titles related to Manager Hcc Risk Adjustment jobs in Michigan? For Manager Hcc Risk Adjustment jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Manager Hcc Risk Adjustment jobs in Michigan look for? The top searched job categories for Manager Hcc Risk Adjustment jobs in Michigan are:
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Manager Hcc Risk Adjustment jobs near you

Field Nurse Practitioner / Physician Assistant - St. Clair County, Michigan

Advantmed

Port Huron, MI

$100/hr

Contractor

Re-posted 6 hours ago

Job description

Pay: ~$100 per completed assessment + paid mileage
Schedule: Flexible weekdays | No evenings, weekends, or on call

Work Model: 1099 Independent Contractor (PRN)

Designed for NPs and PAs seeking reliable, ongoing PRN income with structure and support.

About the Role

Advantmed is seeking a licensed, dependable Nurse Practitioner (NP) or Physician Assistant (PA) to conduct structured, in-home wellness and risk adjustment assessments for Medicare members and other at-risk populations.

This PRN role offers flexibility with consistent visit availability and strong operational support. It is best suited for clinicians who value autonomy, professionalism, and accountability, and are looking for steady supplemental income - not short-term or ad hoc work.

Why Advantmed

  • Partnering with 40+ health plans and supporting 1M+ providers nationwide
  • 99% Provider Satisfaction and 97% Member Satisfaction
  • 30%+ In Home Assessment completion rates, even in complex populations
  • Clinically led, quality-first organization with standardized visits and strong QA
  • Technology-enabled workflows and structured training from day one

Why You'll Like This Role

  • Paid training and standardized onboarding
  • ~$100 per completed visit + mileage reimbursement
  • Most providers complete 4-5 visits per day, based on availability
  • Visits ready to schedule immediately
  • Choose your own weekday availability
  • Dedicated coordinators, scheduling, and tech support
  • Predictable workflows with clinical and operational support

What You'll Do

  • Conduct in-home Annual Wellness Visits and chronic condition assessments
  • Perform focused histories, physical exams, vitals, medication reviews, and screenings
  • Complete screenings including:
    • Hemoglobin A1C
    • Spirometry
    • KED (Kidney Health Evaluation)
    • DRE (Diabetic Retinal Exam)
    • FIT (Fecal Immunochemical Test)
  • Educate members on preventive care and chronic disease management
  • Document visits in the EMR to support value-based care and risk adjustment
  • Operate within NP or PA scope of practice and state regulatory guidelines

All assessments are standardized, with full training, equipment guidance, and EMR support provided.

Important Role Expectations

This is a 1099 PRN role requiring consistency and reliability:

  • Maintain ongoing monthly availability
  • Be responsive during onboarding and scheduling
  • Honor confirmed visits and assignments
  • Work independently and professionally in the field
  • Minimum commitment: ~30 hours per month, ongoing (Not intended for casual or short-term engagement)
  • Travel daily within a ~55-mile radius of the assigned county
  • Adhere to state-specific supervision or collaboration requirements (for PAs where applicable)

Qualifications

  • Active, unencumbered NP or PA license in the applicable state
  • Ability to practice within applicable state guidelines, including supervision / collaboration requirements (for PAs)
  • 3+ years of patient care experience preferred
  • Comfortable with EMR systems and independent field-based work
  • In-home or risk adjustment experience preferred
  • Willing to obtain additional licensure if needed (supported by Advantmed)

What Advantmed Offers

  • Competitive per-visit compensation
  • Paid mileage
  • Flexible, provider-driven scheduling
  • Pre-scheduled appointments with confirmation support
  • Dedicated coordinator and clinical escalation support
  • Modern, technology-enabled documentation workflows


Requirements

Benefits

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