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Manager Hcc Risk Adjustment Jobs in Virginia (NOW HIRING)

Director, Actuarial

Norfolk, VA · On-site

$120 - $150/hr

... Risk Adjustment, and Clinical teams to drive enterprise value and support SHP's growth strategy. Core Responsibilities 1. Government Programs Pricing & Financial Management * Lead end-to-end pricing ...

Crisis Management: Maintain situational awareness of crises in order to support crisis management ... If you require any reasonable adjustments to be made in order to participate fully in the interview ...

Crisis Management: Maintain situational awareness of crises in order to support crisis management ... If you require any reasonable adjustments to be made in order to participate fully in the interview ...

Crisis Management: Maintain situational awareness of crises in order to support crisis management ... If you require any reasonable adjustments to be made in order to participate fully in the interview ...

Finance Tutor

Charlottesville, VA · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Virginia Beach, VA · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Norfolk, VA · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Leesburg, VA · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Richmond, VA · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Fairfax, VA · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Salem, VA · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Showing results 41-60

Manager Hcc Risk Adjustment information

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 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 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 most commonly searched types of Hcc Risk Adjustment jobs in Virginia?

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

What job categories do people searching Manager Hcc Risk Adjustment jobs in Virginia look for?

The top searched job categories for Manager Hcc Risk Adjustment jobs in Virginia are:

What cities in Virginia are hiring for Manager Hcc Risk Adjustment jobs?

Cities in Virginia with the most Manager Hcc Risk Adjustment job openings:

Infographic showing various Manager Hcc Risk Adjustment job openings in Virginia as of August 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 74% In-person, and 26% Remote job distribution.

Sr. Risk Manager, Leo Global Service Compliance

Amazon

Arlington, VA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 14 days ago


Amazon rating

7.4

Company rating: 7.4 out of 10

Based on 7,151 frontline employees who took The Breakroom Quiz

5th of 39 rated national retailers


Job description

We are seeking a Sr. Risk Manager to own and mature the risk, controls, and compliance framework within Amazon Leo's Global Service Compliance (GSC) organization, with a focus on Network and Security compliance obligations. Amazon Leo is an initiative to launch a constellation of Low Earth Orbit satellites that will provide low-latency, high-speed broadband connectivity to unserved and underserved communities around the world.
We are seeking a Sr. Risk Manager to own and mature the risk and controls framework within our regulatory security and network compliance portfolio. This leader will identify, assess, and mitigate security and compliance risks across regulated product and service lines by designing scalable control environments, driving continuous risk monitoring, and ensuring adherence to applicable regulatory obligations. This individual will assess complex, competing priorities across security and network controls, regulatory obligations, and business timelines; making informed trade-offs that balance compliance rigor with operational agility. The role requires deep expertise in building risk-based control structures within highly regulated environments, partnering with security engineering, legal, and compliance teams to embed proactive risk management into operational processes. The ideal candidate brings a strong foundation in regulatory frameworks, control design and testing, and the ability to translate complex risk landscapes into actionable mitigation strategies and executive-ready reporting. We are looking for someone who is enthusiastic about technology, enjoys being continually challenged, and demonstrates sound judgment even in ambiguous situations.
Key job responsibilities
* Creating and implementing a compliance control framework and owning the end-to-end internal control lifecycle for Network and Security compliance domains.
* Determine appropriate testing cadence for controls, executing testing, completing quality reviews, and preparing performance reports to clearly communicate results to leadership.
* Developing and continuously improving strategies to identify ineffective controls and create solutions that are scalable and right-sized.
* Engage with internal teams and external stakeholders to proactively define and implement mitigations.
* Use high judgement to provide recommendations to the organization to solve ambiguous, complex business problems.
* Evaluate competing demands across internal control workstreams, regulatory timelines, and business objectives. Frame trade-offs clearly for leadership, recommend risk acceptance or mitigation paths, and document residual risk decisions with appropriate escalation.
Export Control Requirement
Due to applicable export control laws and regulations, candidates must be a U.S. citizen or national, U.S. permanent resident (i.e., current Green Card holder), or lawfully admitted into the U.S. as a refugee or granted asylum.
About the team
Leo Global Service Compliance (GSC) manages the implementation and execution of compliance obligations that exist because Leo operates as a communications service provider. These compliance obligations are derived from various sources including license conditions, license commitments, and statutory obligations that may be borne out of regulation, orders, and extra-judicial actions and cover a wide variety of subject matter areas including (but not limited to) consumer protection, privacy, network sovereignty and security, law enforcement requests, regulatory fees, network performance and availability, and marketing/advertising.
BASIC QUALIFICATIONS
- Experience in understanding performance metrics and developing them to measure progress against key performance indicators
- Experience leading enterprise-level governance, risk and compliance (GRC) programs.
- Experience assessing risk, internal controls, and compliance obligations
- Experience owning end-to-end internal control lifecycle for Network and Security compliance domains.
- 6+ years of compliance, audit or risk management experience
PREFERRED QUALIFICATIONS
- Experience dealing well with ambiguity, prioritizing needs, and delivering measurable results in an agile environment
- Experience working within a technology or telecommunications organization.
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
The base salary range for this position is listed below. Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final compensation will be determined based on factors including experience, qualifications, and location. Amazon also offers comprehensive benefits including health insurance (medical, dental, vision, prescription, Basic Life & AD&D insurance and option for Supplemental life plans, EAP, Mental Health Support, Medical Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave. Learn more about our benefits at https://amazon.jobs/en/benefits.
USA, VA, Arlington - 121,200.00 - 163,900.00 USD annually
USA, WA, BELLEVUE - 121,200.00 - 163,900.00 USD annually

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About Amazon

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Amazon.com, Inc., commonly known as Amazon, is an American multinational technology company. It was founded by Jeff Bezos in 1994 and initially started as an online marketplace for books. Since then, Amazon has expanded its operations and become one of the largest e-commerce companies in the world. Amazon's primary business is its online retail platform, where customers can purchase a vast array of products, including electronics, clothing, books, home goods, and much more. The company offers a convenient and user-friendly shopping experience, with features such as fast shipping, customer reviews, and personalized recommendations. In addition to its e-commerce platform, Amazon has diversified its business into various other areas. One of its notable ventures is Amazon Web Services (AWS), a comprehensive cloud computing platform that provides services such as storage, compute power, and database management to individuals and businesses. AWS has become a leader in the cloud computing industry, powering many websites and applications worldwide. Amazon has also developed its own consumer electronics, including the popular Amazon Kindle e-reader, Fire tablets, Fire TV streaming devices, and the Alexa-powered Echo smart speakers. The Alexa voice assistant, integrated into these devices, allows users to interact with their devices using voice commands, perform tasks, and access information. Furthermore, Amazon has expanded into media and entertainment. It operates Prime Video, a streaming service that offers a wide range of movies, TV shows, and original content. Amazon Music provides a platform for streaming and purchasing digital music, while Audible offers audiobooks and other audio content. The company's commitment to customer satisfaction and convenience is demonstrated by its membership program, Amazon Prime. Prime members receive various benefits, including free two-day shipping, access to streaming services, exclusive deals, and more.

Industry

It services, book publishers, retail, real estate, computer and electronic product manufacturing and software development

Company size

10,000+ Employees

Headquarters location

Seattle, WA, US