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Manager Hcc Risk Adjustment Jobs (NOW HIRING)

PedIM Healthcare

HCC Coder (Lecanto)

Lecanto, FL · On-site

$13.75 - $18.50/hr

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...

Molina Healthcare

VP, Risk Adjustment

Long Beach, CA

$137K - $184K/yr

Leads end-to-end program management for chart review initiatives, in-home assessments (IHA ... HCC) methodology, Medicaid risk adjustment guidelines, and ACA Marketplace risk adjustment ...

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All JobsManager Hcc Risk Adjustment Jobs

Manager Hcc Risk Adjustment information

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$23K

$61.4K

$102.5K

How much do manager hcc risk adjustment jobs pay per year?

As of Jun 23, 2026, the average yearly pay for manager hcc risk adjustment in the United States is $61,351.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,000.00 and $69,000.00 per year, depending on experience, location, and employer.

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, and why are they important?

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 are Manager HCC Risk Adjustment jobs?

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.
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Manager Hcc Risk Adjustment jobs near you
Infographic showing various Manager Hcc Risk Adjustment job openings in the United States as of June 2026, with employment types broken down into 96% Full Time, and 4% Contract. Highlights an 71% In-person, and 29% Remote job distribution, with an average salary of $61,351 per year, or $29.5 per hour.
Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid)

Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid)

UCLA Health

Los Angeles, CA • On-site

$208K/yr

Full-time

Posted 5 days ago

UCLA Health rating

8.7

Company rating: 8.7 out of 10

Based on 134 frontline employees who took The Breakroom Quiz

6th of 875 rated healthcare providers

Job description

General Information
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Work Location: Los Angeles, CA, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday -Friday, 7:00am-4:00pm PST, may require occasional weekends or evening hours
Posted Date
06/16/2026
Salary Range: $95400 - 208300 Annually
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
31257
Primary Duties and Responsibilities
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As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health plan. You will:
  • Conduct medical record audits for physicians (MD, DO, or NP) to ensure documentation and coding accuracy of ICD-10 CM codes related to chronic conditions
  • Analyze coding patterns within medical groups.
  • Provide customized education and updating educational materials for providers and medical groups.
  • Participate in additional audit activities for CMS RADV as needed, including retrospective chart reviews.
  • Travel to provider offices within Los Angeles area at least three days a week.

UCLA Health salary range for this title code is $95,400-208,300/annually. Please note that the department's target pay range is $95,400 - $120,000/annually.
Job Qualifications
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We are seeking a proactive, highly organized, detail-oriented individual with:
Required:
  • A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification
  • A Certified Risk Adjustment Coder (CRC)
  • Reliable transportation to conduct ongoing face-to-face interactions with providers in the Los Angeles area
  • Five or more years of experience with physician billing and/or coding
  • Three or more years of recent experience in CMS-HCC Risk Adjustment models V24 and V28
  • Three or more years of experience in providing education to clinical and non-clinical staff
  • Understanding of RADV and audit processes,
  • Detailed knowledge and understanding of ICD-10, CPT and CPT (II), and HCPCS coding systems
  • Knowledge of Medicare Advantage STARS/HEDIS program and NCQA technical specifications
  • Knowledge of HIPAA requirements, anatomy and physiology
  • Proficient in MS Word, Excel, PowerPoint and Outlook
  • Ability to work effectively with common office software, coding software, and EMR systems
  • Bachelor's degree (healthcare or relevant field) or equivalent experience/training

Preferred:
  • Six or more years of clinic or IPA and/or managed care experience
  • Knowledge of Medicare Advantage billing/claims submission and other related actions
  • Ability to work effectively with common office software, coding software, and EMR systems
  • Registered Nurse (RN) or clinical qualifications

Note: Skills may be subject to test.
As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Current/former UC employees are subject to a personnel file review.

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About UCLA Health

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UCLA Health, operating within the healthcare industry, is significantly recognized for its commitment to improving the health and wellbeing of people through the integration of patient care, research, and education. Located in Los Angeles, California, UCLA Health was founded and associated with the University of California, Los Angeles (UCLA) in 1955, entrenching its roots in quality healthcare service provision. Through a broad range of medical services, UCLA Health significantly stands as a cornerstone for comprehensive outpatient, inpatient, and emergency care services, specialized treatments, and wellness checks. Notable for pioneering an integrated, comprehensive medical approach, UCLA Health is consistently ranked among the top health systems in the US and world.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Los Angeles, CA, US

Year founded

1955

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