You will connect Medicare Risk Adjustment business leaders, analytics resources, and IT delivery ... You will apply technical understanding and consultative skills to translate and prioritize business ...
You will connect Medicare Risk Adjustment business leaders, analytics resources, and IT delivery ... You will apply technical understanding and consultative skills to translate and prioritize business ...
You will connect Medicare Risk Adjustment business leaders, analytics resources, and IT delivery ... You will apply technical understanding and consultative skills to translate and prioritize business ...
You will connect Medicare Risk Adjustment business leaders, analytics resources, and IT delivery ... You will apply technical understanding and consultative skills to translate and prioritize business ...
You will connect Medicare Risk Adjustment business leaders, analytics resources, and IT delivery ... You will apply technical understanding and consultative skills to translate and prioritize business ...
You will connect Medicare Risk Adjustment business leaders, analytics resources, and IT delivery ... You will apply technical understanding and consultative skills to translate and prioritize business ...
You will connect Medicare Risk Adjustment business leaders, analytics resources, and IT delivery ... You will apply technical understanding and consultative skills to translate and prioritize business ...
You will connect Medicare Risk Adjustment business leaders, analytics resources, and IT delivery ... You will apply technical understanding and consultative skills to translate and prioritize business ...
... Medicare Risk Adjustment environment Certified Risk Adjustment Coder (CRC) or similar. Possess strong critical thinking and analytical skills and an extensive, in-depth knowledge of the HCC Risk ...
... Medicare Risk Adjustment environment Certified Risk Adjustment Coder (CRC) or similar. Possess strong critical thinking and analytical skills and an extensive, in-depth knowledge of the HCC Risk ...
Review and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness ... Education: High School or Equivalent Experience: 2-5 years of risk adjustment coding, E/M ...
Review and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness ... Education: High School or Equivalent Experience: 2-5 years of risk adjustment coding, E/M ...
Risk Adjustment Auditor Educator
$56K - $101K/yr
... of Medicare risk adjustment (HCC Coding) Required Other experience in teaching, training or an educator/instructor role required; but provider education experience is preferred Preferred Other ...
Risk Adjustment Auditor Educator
$56K - $101K/yr
... of Medicare risk adjustment (HCC Coding) Required Other experience in teaching, training or an educator/instructor role required; but provider education experience is preferred Preferred Other ...
Risk Adjustment & Coding Educator
Indiana, PA · Remote
$25 - $28.25/hr
... Medicare Risk Adjustment environment Certified Risk Adjustment Coder (CRC) or similar. Possess strong critical thinking and analytical skills and an extensive, in-depth knowledge of the HCC Risk ...
Risk Adjustment & Coding Educator
Indiana, PA · Remote
$25 - $28.25/hr
... Medicare Risk Adjustment environment Certified Risk Adjustment Coder (CRC) or similar. Possess strong critical thinking and analytical skills and an extensive, in-depth knowledge of the HCC Risk ...
$56K - $101K/yr
... of Medicare risk adjustment (HCC Coding) required. * Other experience in teaching, training or an educator/instructor role required; but provider education experience is preferred. * Other managed ...
$56K - $101K/yr
... of Medicare risk adjustment (HCC Coding) required. * Other experience in teaching, training or an educator/instructor role required; but provider education experience is preferred. * Other managed ...
Review and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness ... High School Experience: 2-5 years of risk adjustment coding, E/M, procedures and diagnosis ...
Review and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness ... High School Experience: 2-5 years of risk adjustment coding, E/M, procedures and diagnosis ...
Remote HCC medical coder
Philadelphia, PA · Remote
$20 - $23/hr
M-F Day-to-Day Responsibilities Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives.
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Remote HCC medical coder
Philadelphia, PA · Remote
$20 - $23/hr
M-F Day-to-Day Responsibilities Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives.
REMOTE HCC Coder
Denver, CO · Remote
$18 - $25/hr
Perform accurate HCC risk adjustment coding for Medicare populations * Review and code medical records in accordance with ICD and risk adjustment guidelines * Meet established quality standards and ...
Quick apply
REMOTE HCC Coder
Denver, CO · Remote
$18 - $25/hr
Perform accurate HCC risk adjustment coding for Medicare populations * Review and code medical records in accordance with ICD and risk adjustment guidelines * Meet established quality standards and ...
Auditor, ACO Coding
$26 - $29.75/hr
... Medicare Risk Adjustment. You implement ongoing quality improvement activities to assure the Medicare Risk score meets all requirements and act as a consulting MRA advisor to the practices you ...
Auditor, ACO Coding
$26 - $29.75/hr
... Medicare Risk Adjustment. You implement ongoing quality improvement activities to assure the Medicare Risk score meets all requirements and act as a consulting MRA advisor to the practices you ...
Auditor, ACO Coding
Miami, FL · On-site
$26 - $29.75/hr
... Medicare Risk Adjustment. You implement ongoing quality improvement activities to assure the Medicare Risk score meets all requirements and act as a consulting MRA advisor to the practices you ...
Auditor, ACO Coding
Miami, FL · On-site
$26 - $29.75/hr
... Medicare Risk Adjustment. You implement ongoing quality improvement activities to assure the Medicare Risk score meets all requirements and act as a consulting MRA advisor to the practices you ...
Hcc Coders
Charlotte, NC · Remote
$18 - $21/hr
Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. Responsible for coding 2 Charts per hour.
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Hcc Coders
Charlotte, NC · Remote
$18 - $21/hr
Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. Responsible for coding 2 Charts per hour.
Senior Manager, Risk Adjustment
Pasadena, CA · On-site
$100K - $150K/yr
The Sr. Risk Adjustment Manager is responsible for leading and optimizing risk adjustment ... V28), RxHCC methodology for Medicare Part D, and HHS-HCC annual model recalibrations, including ...
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Senior Manager, Risk Adjustment
Pasadena, CA · On-site
$100K - $150K/yr
The Sr. Risk Adjustment Manager is responsible for leading and optimizing risk adjustment ... V28), RxHCC methodology for Medicare Part D, and HHS-HCC annual model recalibrations, including ...
Remote HCC Medical Coder
Texas City, TX · Remote
$20 - $23/hr
Medicare HCC experience is required * ICD 10 experience * 2 years' experience as a risk adjustment coder * CCS certified (AHIMA) or CPC certified (AAPC) Plusses * Exposure to Medicaid HCC Coding
Quick apply
Remote HCC Medical Coder
Texas City, TX · Remote
$20 - $23/hr
Medicare HCC experience is required * ICD 10 experience * 2 years' experience as a risk adjustment coder * CCS certified (AHIMA) or CPC certified (AAPC) Plusses * Exposure to Medicaid HCC Coding
Senior Risk Adjustment Analyst Senior Risk Adjustment (RA) Analyst assists in accurate and comprehensive data submission to regulatory entities such as the Centers for Medicare & Medicaid Services ...
Senior Risk Adjustment Analyst Senior Risk Adjustment (RA) Analyst assists in accurate and comprehensive data submission to regulatory entities such as the Centers for Medicare & Medicaid Services ...
The Sr. Director, Risk Adjustment Data & Analytics (Remote) is a senior technical and operational leader responsible for advancing the integrity, completeness, and strategic value of Medicare Risk ...
The Sr. Director, Risk Adjustment Data & Analytics (Remote) is a senior technical and operational leader responsible for advancing the integrity, completeness, and strategic value of Medicare Risk ...
Medicare Risk Adjustment Consultant information
See salary details
$90K - $93.8K
5% of jobs
$93.8K - $97.5K
7% of jobs
$97.5K - $101.3K
6% of jobs
$104.6K is the 25th percentile. Wages below this are outliers.
$101.3K - $105.1K
7% of jobs
$105.1K - $108.9K
6% of jobs
$108.9K - $112.6K
7% of jobs
$112.6K - $116.4K
6% of jobs
The median wage is $118.6K / yr.
$116.4K - $120.2K
7% of jobs
$120.2K - $124K
8% of jobs
$124K - $127.7K
8% of jobs
$128.4K is the 75th percentile. Wages above this are outliers.
$127.7K - $131.5K
30% of jobs
$90K
$116.5K
$131.5K
How much do medicare risk adjustment consultant jobs pay per year?
What are popular job titles related to Medicare Risk Adjustment Consultant jobs?
For Medicare Risk Adjustment Consultant jobs, the most frequently searched job titles are:
Risk Adjustment Lead - Platform Product Owner
Remote
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
Humana rating
8.0
Based on 267 frontline employees who took The Breakroom Quiz
Job description
This is a remote position.
You will connect Medicare Risk Adjustment business leaders, analytics resources, and IT delivery teams to maximize Risk Adjustment platform and technical portfolio value. You will apply technical understanding and consultative skills to translate and prioritize business needs into technical requirements that drive measurable outcomes. You will guide platform enhancements, identify opportunities, and escalate Risk Adjustment insights that may affect Stars.
You will exercise independent judgment, manage competing priorities, drive initiatives, and navigate technical budgeting processes that will deliver Risk Adjustment value. This position reports to the Director, Risk Management & Compliance.
Use your skills to make an impact
Required Qualifications
- Bachelor's degree in a related field.
- 3+ years of experience in system migrations, technical operations, or Agile product ownership.
- Experience developing business cases and quantifiable value assessments.
- Ability to translate complex business needs into technical requirements.
Preferred Qualifications
- Advanced degree in a related field.
- Knowledge of Medicare Risk Adjustment or Medicare Advantage regulations.
- Experience with ADO or Jira.
- Experience with epics, features, user stories, and acceptance criteria.
- Six Sigma certification.
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 09-04-2026About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
About Humana
Sourced by ZipRecruiter
Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Louisville, KY, US
Year founded
1961