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Medicare Risk Adjustment Project Manager Jobs (NOW HIRING)

... Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. This role is ideal for coders with a strong background in risk adjustment, HCC ...

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.

Demonstrate mastery in running applicable risk models, including CMS models for Medicare Advantage ... Prepare new and review existing specifications, project plans and other internal procedural ...

Risk Adjustment Specialist

Birmingham, AL · On-site

$92K/yr

... Medicare & Medicaid Services (CMS). Other responsibilities include working suspect reports to ... This position will assist the Manager of Risk Adjustment with other projects as needed. Why VIVA ...

... Medicare & Medicaid Services (CMS). Other responsibilities include working suspect reports to ... This position will assist the Manager of Risk Adjustment with other projects as needed. Why VIVA ...

IL · On-site

$85K - $90K/yr

... strong project management skills, deep Medicare Advantage expertise, and a passion for coding ... Advanced knowledge of CMS-HCC risk adjustment methodology, ICD-10-CM coding guidelines, Medicare ...

Risk Adjustment Specialist

Birmingham, AL · On-site

$92K/yr

... Medicare & Medicaid Services (CMS). Other responsibilities include working suspect reports to ... This position will assist the Manager of Risk Adjustment with other projects as needed. Why VIVA ...

... strong project management skills, deep Medicare Advantage expertise, and a passion for coding ... Advanced knowledge of CMS-HCC risk adjustment methodology, ICD-10-CM coding guidelines, Medicare ...

Showing results 41-60

Medicare Risk Adjustment Project Manager information

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$108

How much do medicare risk adjustment project manager jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for medicare risk adjustment project manager in the United States is $60.70, according to ZipRecruiter salary data. Most workers in this role earn between $42.31 and $71.15 per hour, depending on experience, location, and employer.

What is a Medicare Risk Adjustment Project Manager?

A Medicare Risk Adjustment Project Manager oversees projects related to the Medicare risk adjustment process, which ensures that health plans are properly reimbursed based on the health status and demographic characteristics of their members. This role involves managing teams, coordinating data collection and analysis, ensuring compliance with federal regulations, and implementing process improvements. The project manager works closely with clinical, technical, and compliance teams to achieve accurate risk score submissions, ultimately impacting the financial performance of healthcare organizations.

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

To thrive as a Medicare Risk Adjustment Project Manager, you need a strong background in healthcare management, knowledge of HCC coding, and experience with Medicare regulations, typically supported by a relevant degree. Familiarity with risk adjustment analytics platforms, project management tools like MS Project or Jira, and certifications such as PMP or Lean Six Sigma are commonly required. Exceptional organizational skills, attention to detail, and strong communication help ensure effective coordination across clinical, operational, and data teams. These competencies are vital for optimizing risk adjustment processes, ensuring compliance, and driving successful project outcomes in a highly regulated environment.

What are some common challenges faced by Medicare Risk Adjustment Project Managers, and how can they be addressed?

Medicare Risk Adjustment Project Managers often face challenges such as ensuring accurate and timely data submission, navigating evolving CMS regulations, and coordinating efforts across multi-disciplinary teams. Addressing these challenges requires strong project management skills, attention to detail, and clear communication with both clinical and technical staff. Staying updated on regulatory changes and fostering a culture of collaboration can help streamline workflows and improve project outcomes.

What is the difference between Medicare Risk Adjustment Project Manager vs Medicare Data Analyst?

AspectMedicare Risk Adjustment Project ManagerMedicare Data Analyst
Primary RoleOversees risk adjustment projects, manages teams, ensures complianceAnalyzes Medicare data, identifies trends, supports risk adjustment strategies
Required SkillsProject management, regulatory knowledge, leadershipData analysis, statistical skills, Medicare data familiarity
Work EnvironmentHealthcare organizations, insurance companiesHealthcare analytics firms, insurance providers

The Medicare Risk Adjustment Project Manager focuses on managing risk adjustment projects and team coordination, while the Medicare Data Analyst specializes in analyzing Medicare data to inform risk strategies. Both roles require understanding Medicare regulations but differ in their primary responsibilities and skill sets.

What are popular job titles related to Medicare Risk Adjustment Project Manager jobs?

For Medicare Risk Adjustment Project Manager jobs, the most frequently searched job titles are:

Infographic showing various Medicare Risk Adjustment Project Manager job openings in the United States as of September 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $126,262 per year, or $60.7 per hour.

PBO Risk Adjustment Coding - BHC - FT - Finance/Accounting - Days

Fort Lauderdale, FL • On-site

Broward Health
Hospitals • 5 - 10K employees

Full-time

Re-posted 20 days ago


Broward Health rating

6.9

Company rating: 6.9 out of 10

Based on 91 frontline employees who took The Breakroom Quiz

452nd of 898 rated healthcare providers


Job description

Broward Health Corporate ISC
Shift: Shift 1
FTE: 1.000000
Requisition: 31881
Summary: Ensures procedures , E&M and diagnoses are coded as documented in the medical records according to ICD-10-CM, CPT-4, and HCPCS, in an effort to maintain accurate coding and obtain reimbursement, all within the professional coding guidelines, Centers for Medicare and Medicaid (CMS) guidelines and Broward Health policies. Review and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness Visits, Medicare Risk HRA/HCC Assessment forms, Medicare Advantage plans suspect HCC condition forms prior to submission to the payer.
Education: High School or Equivalent
Experience: 2-5 years of risk adjustment coding, E/M, procedures and diagnosis experience required
Credentials: Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC). Proficient in Microsoft Word, Excel and PowerPoint. Competent in Electronic Health Records, NextGen and Cerner experience preferred.
Visit us online at www.BrowardHealth.org or contact Talent Acquisition
*Bonus Exclusions may apply in accordance with policy HR-004-026
Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity or gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information or any other characteristic protected under applicable federal or state law.
At Broward Health, the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.

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About Broward Health

Sourced by ZipRecruiter

A career with Broward Health means endless opportunities to grow through a wide range of experiences across the healthcare system. You will be part of a team that is continually raising the bar for patient care. Our competitive benefits package includes healthcare coverage, a matching retirement program, pension plan, and wellness programs.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Lauderdale, FL, US

Year founded

1938