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Medicare Risk Adjustment Jobs in Michigan (NOW HIRING)

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Medicare Risk Adjustment information

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$11

$19

$34

How much do medicare risk adjustment jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for medicare risk adjustment in Michigan is $19.54, according to ZipRecruiter salary data. Most workers in this role earn between $14.04 and $23.65 per hour, depending on experience, location, and employer.

What are jobs in Medicare Risk Adjustment?

Jobs in Medicare risk adjustment include work in data analytics, consulting, insurance, and closely related industries. Your duties and responsibilities differ depending on the type of work. For example, as a Medicare risk-adjustment consultant, you provide advice and recommendations to healthcare organizations or an insurance provider on how to mitigate risk across a customer pool. Data analytics and statistics specialists gather and analyze insurance and Medicare data and documentation from hospitals, healthcare providers, and other medical care facilities that accept Medicare. This includes reviewing different types of diagnosis and comparing patient chart information. Some health care providers have in-house risk adjustment workers, while others contract with outside consulting and analytics firms.

What is the difference between Medicare Risk Adjustment vs Medicare Coding Specialist?

AspectMedicare Risk AdjustmentMedicare Coding Specialist
Primary FocusAssessing patient health risk scores for reimbursementAccurately coding medical diagnoses and procedures
Required CredentialsCertifications in risk adjustment or coding, often CPC or RHITCertifications like CPC, CCS, or RHIT
Work EnvironmentHealth plans, risk adjustment companies, healthcare providersHospitals, clinics, billing departments
Industry UsageUsed for Medicare Advantage plan reimbursementsUsed for medical billing and claims processing

While both roles involve healthcare coding and require similar certifications, Medicare Risk Adjustment focuses on evaluating patient health data to determine reimbursement levels, whereas Medicare Coding Specialists concentrate on accurately coding diagnoses and procedures for billing purposes.

What is Medicare Risk Adjustment?

Medicare Risk Adjustment is a process used by the Centers for Medicare & Medicaid Services (CMS) to adjust payments to Medicare Advantage plans based on the health status and demographic characteristics of their enrolled beneficiaries. The goal is to ensure that plans receive appropriate compensation for taking care of members with varying levels of health risk. This system uses diagnosis codes and other data to predict future healthcare costs, encouraging plans to provide comprehensive care and accurately document patient conditions.

What are some common challenges faced by professionals working in Medicare Risk Adjustment roles?

Professionals in Medicare Risk Adjustment often encounter challenges such as staying current with frequently changing CMS regulations, ensuring the accurate capture and documentation of patient diagnoses, and collaborating effectively with providers to optimize risk scores. The role requires meticulous attention to detail when reviewing medical records and coding, as well as strong communication skills to educate and support healthcare teams. Additionally, there can be pressure to meet strict deadlines for data submission and to ensure compliance with audit standards.

What are the key skills and qualifications needed to thrive in Medicare Risk Adjustment?

To excel in Medicare Risk Adjustment, you need a solid understanding of medical coding (especially ICD-10), healthcare regulations, and risk adjustment methodologies, often supported by credentials like CRC or CPC certifications. Familiarity with data analytics platforms, EHR systems, and specialized risk adjustment software is typically required. Strong attention to detail, analytical thinking, and effective communication are crucial soft skills for interpreting complex clinical data and collaborating across teams. These competencies ensure accurate risk scores, compliance with CMS requirements, and optimal financial outcomes for healthcare organizations.
More about Medicare Risk Adjustment jobs
What are the most commonly searched types of Medicare Risk Adjustment jobs in Michigan? The most popular types of Medicare Risk Adjustment jobs in Michigan are:
What are popular job titles related to Medicare Risk Adjustment jobs in Michigan? For Medicare Risk Adjustment jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Medicare Risk Adjustment jobs in Michigan look for? The top searched job categories for Medicare Risk Adjustment jobs in Michigan are:
Medicare Risk Adjustment jobs near you
Infographic showing various Medicare Risk Adjustment job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 9% Part Time, 1% Temporary, and 4% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $40,645 per year, or $19.5 per hour.

Nurse Practitioner (PRN) - Health Risk Assessments

Hueman Risk Adjustment Solutions

Ishpeming, MI • On-site

Contractor

Posted 13 days ago

Job description

Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Ishpeming, MI.  

This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms, all while enjoying a schedule designed with your preferences in mind. Whether it be for supplemental income or the desire for community connection, this position invites you to become an integral part of the thriving HRA landscape, fostering connections that go beyond the clinic. 

Benefits include:   

  • Competitive compensation and travel reimbursement  
  • Flexible schedule 
  • Comprehensive home assessment training 
  • Dedicated patient scheduling assistance 
  • Liability insurance options 

Position Summary 

Qualified Nurse Practitioners interested in this position will have the opportunity to interact with members in a more intimate setting. Unlike a typical clinic visit, this role allows NPs to connect with patients on a more personal and effective level. Nurse Practitioners performing HRAs are not required to treat or prescribe in the home.  

Nurse Practitioner Responsibilities 

  • Travel to and from patients’ homes. 
  • Perform comprehensive, non-invasive physical assessments. 
  • Review medical history and ensure accurate and timely documentation.  
  • Conduct medical reconciliation to ensure patient safety and compliance. 
  • Provide basic patient education on wellness and preventative healthcare measures.  

Nurse Practitioner Qualifications and Experience Requirements:  

  • Master’s Degree OR commensurate experience and satisfactory completion of NP license 
  • Active State NP license 
  • Active National board certification 
  • Current BLS certification 
  • 12 months of experience as a paid advanced clinical provider is preferred but not required 

To learn more about this position, please use this link to schedule a call with a member of our recruitment team.  
About Hueman 

At Hueman, we're dedicated to guiding you toward fulfilling career opportunities.  

We believe that happiness should be a fundamental part of every role in risk assessment. Our opportunities provide flexibility, extra income, and integration into your local healthcare network. If this resonates with your idea of career satisfaction, allow us to assist you in discovering your next healthcare position! 

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