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How much do medicare risk assessment jobs pay per hour?

As of Jun 5, 2026, the average hourly pay for medicare risk assessment in the United States is $38.68, according to ZipRecruiter salary data. Most workers in this role earn between $23.80 and $54.33 per hour, depending on experience, location, and employer.

What is a Medicare Risk Assessment job?

A Medicare Risk Assessment job involves evaluating patients' health conditions to determine risk scores that impact Medicare Advantage plan reimbursements. Professionals in this role collect and analyze medical data, review patient histories, and ensure accurate coding of diagnoses. Their work helps healthcare providers and insurers understand patient risks and deliver appropriate care. Strong knowledge of ICD-10 coding, healthcare regulations, and medical terminology is essential for this role.

What are some common challenges faced in a Medicare Risk Assessment role?

One common challenge in Medicare Risk Assessment is staying up to date with frequently changing Medicare regulations and coding requirements, which directly affect risk scoring and patient documentation. Handling large volumes of patient data while ensuring accuracy and compliance can also be demanding, as errors may impact reimbursement and care outcomes. Collaboration with clinicians, billing teams, and administrators is often necessary to clarify complex cases and ensure complete, compliant documentation. Successfully navigating these challenges requires ongoing learning, keen attention to detail, and effective communication skills.

What are the key skills and qualifications needed to thrive in the Medicare Risk Assessment position, and why are they important?

To thrive in a Medicare Risk Assessment role, you need a strong understanding of healthcare regulations, Medicare guidelines, data analysis, and clinical assessment—often supported by a background in nursing, healthcare administration, or a related field. Proficiency with health risk assessment tools, electronic health records (EHRs), and data management systems is important, and certification such as Certified Risk Adjustment Coder (CRC) can be beneficial. Attention to detail, analytical thinking, and effective communication stand out as key soft skills in this position. These skills are crucial for accurately evaluating patient risk, ensuring compliance, and supporting optimal Medicare plan outcomes.

More about Medicare Risk Assessment jobs
What cities are hiring for Medicare Risk Assessment jobs? Cities with the most Medicare Risk Assessment job openings:
What states have the most Medicare Risk Assessment jobs? States with the most job openings for Medicare Risk Assessment jobs include:
What job categories do people searching Medicare Risk Assessment jobs look for? The top searched job categories for Medicare Risk Assessment jobs are:
Medicare Risk Assessment jobs near you
Infographic showing various Medicare Risk Assessment job openings in the United States as of May 2026, with employment types broken down into 3% As Needed, 84% Full Time, 10% Part Time, and 3% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $80,460 per year, or $38.7 per hour.
In-Home Field NP for Medicare Risk Assessments (PRN)

In-Home Field NP for Medicare Risk Assessments (PRN)

Advantmed

Portland, OR • On-site

Per diem

Posted 4 days ago

Job description

A healthcare provider is seeking a Nurse Practitioner to perform in-home wellness assessments for Medicare members and at-risk populations in the Portland area. This 1099 (PRN) position offers competitive pay per assessment, flexible scheduling, and opportunities for those balancing other commitments. Ideal candidates should have a valid NP license, experience in patient care, and a strong ability to work independently.

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