... OIG, Medicare, Medicaid, NGS, Commercial Insurers, etc). • Assists with review and/or ... annual and ongoing risk assessments to develop and revise the Revenue Compliance Work Plan.
... OIG, Medicare, Medicaid, NGS, Commercial Insurers, etc). • Assists with review and/or ... annual and ongoing risk assessments to develop and revise the Revenue Compliance Work Plan.
Project Manager
Rockville, CT · On-site
$79 - $81/hr
Department of Health and Human Services (HHS) - Office of Medicare Hearings and Appeals (OMHA ... risk analysis, or similar modernization assessments. * Strong Federal project management ...
New
Project Manager
Rockville, CT · On-site
$79 - $81/hr
Department of Health and Human Services (HHS) - Office of Medicare Hearings and Appeals (OMHA ... risk analysis, or similar modernization assessments. * Strong Federal project management ...
New
Our APP provides equitable and effective value-based healthcare to local Medicare patient ... Risk Assessments (HRAs). (preferred) * Bilingual: Spanish Speaking For more information contact ...
Our APP provides equitable and effective value-based healthcare to local Medicare patient ... Risk Assessments (HRAs). (preferred) * Bilingual: Spanish Speaking For more information contact ...
Nurse Practitioner - Family Practice/Primary Care job available in New Haven, Connecticut
$120K - $140K/yr
Our APP provides equitable and effective value-based healthcare to local Medicare patient ... Risk Assessments (HRAs). (preferred) * Bilingual: Spanish Speaking For more information contact ...
Nurse Practitioner - Family Practice/Primary Care job available in New Haven, Connecticut
$120K - $140K/yr
Our APP provides equitable and effective value-based healthcare to local Medicare patient ... Risk Assessments (HRAs). (preferred) * Bilingual: Spanish Speaking For more information contact ...
Nurse Practitioner Opportunity in New Haven, CT making $140k + Bonus
New Haven, CT · On-site
$120K - $140K/yr
Our APP provides equitable and effective value-based healthcare to local Medicare patient ... Risk Assessments (HRAs). (preferred) * Bilingual: Spanish Speaking For more information contact ...
Quick apply
Nurse Practitioner Opportunity in New Haven, CT making $140k + Bonus
New Haven, CT · On-site
$120K - $140K/yr
Our APP provides equitable and effective value-based healthcare to local Medicare patient ... Risk Assessments (HRAs). (preferred) * Bilingual: Spanish Speaking For more information contact ...
Nurse Practitioner Opportunity in New Haven, CT making $140k + Bonus
New Haven, CT · On-site
$120K - $140K/yr
Our APP provides equitable and effective value-based healthcare to local Medicare patient ... Risk Assessments (HRAs). (preferred) Bilingual: Spanish Speaking For more information contact:
Nurse Practitioner Opportunity in New Haven, CT making $140k + Bonus
New Haven, CT · On-site
$120K - $140K/yr
Our APP provides equitable and effective value-based healthcare to local Medicare patient ... Risk Assessments (HRAs). (preferred) Bilingual: Spanish Speaking For more information contact:
Per Diem Occupational Therapist
Waterbury, CT · On-site
$80 - $100/hr
Perform home safety and fall-risk assessments, recommending environmental modifications Education ... Ensure documentation supports medical necessity and meets Medicare/payer and agency standards
Per Diem Occupational Therapist
Waterbury, CT · On-site
$80 - $100/hr
Perform home safety and fall-risk assessments, recommending environmental modifications Education ... Ensure documentation supports medical necessity and meets Medicare/payer and agency standards
Nurse Practitioner
Waterbury, CT · On-site
$95K - $206K/yr
... care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse ... Administer annual wellness visits and health risk assessments, which require a holistic view of ...
Nurse Practitioner
Waterbury, CT · On-site
$95K - $206K/yr
... care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse ... Administer annual wellness visits and health risk assessments, which require a holistic view of ...
Per Diem Occupational Therapist
Waterbury, CT · On-site
$80 - $100/hr
Perform home safety and fall-risk assessments, recommending environmental modifications Education ... Ensure documentation supports medical necessity and meets Medicare/payer and agency standards
Per Diem Occupational Therapist
Waterbury, CT · On-site
$80 - $100/hr
Perform home safety and fall-risk assessments, recommending environmental modifications Education ... Ensure documentation supports medical necessity and meets Medicare/payer and agency standards
Per Diem Occupational Therapist
New Haven, CT · On-site
$80 - $100/hr
Perform home safety and fall-risk assessments, recommending environmental modifications Education ... Ensure documentation supports medical necessity and meets Medicare/payer and agency standards
Quick apply
Per Diem Occupational Therapist
New Haven, CT · On-site
$80 - $100/hr
Perform home safety and fall-risk assessments, recommending environmental modifications Education ... Ensure documentation supports medical necessity and meets Medicare/payer and agency standards
Per Diem Occupational Therapist
Waterbury, CT · On-site
$80 - $100/hr
Perform home safety and fall-risk assessments, recommending environmental modifications Education ... Ensure documentation supports medical necessity and meets Medicare/payer and agency standards
Per Diem Occupational Therapist
Waterbury, CT · On-site
$80 - $100/hr
Perform home safety and fall-risk assessments, recommending environmental modifications Education ... Ensure documentation supports medical necessity and meets Medicare/payer and agency standards
Preferred experience working in Value Based Care or Population Health including documenting and coding from a MA (Medicare Advantage) risk perspective and conducting Health Risk Assessments on high ...
Preferred experience working in Value Based Care or Population Health including documenting and coding from a MA (Medicare Advantage) risk perspective and conducting Health Risk Assessments on high ...
Preferred experience working in Value Based Care or Population Health including documenting and coding from a MA (Medicare Advantage) risk perspective and conducting Health Risk Assessments on high ...
Preferred experience working in Value Based Care or Population Health including documenting and coding from a MA (Medicare Advantage) risk perspective and conducting Health Risk Assessments on high ...
Preferred experience working in Value Based Care or Population Health including documenting and coding from a MA (Medicare Advantage) risk perspective and conducting Health Risk Assessments on high ...
Preferred experience working in Value Based Care or Population Health including documenting and coding from a MA (Medicare Advantage) risk perspective and conducting Health Risk Assessments on high ...
Preferred experience working in Value Based Care or Population Health including documenting and coding from a MA (Medicare Advantage) risk perspective and conducting Health Risk Assessments on high ...
Preferred experience working in Value Based Care or Population Health including documenting and coding from a MA (Medicare Advantage) risk perspective and conducting Health Risk Assessments on high ...
Nurse Practitioner, Advanced Practice Provider
New Haven, CT · On-site
$95K - $206K/yr
... care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse ... Administer Annual wellness visits and health risk assessments, which require a holistic view of ...
Nurse Practitioner, Advanced Practice Provider
New Haven, CT · On-site
$95K - $206K/yr
... care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse ... Administer Annual wellness visits and health risk assessments, which require a holistic view of ...
Value-Based Primary Care NP -- Outpatient Team Lead
New Haven, CT · On-site
$95.74 - $206.21/hr
... care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse ... Administer Annual wellness visits and health risk assessments, which require a holistic view of ...
Value-Based Primary Care NP -- Outpatient Team Lead
New Haven, CT · On-site
$95.74 - $206.21/hr
... care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse ... Administer Annual wellness visits and health risk assessments, which require a holistic view of ...
Nurse Practitioner, Advanced Practice Provider
New Haven, CT · On-site
$95K - $206K/yr
... care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse ... Administer Annual wellness visits and health risk assessments, which require a holistic view of ...
Nurse Practitioner, Advanced Practice Provider
New Haven, CT · On-site
$95K - $206K/yr
... care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse ... Administer Annual wellness visits and health risk assessments, which require a holistic view of ...
Nurse Practitioner
Waterbury, CT · On-site
$95K - $206K/yr
... care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse ... Administer Annual wellness visits and health risk assessments, which require a holistic view of ...
Nurse Practitioner
Waterbury, CT · On-site
$95K - $206K/yr
... care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse ... Administer Annual wellness visits and health risk assessments, which require a holistic view of ...
Nurse Practitioner
Waterbury, CT · On-site
$95K - $206K/yr
... care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse ... Administer Annual wellness visits and health risk assessments, which require a holistic view of ...
Nurse Practitioner
Waterbury, CT · On-site
$95K - $206K/yr
... care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse ... Administer Annual wellness visits and health risk assessments, which require a holistic view of ...
Medicare Risk Assessment information
See Connecticut salary details
$21.97 is the 25th percentile. Wages below this are outliers.
$18.98 - $23.10
34% of jobs
The median wage is $25.67 / hr.
$23.10 - $27.21
25% of jobs
$27.21 - $31.33
0% of jobs
$31.33 - $35.44
0% of jobs
$35.44 - $39.56
6% of jobs
$39.56 - $43.68
2% of jobs
$43.68 - $47.79
5% of jobs
$49.16 is the 75th percentile. Wages above this are outliers.
$47.79 - $51.91
6% of jobs
$51.91 - $56.02
8% of jobs
$56.02 - $60.14
10% of jobs
$60.14 - $64.26
2% of jobs
$18
$36
$64
How much do medicare risk assessment jobs pay per hour?
As of Aug 22, 2026, the average hourly pay for medicare risk assessment in Connecticut is $36.80, according to ZipRecruiter salary data. Most workers in this role earn between $22.64 and $51.68 per hour, depending on experience, location, and employer.
What is a Medicare Risk Assessment?
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.
What are popular job titles related to Medicare Risk Assessment jobs in Connecticut?
For Medicare Risk Assessment jobs in Connecticut, the most frequently searched job titles are:
What job categories do people searching Medicare Risk Assessment jobs in Connecticut look for?
The top searched job categories for Medicare Risk Assessment jobs in Connecticut are:
Full-time
Re-posted 20 days ago
Job description
Work where every moment matters.
Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.
The Coding & Documentation Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Coding & Documentation Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional , facility (inpatient and outpatient), home health and skilled nursing facilities. Responsibilities include but, are not limited to the following:
• Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director.
• Maintains organized files to support audit observations and drafts related audit reports in accordance with agreed upon standards in a timely manner.
• Collaborates with business owner to develop agreed-upon action plans to address findings identified during an audit.
• Communicates audit results and corrective action plans to audit stakeholders. Monitors progress of corrective actions and provides status reports to leadership. Independently validates that corrective action plans are implemented as intended.
• Stays up to date on documentation, coding and billing regulations and requirements via professional organizations and through independent research and education on payor rules, requirements and regulatory guidelines (HHS/OIG, Medicare, Medicaid, NGS, Commercial Insurers, etc).
• Assists with review and/or investigation of Compliance Line reports as requested by the Manager or Director.
• Assists with the development and revision of HHC and Department Policies and Procedures.
• Participates in the annual and ongoing risk assessments to develop and revise the Revenue Compliance Work Plan.
Qualifications:
Education:
Experience:
We take great care of careers.
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment
Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.
The Coding & Documentation Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Coding & Documentation Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional , facility (inpatient and outpatient), home health and skilled nursing facilities. Responsibilities include but, are not limited to the following:
• Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director.
• Maintains organized files to support audit observations and drafts related audit reports in accordance with agreed upon standards in a timely manner.
• Collaborates with business owner to develop agreed-upon action plans to address findings identified during an audit.
• Communicates audit results and corrective action plans to audit stakeholders. Monitors progress of corrective actions and provides status reports to leadership. Independently validates that corrective action plans are implemented as intended.
• Stays up to date on documentation, coding and billing regulations and requirements via professional organizations and through independent research and education on payor rules, requirements and regulatory guidelines (HHS/OIG, Medicare, Medicaid, NGS, Commercial Insurers, etc).
• Assists with review and/or investigation of Compliance Line reports as requested by the Manager or Director.
• Assists with the development and revision of HHC and Department Policies and Procedures.
• Participates in the annual and ongoing risk assessments to develop and revise the Revenue Compliance Work Plan.
Qualifications:
Education:
- Bachelor's Degree Required
Experience:
- A minimum of two (2) years of health care compliance experience, preferably in a large Healthcare system setting or in a consulting capacity.
- Certified Professional Coder (CPC) certification strongly preferred
Knowledge, Skills and Ability Requirements : - Experience performing provider documentation and coding audits
- Hands-on auditing of E/M services and professional claims
- Experience validating charges against medical records
- Strong knowledge of Medicare/Medicaid, CPT, and ICD-10
- Experience in physician billing or revenue integrity
We take great care of careers.
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment
About Hartford HealthCare at Home
Sourced by ZipRecruiter
Hartford HealthCare at Home, based in Wethersfield, Connecticut, US, is a premier provider in the healthcare industry, specifically in home-based care services. Their official website can be accessed at hartfordhealthcareathome.org. They offer a wide range of services including nursing, physical therapy, occupational therapy, speech therapy, social work, and home health aid. The company was established with the mission to enhance the capability of people to achieve optimal health and wellbeing through its home care services. They maintain a patient-centric approach and belief in making a real difference in people's lives. As an integral part of Hartford HealthCare, they share the vision to be “most trusted for personalized coordinated care”.
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Wethersfield, CT, US