ZipRecruiter

Log In

1

Medicare Risk Assessment Jobs in Illinois (NOW HIRING)

Sinai Chicago

Director of Risk Management

Chicago, IL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Conduct annual enterprise-wide risk assessments and recommend corrective action plans. * Develop ... Medicare and Medicaid regulations * Healthcare accreditation standards * Non-discrimination and ...

Sinai Chicago

Director of Risk Management

Chicago, IL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Conduct annual enterprise-wide risk assessments and recommend corrective action plans. * Develop ... Medicare and Medicaid regulations * Healthcare accreditation standards * Non-discrimination and ...

next page

Showing results 1-20

All JobsMedicare Risk Assessment JobsMedicare Risk Assessment Jobs in Illinois

Medicare Risk Assessment information

See Illinois salary details

$19

$37

$65

How much do medicare risk assessment jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for medicare risk assessment in Illinois is $37.48, according to ZipRecruiter salary data. Most workers in this role earn between $23.08 and $52.64 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 Illinois?

For Medicare Risk Assessment jobs in Illinois, the most frequently searched job titles are:

What job categories do people searching Medicare Risk Assessment jobs in Illinois look for?

The top searched job categories for Medicare Risk Assessment jobs in Illinois are:

Medicare Risk Assessment jobs near you
Infographic showing various Medicare Risk Assessment job openings in Illinois as of August 2026, with employment types broken down into 2% As Needed, 84% Full Time, and 14% Part Time. Highlights an 83% In-person, 6% Hybrid, and 11% Remote job distribution, with an average salary of $77,967 per year, or $37.5 per hour.

Director of Risk Management

Sinai Chicago

Chicago, IL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 9 days ago

Sinai Chicago rating

7.8

Company rating: 7.8 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

Job description

About Us
At Sinai Chicago, we take health care personally. Excellence in health care is about more than medicine, technology, tests, and treatments. It is about caring for people with dignity and respect. We are dedicated to providing exceptional care for our patients, supporting our community, and creating meaningful opportunities for our team members.
Position Summary
Sinai Chicago is seeking an experienced Director of Risk Management to lead and oversee the organization's comprehensive risk management program. Reporting directly to the General Counsel, this leadership role is responsible for safeguarding Sinai Health System's assets, operations, and reputation through proactive risk assessment, loss prevention, insurance management, litigation oversight, and regulatory compliance initiatives.
The Director of Risk Management will collaborate closely with executive leadership, operational departments, legal counsel, compliance teams, and clinical stakeholders to identify, evaluate, and mitigate organizational risks while supporting the Enterprise Risk Management (ERM) strategy.
Key Responsibilities
  • Develop, implement, and administer a system-wide Risk Management Program.
  • Analyze risk data, identify trends, and develop mitigation strategies to reduce organizational exposure.
  • Lead insurance and risk financing programs, including policy management and claims oversight.
  • Oversee litigation management in partnership with legal counsel and external stakeholders.
  • Conduct annual enterprise-wide risk assessments and recommend corrective action plans.
  • Develop and facilitate risk management education and training programs for staff and leadership.
  • Partner with executive leadership to support strategic risk management initiatives.
  • Provide guidance on regulatory, compliance, and risk-related matters affecting the organization.
  • Collaborate with the Chief Compliance Officer and Enterprise Risk Counsel to execute the Enterprise Risk Management Plan.
  • Participate in the development and review of organizational policies, procedures, and programs.
  • Maintain current knowledge of federal, state, and local healthcare regulations, accreditation standards, and industry best practices.
  • Foster strong relationships with internal and external stakeholders, including insurance carriers, legal partners, clinical leaders, and professional organizations.
  • Perform additional duties as assigned.
Qualifications
Required
  • Minimum of 3 years of healthcare experience in a healthcare setting.
  • Strong understanding of healthcare operations and risk management principles.
  • Excellent verbal, written, analytical, and problem-solving skills.
  • Demonstrated business acumen with the ability to balance strategic objectives and operational needs.
  • Ability to assess risk and recommend effective mitigation strategies.
  • Proficiency in Microsoft Office Suite, including Word, Excel, Outlook, and PowerPoint.
Preferred
  • Experience in healthcare risk management.
  • Experience managing insurance programs and litigation matters.
  • Working knowledge of federal and state healthcare regulations, including:
    • HIPAA Privacy and Security requirements
    • Medicare and Medicaid regulations
    • Healthcare accreditation standards
    • Non-discrimination and regulatory compliance requirements
Ideal Candidate
The successful candidate will be a strategic and collaborative leader who can navigate complex healthcare environments, influence decision-making, and drive risk reduction initiatives across the organization. They will possess strong relationship-building skills, sound judgment, and the ability to communicate effectively with executives, physicians, clinical teams, and external partners.
Work Environment
  • General office environment.
  • Moderate noise level.
  • Occasional travel throughout the health system may be required.
Physical Requirements
  • Regularly required to sit, communicate, and utilize standard office equipment.
  • Occasionally required to stand and move throughout facilities.
  • Ability to lift and/or move up to 25 pounds occasionally.
  • Requires close vision, distance vision, and the ability to adjust focus.
Exposure Classification
Blood-Borne Pathogen Exposure Category 3
This position does not involve routine exposure to blood, body fluids, non-intact skin, or tissue specimens and does not require participation in emergency medical care or first aid activities.
Benefits
Sinai Chicago offers a comprehensive benefits package that may include:
  • Medical, Dental, and Vision Coverage
  • Prescription Drug Coverage
  • Health Savings Account (HSA)
  • Flexible Spending Account (FSA)
  • Employer-Paid Life Insurance and AD&D
  • Supplemental Life Insurance
  • Short-Term and Long-Term Disability
  • Employee Assistance Program (EAP)
  • Student Loan Assistance Program
  • Retirement and Additional Wellness Benefits

Eligibility for certain benefit programs may be based on scheduled hours worked and completion of applicable waiting periods.
Our Values
Teamwork
  • Collaborate effectively to create an inclusive and supportive workplace.

Respect
  • Treat every individual with dignity, fairness, and appreciation for their unique contributions.

Quality
  • Commit to continuous improvement, learning, and excellence in patient care.

Integrity
  • Demonstrate honesty, accountability, and ethical decision-making.

Safety
  • Promote a safe environment for patients, visitors, and colleagues.

Role Model
  • Lead by example and champion organizational values in every interaction.
Join Sinai Chicago
If you are a strategic healthcare leader with a passion for risk management, compliance, and organizational excellence, we encourage you to apply and help us continue our mission of delivering compassionate, high-quality care to the communities we serve.

What Sinai Chicago employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Sinai Chicago logo

About Sinai Chicago

Sourced by ZipRecruiter

Sinai Chicago is an integral part of the healthcare industry, established to provide quality and accessible healthcare for the Chicago, IL, US community. The organization operates across various healthcare sectors including teaching, research, and providing clinical care. Since its inception in 1919, Sinai Chicago has been resolute in improving the health of the people and communities it serves, with a focus on delivering value-based care to areas with pressing health needs. The core values of Sinai Chicago include respect, integrity, teamwork, accountability, and quality. The company's mission and commitment lie in nurturing healthier communities through the provision of accessible, quality healthcare.

Industry

Health care and social assistance and hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Chicago, IL, US

View All Sinai Chicago Jobs

Apply