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Medicare Risk Assessment Jobs in Kentucky (NOW HIRING)

CVS Health Corporation

$100 - $232/hr

## Lead Director, Medicare Advantage and Group ACA Risk Adjustment InformaticsApplyremote type ... Monitor regulatory and industry changes, assess business impact, and ensure timely implementation ...

Chamber Cardio

$180 - $250/hr

Own compliance strategy and risk assessment for the business, including entity structure ... Build out our government programs compliance capability, including Medicare marketing and member ...

Humana Inc

Compliance Lead (Pharmacy)

Louisville, KY · On-site

$115 - $158/hr

... of risk assessments, with latitude in shaping annual work plans to audit and monitor pharmacy performance of areas within the scope of the position for Medicare Parts B and D.* Complete work ...

Apex Systems

$85 - $110/hr

The role involves performing risk assessments, overseeing the privacy program, and ensuring ... Knowledge of Medicare and Medicaid programs. Work Environment The team operates in a collaborative ...

New

Luro Health Inc.

$152 - $172/hr

Provide clinical escalation support for complex psychiatric cases, including risk assessment ... Experience with Medicaid and Medicare populations and integrated behavioral health care models ...

Humana Inc

$129 - $178/hr

... Medicare Advantage and Prescription Drug Plan (PDP) lines of business through financial planning, risk assessment, and comprehensive trend analytics. This newly created role is designed to address ...

ISHE

$100 - $232/hr

Assess performance against operational and organizational objectives, including appropriate ... Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models ...

Colorado Psychiatric

$100 - $232/hr

Assess performance against operational and organizational objectives, including appropriate ... Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models ...

Advantmed

$117 - $143/hr

In this role, you will perform in-home wellness visits and risk adjustment assessments for Medicare and other eligible patient populations. Your work will contribute to accurate clinical ...

Preferred Podiatry Group

Podiatrist

Bowling Green, KY · On-site

$22 - $30.25/hr

Assess, diagnose, and treat foot and lower limb conditions * Deliver preventive care for high-risk ... Participate in Medicare quality programs to ensure top-tier care * Document clinical encounters in ...

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All JobsMedicare Risk Assessment JobsMedicare Risk Assessment Jobs in Kentucky

Medicare Risk Assessment information

See Kentucky salary details

$17

$33

$58

How much do medicare risk assessment jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for medicare risk assessment in Kentucky is $33.60, according to ZipRecruiter salary data. Most workers in this role earn between $20.67 and $47.16 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 Kentucky?

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

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

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

Medicare Risk Assessment jobs near you
Infographic showing various Medicare Risk Assessment job openings in Kentucky as of August 2026, with employment types broken down into 50% As Needed, and 50% Contract. Highlights an 100% In-person job distribution, with an average salary of $69,881 per year, or $33.6 per hour.

Health Risk Assessments - Nurse Practitioner (NP)

National Recruiters

Pikeville, KY

Per diem

Posted 22 days ago

Job description

Flexible PRN Opportunity for Nurse Practitioners – Health Risk Assessments

We’re looking for Nurse Practitioners (NPs) interested in a flexible PRN role conducting in-home Health Risk Assessments (HRAs) for Medicare Advantage members. This is a great way to supplement your income, work autonomously, and make a real difference in patient care, without the responsibilities of ongoing treatment.

What makes this role stand out:

  • Create your schedule with an 8-day monthly minimum
  • Competitive pay with added performance incentives
  • No prescribing, no on-call shifts, and no follow-ups
  • Simple, user-friendly documentation using a company-provided iPad
  • Malpractice insurance and collaborating physicians included

What you’ll do:

  • Complete comprehensive in-home HRAs for Medicare Advantage patients
  • Review each patient’s medical history, current medications, lifestyle, and key social factors
  • Conduct basic physical and mental health evaluations
  • Share preventive care education—no ongoing management required
  • Travel locally to patients in your county and nearby areas

What we’re looking for:

  • Active NP license (excluding Pediatrics, PMHNP and Women’s Health specialties)
  • Minimum availability of eight (8) full 7.5-hour days per month
  • Willingness to travel within roughly 60 minutes of your home

Additional info:

  • As a 1099 contractor, you may deduct $0.725/mile in 2026 (check with your tax advisor)
  • Streamlined documentation with our proprietary EMR system
  • Quick onboarding—you could be up and running in 3 to 4 weeks

Interested?
Send your resume to apply. This is a great opportunity for independent, motivated clinicians who want to earn extra income while maintaining a flexible schedule.

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