$126.50 - $148.50/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 ...
$126.50 - $148.50/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 ...
$126.50 - $148.50/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 ...
$240 - $270/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 ...
New
$240 - $270/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 ...
New
$78 - $169/hr
... care to adults on Medicare to keep them happy, healthy, and out of the hospital. Physician ... Administer Annual wellness visits and health risk assessments, which require a holistic view of ...
$78 - $169/hr
... care to adults on Medicare to keep them happy, healthy, and out of the hospital. Physician ... Administer Annual wellness visits and health risk assessments, which require a holistic view of ...
Lexington, KY · On-site
$95K - $148K/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 ...
Lexington, KY · On-site
$95K - $148K/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 ...
Lexington, KY · On-site
$95K - $148K/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 ...
Lexington, KY · On-site
$95K - $148K/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 ...
Louisville, KY · On-site
$78K - $168K/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 ...
Louisville, KY · On-site
$78K - $168K/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 ...
Louisville, KY · On-site
$78K - $168K/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 ...
Louisville, KY · On-site
$78K - $168K/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 ...
Louisville, KY · On-site
$78K - $168K/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 ...
Louisville, KY · On-site
$78K - $168K/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 ...
Lexington, KY · On-site
$95K - $148K/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 ...
Lexington, KY · On-site
$95K - $148K/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 ...
Louisville, KY · On-site
$240K - $270K/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 ...
Louisville, KY · On-site
$240K - $270K/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 ...
Lexington, KY · On-site
$78K - $168K/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 ...
Lexington, KY · On-site
$78K - $168K/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 ...
Eastwood, KY · On-site
$78K - $168K/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 ...
Eastwood, KY · On-site
$78K - $168K/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 ...
$240K - $270K/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 ...
$240K - $270K/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 ...
$186 - $279/hr
Oversee validation processes for all commercial, Managed Care, PBM, and Medicare/Medicaid rebate ... Standardize audit protocols and risk-assessment matrices to determine which payer accounts require ...
$186 - $279/hr
Oversee validation processes for all commercial, Managed Care, PBM, and Medicare/Medicaid rebate ... Standardize audit protocols and risk-assessment matrices to determine which payer accounts require ...
Conduct regular, structured business reviews with accounts to assess reimbursement performance ... Proactively identify at-risk accounts (e.g., high denial rates, low utilization due to access ...
Conduct regular, structured business reviews with accounts to assess reimbursement performance ... Proactively identify at-risk accounts (e.g., high denial rates, low utilization due to access ...
$120 - $140/hr
... risk assessments, and go/no-go recommendations * Identify production defect leakage patterns and ... updates, or Medicare/Medicaid programsProficiency in test management tools (JIRA, Zephyr, ALM ...
$120 - $140/hr
... risk assessments, and go/no-go recommendations * Identify production defect leakage patterns and ... updates, or Medicare/Medicaid programsProficiency in test management tools (JIRA, Zephyr, ALM ...
$36 - $44/hr
Works with multiple other MDS nurses to complete the initial assessments for new admissions ... Attends the IDT Medicare meeting (understands skilled criteria) and Medicaid meeting to collaborate ...
$36 - $44/hr
Works with multiple other MDS nurses to complete the initial assessments for new admissions ... Attends the IDT Medicare meeting (understands skilled criteria) and Medicaid meeting to collaborate ...
Completes utilization review activities including visit utilization, LUPA risk, recertification ... Ensures assessments are completed, corrected and submitted within required CMS timeframes.
Completes utilization review activities including visit utilization, LUPA risk, recertification ... Ensures assessments are completed, corrected and submitted within required CMS timeframes.
Completes utilization review activities including visit utilization, LUPA risk, recertification ... Ensures assessments are completed, corrected and submitted within required CMS timeframes.
Completes utilization review activities including visit utilization, LUPA risk, recertification ... Ensures assessments are completed, corrected and submitted within required CMS timeframes.
$75 - $105/hr
Demonstrates a working knowledge of managed care and Medicare health plans as well as reimbursement ... The CM will be responsible for integrating the assessment of the need for post-hospital services ...
$75 - $105/hr
Demonstrates a working knowledge of managed care and Medicare health plans as well as reimbursement ... The CM will be responsible for integrating the assessment of the need for post-hospital services ...
$20.06 is the 25th percentile. Wages below this are outliers.
$17.33 - $21.09
34% of jobs
The median wage is $23.44 / hr.
$21.09 - $24.84
25% of jobs
$24.84 - $28.60
0% of jobs
$28.60 - $32.36
0% of jobs
$32.36 - $36.12
6% of jobs
$36.12 - $39.88
2% of jobs
$39.88 - $43.63
5% of jobs
$44.89 is the 75th percentile. Wages above this are outliers.
$43.63 - $47.39
6% of jobs
$47.39 - $51.15
8% of jobs
$51.15 - $54.91
10% of jobs
$54.91 - $58.67
2% of jobs
$17
$33
$58
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.
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.
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.
For Medicare Risk Assessment jobs in Kentucky, the most frequently searched job titles are:
The top searched job categories for Medicare Risk Assessment jobs in Kentucky are:

$126.50 - $148.50/hr
Other
Medical, Dental, Vision, Retirement, PTO
Posted 10 days ago
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.
Title: Nurse Practitioner, Advanced Practice ProviderCompany: Oak Street Health
Location: 4600 Capital Blvd, Raleigh, NC 27604
Salary: $126,500 - $148,500 *Wider range available depending on experience and location
Role Description:The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse Practitioners see patients independently and collaborate with physicians, depending on the patient's specific situation. Nurse Practitioners provide longitudinal care and build meaningful patient relationships; this creates trust and helps our patients understand and feel connected to their care plan. Nurse Practitioners practice in our outpatient practices on a collaborative care team composed of a physician, nurse practitioner or physician assistant, medical assistants, a dedicated medical scribe, and support from registered nurses and care managers. We partner with a network of elite specialists and hospitals for specialty and acute care. As such, our healthcare providers can focus on care within the clinic: primary care, care coordination, and population health.
This role reports to the Center Medical Director and works closely with operational leadership.
Core Responsibilities:40
Time TypeFull time
Pay RangeThe typical pay range for this role is:
$87,035.00 - $187,460.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great peopleWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 08/31/2027
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.