... risk adjustment and quality analytics, cost-of-care analysis, growth strategy, and the optimization ... Experience with database coding via SQL, Teradata or Python * Experience in segmentation analysis ...
... risk adjustment and quality analytics, cost-of-care analysis, growth strategy, and the optimization ... Experience with database coding via SQL, Teradata or Python * Experience in segmentation analysis ...
Medicaid Actuarial Manager
Atlanta, GA · On-site
Experience with risk adjustment mechanisms * Experience with Provider reimbursement streams (i.e., DSH, UPL, etc.) * Experience with health care reform and working knowledge of the individual medical ...
Medicaid Actuarial Manager
Atlanta, GA · On-site
Experience with risk adjustment mechanisms * Experience with Provider reimbursement streams (i.e., DSH, UPL, etc.) * Experience with health care reform and working knowledge of the individual medical ...
Actuarial Consultant
Atlanta, GA · On-site
Experience with risk adjustment mechanisms * Experience with provider reimbursement streams ... Requisition code: 357216 Job ID 357216
Actuarial Consultant
Atlanta, GA · On-site
Experience with risk adjustment mechanisms * Experience with provider reimbursement streams ... Requisition code: 357216 Job ID 357216
Coding Provider Liaison
Atlanta, GA · Remote
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Quick apply
Coding Provider Liaison
Atlanta, GA · Remote
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Professional Coding Auditor & Educator
Atlanta, GA · Remote
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Quick apply
Professional Coding Auditor & Educator
Atlanta, GA · Remote
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Risk Manager
Atlanta, GA · On-site
... company's health and objectives by following PC's risk management strategies, policies, and ... necessary adjustments such as limit increases and policy extensions. * Oversee and maintain ...
Risk Manager
Atlanta, GA · On-site
... company's health and objectives by following PC's risk management strategies, policies, and ... necessary adjustments such as limit increases and policy extensions. * Oversee and maintain ...
See for the purposes of reading laws and codes, rules and policies, and other printed matter ... Health Insurance * Health savings account * Life Insurance * Paid time off * Professional ...
Quick apply
See for the purposes of reading laws and codes, rules and policies, and other printed matter ... Health Insurance * Health savings account * Life Insurance * Paid time off * Professional ...
Deploy a proven risk-based model to ensure health equity and health equality leveraging proprietary ... risk adjustment. * Current state medical license without restrictions to practice and free of ...
New
Deploy a proven risk-based model to ensure health equity and health equality leveraging proprietary ... risk adjustment. * Current state medical license without restrictions to practice and free of ...
New
Professional Coding Auditor & Educator
Atlanta, GA · On-site
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Professional Coding Auditor & Educator
Atlanta, GA · On-site
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Actuarial Consultant
Atlanta, GA · On-site
... risk adjustment * Support business development efforts for Federal and State governments, employer groups, and other public entities * Participate in the transformation of the health care sector ...
Actuarial Consultant
Atlanta, GA · On-site
... risk adjustment * Support business development efforts for Federal and State governments, employer groups, and other public entities * Participate in the transformation of the health care sector ...
Coding Provider Liaison
Atlanta, GA · Remote
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Coding Provider Liaison
Atlanta, GA · Remote
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Professional Coding Auditor & Educator
Atlanta, GA · Remote
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Professional Coding Auditor & Educator
Atlanta, GA · Remote
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Professional Coding Auditor & Educator
Atlanta, GA · Remote
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Professional Coding Auditor & Educator
Atlanta, GA · Remote
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Professional Coding Auditor & Educator
Atlanta, GA · Remote
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Professional Coding Auditor & Educator
Atlanta, GA · Remote
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Professional Coding Auditor & Educator
Atlanta, GA · On-site
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Professional Coding Auditor & Educator
Atlanta, GA · On-site
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Professional Coding Auditor & Educator
Atlanta, GA · On-site
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Professional Coding Auditor & Educator
Atlanta, GA · On-site
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Upperline Health Plus Nurse Practitioner Opportunity Acworth GA | Value-Based Care
Acworth, GA · On-site
Upperline Health providers coordinate patients' care among a team of specialists - physicians ... Complete accurate and timely documentation according to risk adjustment standards per education ...
Upperline Health Plus Nurse Practitioner Opportunity Acworth GA | Value-Based Care
Acworth, GA · On-site
Upperline Health providers coordinate patients' care among a team of specialists - physicians ... Complete accurate and timely documentation according to risk adjustment standards per education ...
Professional Coding Auditor & Educator
Atlanta, GA · On-site
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Professional Coding Auditor & Educator
Atlanta, GA · On-site
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Professional Coding Auditor & Educator
Atlanta, GA · On-site
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Professional Coding Auditor & Educator
Atlanta, GA · On-site
$26 - $29.50/hr
Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...
Upperline Health Nurse Practitioner Opportunity Austell, GA | Value Based Medicine Sign on Bonus Ava
Austell, GA · On-site
$92K - $125K/yr
Upperline Health providers coordinate patients' care among a team of specialists - physicians ... Complete accurate and timely documentation according to risk adjustment standards per education ...
Upperline Health Nurse Practitioner Opportunity Austell, GA | Value Based Medicine Sign on Bonus Ava
Austell, GA · On-site
$92K - $125K/yr
Upperline Health providers coordinate patients' care among a team of specialists - physicians ... Complete accurate and timely documentation according to risk adjustment standards per education ...
Optum Health Coding Risk Adjustment information
See Dallas, GA salary details
$13.90 - $15.75
4% of jobs
$15.75 - $17.61
10% of jobs
$17.61 - $19.47
11% of jobs
$19.51 is the 25th percentile. Wages below this are outliers.
$19.47 - $21.32
22% of jobs
The median wage is $21.83 / hr.
$21.32 - $23.18
12% of jobs
$23.18 - $25.03
11% of jobs
$26.05 is the 75th percentile. Wages above this are outliers.
$25.03 - $26.89
11% of jobs
$26.89 - $28.75
10% of jobs
$28.75 - $30.60
5% of jobs
$30.60 - $32.46
3% of jobs
$32.46 - $34.31
2% of jobs
$13
$23
$34
How much do optum health coding risk adjustment jobs pay per hour?
What are the typical daily responsibilities of an Optum Health Coding Risk Adjustment specialist?
On a daily basis, Optum Health Coding Risk Adjustment specialists review medical records to identify and accurately code diagnoses, ensuring completeness and compliance with risk adjustment requirements. They collaborate closely with clinical teams and other coders to clarify documentation and resolve discrepancies. The role often involves conducting chart audits, submitting coding queries, and staying updated on the latest coding guidelines and regulatory changes. Attention to deadlines and maintaining data quality are key parts of the job, making it both detail-oriented and highly collaborative.
What is an Optum Health Coding Risk Adjustment job?
An Optum Health Coding Risk Adjustment job involves reviewing medical records to assign appropriate diagnosis codes that impact risk adjustment programs. These coders ensure accurate documentation of chronic conditions to support healthcare reimbursement models. They work with providers to improve coding accuracy and compliance with regulatory guidelines. Strong knowledge of ICD-10-CM coding, risk adjustment models, and healthcare regulations is essential.
What are the key skills and qualifications needed to thrive in the Optum Health Coding Risk Adjustment position, and why are they important?
To thrive as an Optum Health Coding Risk Adjustment professional, you need a strong understanding of ICD-10-CM coding, risk adjustment methodologies, and medical terminology, often supported by certifications like CPC, CRC, or CCS-P. Familiarity with electronic medical record (EMR) systems, coding software, and compliance tools is essential. Attention to detail, analytical thinking, and effective communication are valuable soft skills in this role. These competencies ensure accurate coding, regulatory compliance, and optimal risk adjustment, directly impacting healthcare quality and reimbursement.
Actuarial Consultant - Social, Healthcare and Public Entities
Atlanta, GA • On-site
Full-time
This job post has expired today. Applications are no longer accepted.
McKinsey & Company rating
8.5
Based on 22 frontline employees who took The Breakroom Quiz
15th of 58 rated business consultants
Job description
YOUR IMPACT
You will leverage your actuarial expertise, industry experience, and analytical skills to help clients solve some of healthcare's most complex challenges.
Working as part of client service teams, you will develop innovative capabilities, generate actionable insights, and shape recommendations that drive meaningful improvements in organizational performance, affordability, and patient outcomes.
The Actuarial team is based across offices in North America and is part of our Social, Healthcare and Public Entities (SHaPE) practice, which supports stakeholders across the healthcare industry on strategy development and execution. The team includes more than a dozen actuaries with expertise across Commercial, Medicare, Medicaid, and other business segments, supporting profitability teardowns, risk adjustment and quality analytics, cost-of-care analysis, growth strategy, and the optimization of risk-based healthcare businesses.
You will work closely with clients as part of cross-functional teams to address critical strategic priorities and transform how decisions are made. By combining actuarial rigor, advanced analytics, and strategic problem solving, you will help healthcare organizations build lasting capabilities, accelerate growth, improve quality of care, and create greater value for the populations they serve.
YOUR GROWTH
Driving lasting impact and building long-term capabilities with our clients is not easy work. You are the kind of person who thrives in a high performance/high reward culture - doing hard things, picking yourself up when you stumble, and having the resilience to try another way forward.
In return for your drive, determination, and curiosity, we'll provide the resources, mentorship, and opportunities you need to become a stronger leader faster than you ever thought possible. Your colleagues-at all levels-will invest deeply in your development, just as much as they invest in delivering exceptional results for clients. Every day, you'll receive apprenticeship, coaching, and exposure that will accelerate your growth in ways you won't find anywhere else.
When you join us, you will have:
- Continuous learning: Our learning and apprenticeship culture, backed by structured programs, is all about helping you grow while creating an environment where feedback is clear, actionable, and focused on your development. The real magic happens when you take the input from others to heart and embrace the fast-paced learning experience, owning your journey.
- A voice that matters: From day one, we value your ideas and contributions. You'll make a tangible impact by offering innovative ideas and practical solutions, all while upholding our unwavering commitment to ethics and integrity. We not only encourage diverse perspectives, but they are critical in driving us toward the best possible outcomes.
- Global community: With colleagues across 65+ countries and over 100 different nationalities, our firm's diversity fuels creativity and helps us come up with the best solutions for our clients. Plus, you'll have the opportunity to learn from exceptional colleagues with diverse backgrounds and experiences.
- World-class benefits: On top of a competitive salary (based on your location, experience, and skills), we provide a comprehensive benefits package to enable holistic well-being for you and your family.
YOUR QUALIFICATIONS AND SKILLS
- University degree with excellent academic record
- ASA or FSA designation
- 5+ years of work experience driving business results
- Health insurance experience is highly preferred
- Experience with database coding via SQL, Teradata or Python
- Experience in segmentation analysis and world-class product pricing
- Demonstrated ability to apply analytic approaches (e.g., actuarial, statistical, data) to create meaningful and measurable business impact
- Strong project management skills; flexibility and ability to manage multiple assignments in a dynamic, complex and fast-paced environment
- Proven record of leadership
- Ability to work collaboratively in a team environment; ability to work effectively with people at all levels in an organization
- Willingness to travel (50-70%)
Please review the additional requirements regarding essential job functions of McKinsey colleagues.
Our unwavering commitment to integrity drives everything we do, guiding us to always act in the best interests of our clients, our people, and the communities we serve.
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