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Permanent Hcc Risk Adjustment Jobs in Decatur, GA

Milliman

Business Development Executive (MedInsight)

Atlanta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...

Tokio Marine HCC

Associate Sales Representative

Kennesaw, GA · On-site

$74K - $112K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... adjustments, where applicable. The pay range is the range THMCC, in good faith, believes is ... HCC. Applying our Mind Over Risk philosophy to writing insurance allows our customers to take on ...

Hiscox

VP, Practice Leader - Cyber & Tech E&O

Atlanta, GA

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Permanent Build a brilliant future with Hiscox VP, Practice Leader - Cyber & Tech E&O Reports to ... pricing adjustments and developing and underwriting adjustments. * Set individual risk ...

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All JobsPermanent Hcc Risk Adjustment JobsPermanent Hcc Risk Adjustment Jobs in Decatur, GA

Permanent Hcc Risk Adjustment information

See Decatur, GA salary details

$63.5K

$105.8K

$142.1K

How much do permanent hcc risk adjustment jobs pay per year?

As of Aug 17, 2026, the average yearly pay for permanent hcc risk adjustment in Decatur, GA is $105,769.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,100.00 and $127,900.00 per year, depending on experience, location, and employer.

What is the difference between Permanent Hcc Risk Adjustment vs Permanent Hcc Risk Adjustment?

AspectPermanent Hcc Risk Adjustment

It appears there is a duplication in the comparison question. Assuming the intended comparison is between Permanent Hcc Risk Adjustment and Hcc Coding Specialist, here is the comparison:

AspectPermanent Hcc Risk Adjustment

Permanent Hcc Risk Adjustment involves analyzing and managing patient data to ensure accurate risk scores for insurance purposes, requiring knowledge of medical coding, risk models, and healthcare regulations. An Hcc Coding Specialist focuses on assigning correct diagnosis codes to patient records, often working in similar environments with certifications like CPC. Both roles are essential in healthcare reimbursement and share similar credentials, work settings, and industry usage, but the Risk Adjustment role emphasizes data analysis and risk management, while Coding Specialists focus on accurate coding documentation.

What are popular job titles related to Permanent Hcc Risk Adjustment jobs in Decatur, GA?

For Permanent Hcc Risk Adjustment jobs in Decatur, GA, the most frequently searched job titles are:

What job categories do people searching Permanent Hcc Risk Adjustment jobs in Decatur, GA look for?

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Cities near Decatur, GA with the most Permanent Hcc Risk Adjustment job openings:

Permanent Hcc Risk Adjustment jobs near you
Infographic showing various Permanent Hcc Risk Adjustment job openings in Decatur, GA as of July 2026, with employment types broken down into 86% Full Time, 8% Part Time, and 6% Contract. Highlights an 77% In-person, and 23% Remote job distribution, with an average salary of $105,769 per year, or $50.9 per hour.

Business Analyst with Risk Adjustment (Payor) || 1099 only || Need USC or GC only

Pantar Solutions inc

Atlanta, GA • On-site

Contractor

Re-posted 14 days ago

Job description

We are an Information Technology and Business Consulting firm specializing in Project-based Solutions and Professional Staffing Services. Please have a look at below position which is with our Client and let me know your interest ASAP. I would really appreciate if you could send me your MOST RECENT UPDATED RESUME: 

Title: Business Analyst – Risk Adjustment (Payor)

Location: Richmond or Atlanta  – Hybrid role

Long Term Contract || 1099 only || Need USC or GC only

Need strong Business Analyst – Risk Adjustment (Payor) with  risk adjustment analytics in a healthcare payer environment (Medicare Advantage, ACA (HIX/Exchange), or Medicaid), SQL, Excel, data visualization tools (Tableau/Power BI/SAS), healthcare data formats (claims, encounters, EMR, lab, and eligibility), regulatory processes (CMS, HHS, EDGE server, RADV/IVA audits), HCC coding models (CMS-HCC, HHS-HCC), ICD-10 codes, and claims data Exp.

Consultant LinkedIn profile must have been created before 2018/2019

Need 8-10+yrs of IT Exp. Profiles

Job Summary:Client is seeking a highly analytical and motivated Business Analyst – Risk Adjustment to support risk adjustment operations and data analytics initiatives. This role is critical in helping ensure accurate and compliant capture of risk adjustment data for government-sponsored programs such as Medicare Advantage and ACA (HIX/Exchange). The candidate will play a key role in translating business needs into technical solutions, driving insights, and enabling optimized risk scoring strategies.
Key Responsibilities:

  • Analyze and interpret risk adjustment data (claims, encounters, chart reviews, HCCs) to identify trends, data quality issues, and improvement opportunities.

  • Collaborate with stakeholders across actuarial, clinical coding, IT, and compliance teams to support risk score accuracy.

  • Translate regulatory and business requirements into user stories or functional specifications for data/reporting solutions.

  • Support CMS/HHS risk adjustment submission processes including EDGE server management and encounter reconciliation.

  • Assist in development and enhancement of dashboards/reports for risk score monitoring, suspecting models, and provider performance.

  • Monitor and interpret changes in CMS/HHS risk adjustment guidelines and apply to internal business processes.

  • Participate in audit support (e.g., RADV, IVA) and validation of risk adjustment data submissions.

  • Act as liaison between technical teams and business stakeholders to ensure delivery of actionable and scalable solutions.

Qualifications:

  • Bachelor's degree in Healthcare Administration, Business, Analytics, or related field (Master’s preferred).

  • 8+ years of experience in risk adjustment analytics in a healthcare payer environment (Medicare Advantage, Medicaid, or ACA).

  • Strong knowledge of HCC models (CMS-HCC, HHS-HCC), ICD-10 coding, and risk adjustment methodologies.

  • Experience with healthcare data formats: claims, encounters, EMR, lab, and eligibility.

  • Proficiency in SQL and Excel; experience with BI tools like Power BI, Tableau, or SAS preferred.

  • Familiarity with regulatory processes (CMS, HHS, EDGE server, RADV/IVA audits).

Preferred Skills:

  • Knowledge of data and reporting tools, including Cognos or Watson Health platforms.

  • Experience in Agile environments; ability to write and manage JIRA user stories and tasks.

  • Strong communication and stakeholder engagement skills across technical and business teams.

 
Thanks & Regards,
 
Babu