Risk adjustment is one of the highest-stakes and fastest-evolving areas in healthcare, where coding ... Reporting to the SVP of Sales & Growth and working alongside a peer group of BDEs, you will have ...
Risk adjustment is one of the highest-stakes and fastest-evolving areas in healthcare, where coding ... Reporting to the SVP of Sales & Growth and working alongside a peer group of BDEs, you will have ...
Medical Coder II
Lynn, MA · On-site
$19.25 - $25.75/hr
Certified Risk Coder (CRC) certificate referred * Experience/Education in ICD-9/ICD-10 Coding. HCC ... Serves as a resource for clinical teams to address risk adjustment and medical coding guidelines ...
Medical Coder II
Lynn, MA · On-site
$19.25 - $25.75/hr
Certified Risk Coder (CRC) certificate referred * Experience/Education in ICD-9/ICD-10 Coding. HCC ... Serves as a resource for clinical teams to address risk adjustment and medical coding guidelines ...
Medical Coder II
Lynn, MA · On-site
Certified Risk Coder (CRC) certificate referred * Experience/Education in ICD-9/ICD-10 Coding. HCC ... Serves as a resource for clinical teams to address risk adjustment and medical coding guidelines ...
Quick apply
Medical Coder II
Lynn, MA · On-site
Certified Risk Coder (CRC) certificate referred * Experience/Education in ICD-9/ICD-10 Coding. HCC ... Serves as a resource for clinical teams to address risk adjustment and medical coding guidelines ...
Manager, Revenue Cycle Management
$120K - $135K/yr
Experience with HCC coding, risk adjustment suspecting, and chart review workflows * Familiarity with AI applications in RCM and a genuine interest in applying them * Experience at a startup or high ...
Quick apply
Manager, Revenue Cycle Management
$120K - $135K/yr
Experience with HCC coding, risk adjustment suspecting, and chart review workflows * Familiarity with AI applications in RCM and a genuine interest in applying them * Experience at a startup or high ...
Specialist, Health Plan Provider Engagement - RADV (Remote in MA)
Waltham, MA · On-site
$40K - $46K/yr
... risk adjustment and quality initiatives. Please update your resume with any relevant RADV work or HCC Analytics experience. These pieces are important for this position. Essential Job Duties
Specialist, Health Plan Provider Engagement - RADV (Remote in MA)
Waltham, MA · On-site
$40K - $46K/yr
... risk adjustment and quality initiatives. Please update your resume with any relevant RADV work or HCC Analytics experience. These pieces are important for this position. Essential Job Duties
Senior Consultant - Clinical Documentation Specialist
Boston, MA · On-site
$37.75 - $50.75/hr
Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment * Other ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
Senior Consultant - Clinical Documentation Specialist
Boston, MA · On-site
$37.75 - $50.75/hr
Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment * Other ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
Job Summary : Tokio Marine HCC is a dedicated team of travel assistance experts committed to ... code, and provide coaching as needed. • Leverage Azure Cloud services (e.g., Azure Functions ...
Job Summary : Tokio Marine HCC is a dedicated team of travel assistance experts committed to ... code, and provide coaching as needed. • Leverage Azure Cloud services (e.g., Azure Functions ...
Senior Risk Management Specialist
Boston, MA · On-site
$107K/yr
The Senior Risk Management Specialist is responsible for participating in the development ... Help to ensures compliance with various codes, laws, rules and regulations concerning patient care ...
Senior Risk Management Specialist
Boston, MA · On-site
$107K/yr
The Senior Risk Management Specialist is responsible for participating in the development ... Help to ensures compliance with various codes, laws, rules and regulations concerning patient care ...
Associate Director, Medicare Advantage Bid Strategy & Analytics
Waltham, MA · On-site
$129 - $193/hr
The role reports to the Senior Director, Medicare Product Strategy and Analytics and requires full ... Monitor CMS regulations, payment methodologies, risk adjustment updates, and Stars payment changes ...
Associate Director, Medicare Advantage Bid Strategy & Analytics
Waltham, MA · On-site
$129 - $193/hr
The role reports to the Senior Director, Medicare Product Strategy and Analytics and requires full ... Monitor CMS regulations, payment methodologies, risk adjustment updates, and Stars payment changes ...
... code of conduct, and independence requirements. The Opportunity As a Risk Management - Contract Specialist - Managed Services - Senior Manager, you will lead initiatives in enterprise risk management ...
... code of conduct, and independence requirements. The Opportunity As a Risk Management - Contract Specialist - Managed Services - Senior Manager, you will lead initiatives in enterprise risk management ...
Risk & Independence Contract Specialist Senior Manager - Advisory Consulting Services
Boston, MA · On-site
... code of conduct, and independence requirements. The Opportunity As a Risk Management - Contract Specialist - Advisory Consulting Services - Senior Manager, you will lead initiatives in enterprise ...
Risk & Independence Contract Specialist Senior Manager - Advisory Consulting Services
Boston, MA · On-site
... code of conduct, and independence requirements. The Opportunity As a Risk Management - Contract Specialist - Advisory Consulting Services - Senior Manager, you will lead initiatives in enterprise ...
Technical Lead - Data Analysis
Boston, MA · Remote
$50 - $54/hr
Strong understanding of medical economics, risk adjustment, quality measures, and population health ... Experience integrating or validating AI-powered coding or analytics tools * Exposure to model QA, ...
Quick apply
Technical Lead - Data Analysis
Boston, MA · Remote
$50 - $54/hr
Strong understanding of medical economics, risk adjustment, quality measures, and population health ... Experience integrating or validating AI-powered coding or analytics tools * Exposure to model QA, ...
Security Risk & Engineering - Tech and Cyber Risk & Compliance - Senior Associate
Boston, MA · On-site
$77K - $202K/yr
As a Senior Associate, you will build meaningful client connections and learn how to manage and ... code of conduct and independence requirements - Leading compliance training sessions to educate ...
Security Risk & Engineering - Tech and Cyber Risk & Compliance - Senior Associate
Boston, MA · On-site
$77K - $202K/yr
As a Senior Associate, you will build meaningful client connections and learn how to manage and ... code of conduct and independence requirements - Leading compliance training sessions to educate ...
Lead Risk Manager, Payment Fraud
Boston, MA · Hybrid
$150K - $180K/yr
... adjustments. * Strategic liaison -- Act as the single point of contact between the company and ... For a senior risk professional who wants to operate as a general rather than an analyst, this is ...
Quick apply
Lead Risk Manager, Payment Fraud
Boston, MA · Hybrid
$150K - $180K/yr
... adjustments. * Strategic liaison -- Act as the single point of contact between the company and ... For a senior risk professional who wants to operate as a general rather than an analyst, this is ...
... Senior Specialist. Principal Accountabilities: * Perform a wide array of analyses that involve ... Applicants should review the Bank's Employee Code of Conduct to ensure compliance with conflict of ...
... Senior Specialist. Principal Accountabilities: * Perform a wide array of analyses that involve ... Applicants should review the Bank's Employee Code of Conduct to ensure compliance with conflict of ...
... Senior Specialist. Principal Accountabilities: * Perform a wide array of analyses that involve ... Applicants should review the Bank's Employee Code of Conduct to ensure compliance with conflict of ...
... Senior Specialist. Principal Accountabilities: * Perform a wide array of analyses that involve ... Applicants should review the Bank's Employee Code of Conduct to ensure compliance with conflict of ...
... Senior Specialist. Principal Accountabilities: * Perform a wide array of analyses that involve ... Applicants should review the Bank's Employee Code of Conduct to ensure compliance with conflict of ...
... Senior Specialist. Principal Accountabilities: * Perform a wide array of analyses that involve ... Applicants should review the Bank's Employee Code of Conduct to ensure compliance with conflict of ...
R&I Managed Services Deals Desk Senior Manager
Boston, MA · On-site
$91K - $321K/yr
Industry/Sector Not Applicable Specialism IFS - Risk & Quality (R&Q) Management Level Senior ... and the firm's code of conduct What You Must Have - At least a High School Diploma or the ...
R&I Managed Services Deals Desk Senior Manager
Boston, MA · On-site
$91K - $321K/yr
Industry/Sector Not Applicable Specialism IFS - Risk & Quality (R&Q) Management Level Senior ... and the firm's code of conduct What You Must Have - At least a High School Diploma or the ...
R&I Independence Technology Team (ITT) Senior Manager
Boston, MA · On-site
$91K - $321K/yr
Industry/Sector Not Applicable Specialism IFS - Risk & Quality (R&Q) Management Level Senior ... Firm's code of conduct and independence requirements - Initiating open and honest coaching ...
R&I Independence Technology Team (ITT) Senior Manager
Boston, MA · On-site
$91K - $321K/yr
Industry/Sector Not Applicable Specialism IFS - Risk & Quality (R&Q) Management Level Senior ... Firm's code of conduct and independence requirements - Initiating open and honest coaching ...
... HCC) Program and ensure the integration of healthcare compliance principles into business ... Conduct compliance risk assessments and develop appropriate mitigation strategies. * Identify ...
... HCC) Program and ensure the integration of healthcare compliance principles into business ... Conduct compliance risk assessments and develop appropriate mitigation strategies. * Identify ...
Senior Hcc Risk Adjustment Coder information
See Salem, NH salary details
$21.88 is the 25th percentile. Wages below this are outliers.
$17.04 - $21.93
25% of jobs
The median wage is $25.21 / hr.
$21.93 - $26.82
37% of jobs
$29.31 is the 75th percentile. Wages above this are outliers.
$26.82 - $31.70
25% of jobs
$31.70 - $36.59
4% of jobs
$36.59 - $41.48
4% of jobs
$41.48 - $46.37
2% of jobs
$46.37 - $51.25
2% of jobs
$51.25 - $56.14
0% of jobs
$56.14 - $61.03
0% of jobs
$61.03 - $65.92
0% of jobs
$65.92 - $70.81
0% of jobs
$17
$29
$70
How much do senior hcc risk adjustment coder jobs pay per hour?
What does a Senior HCC Risk Adjustment Coder do?
What are the key skills and qualifications needed to thrive as a Senior HCC Risk Adjustment Coder?
What are some common challenges faced by Senior HCC Risk Adjustment Coders, and how can they be addressed?
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Cities near Salem, NH with the most Senior Hcc Risk Adjustment Coder job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 22 days ago
Milliman rating
8.5
Based on 7 frontline employees who took The Breakroom Quiz
Job description
Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future.
Company Overview:
Leading with our core values of Quality, Integrity, and Opportunity, MedInsight is one of the healthcare industry’s most trusted solutions for healthcare intelligence. Our company purpose is to empower easy, data-driven decision-making on important healthcare questions. Through our products, education, and services, MedInsight is making an impact on healthcare by helping to drive better outcomes for patients while reducing waste. Over 300 leading healthcare organizations have come to rely on MedInsight analytic solutions for healthcare cost and care management.
MedInsight is a subsidiary of Milliman; a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and business transformation as well as a range of other consulting and technology solutions.
Position Summary:
MedInsight is hiring a Business Development Executive to lead new-logo acquisition and expansion revenue across our risk adjustment portfolio. This is a selling specialist role: you will own a national territory selling MedInsight’s risk adjustment software and analytics to health plans, provider organizations, ACOs, MSOs, and other risk-bearing entities.
Risk adjustment is one of the highest-stakes and fastest-evolving areas in healthcare, where coding accuracy, documentation integrity, and audit readiness directly drive financial and compliance outcomes. You will sell to the leaders who own those outcomes (risk adjustment, coding, quality, finance, and compliance executives), and you will build credibility by understanding their priorities and engaging in meaningful business conversations rather than leading with product features.
This is a highly consultative, insight-led role that leverages Challenger-style selling principles. Reporting to the SVP of Sales & Growth and working alongside a peer group of BDEs, you will have dedicated support from marketing, sales development, and sales engineering. As MedInsight enters its next phase of growth, this is a high-visibility role with significant upside for career advancement.
Primary Responsibilities:
- 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) to engage prospects as a credible advisor.
- Build and execute a strategic national territory plan across health plans, provider organizations, ACOs, MSOs, and risk-bearing entities through targeted research, outbound prospecting, and insight-led engagement.
- Identify, develop, and rigorously qualify opportunities using a structured sales methodology, mapping decision-makers and influencers across executive, clinical, financial, operational, and compliance functions.
- Drive multi-threaded deal progression with stakeholders including C-suite executives, risk adjustment and coding/CDI leaders, quality and finance leaders, operations, and IT.
- Lead consultative conversations that surface explicit and unrecognized needs across RAF performance, coding accuracy, documentation integrity, audit readiness, provider engagement, and both retrospective and prospective risk adjustment.
- Deliver compelling commercial narratives that challenge the status quo and position MedInsight as a strategic solution for improving risk capture, compliance, operational efficiency, and reimbursement outcomes.
- Partner closely with Marketing on outbound opportunity creation, campaign follow-up, event engagement, and account-based prospecting.
- Collaborate with Sales Engineering, Product, Client Success, and Subject Matter Experts to deliver tailored demonstrations and ROI-driven business cases tied to measurable outcomes rather than features alone.
- Consistently achieve and exceed quota and pipeline-generation targets, and maintain accurate forecast, opportunity, account, and activity data in Salesforce to support disciplined territory management.
Preferred Skills and Experience:
- 8 or more years of full-cycle new-business development in complex, consultative enterprise sales, preferably in healthcare technology, analytics, SaaS, or payment integrity / risk adjustment solutions.
- Demonstrated success selling into healthcare payer, provider, and/or risk-bearing organizations, navigating complex buying groups and long sales cycles.
- Direct experience selling risk adjustment, coding, CDI, quality, value-based care, population health, or related analytics solutions is strongly preferred.
- Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly preferred.
- Proven track record of building pipelines from scratch and executing territory plans in greenfield, competitive, or underpenetrated markets.
- Demonstrated success negotiating and closing complex enterprise agreements with senior decision-makers, including CFOs, CIOs, COOs, CMOs, Chief Population Health Officers, and VP-level risk adjustment and compliance leaders.
- Skilled at partnering with Sales Engineering and cross-functional teams to deliver outcome-oriented demonstrations and solution positioning.
- Bachelor’s degree in business, healthcare administration, finance, economics, public health, or a related field preferred; advanced degree (MBA, MHA, MPH, or similar) a plus. Neither is required.
Key Competencies:
- Challenger Mindset: Leads with insight, teaches prospects something new about their risk adjustment performance, and creates urgency for change.
- Consultative Seller: Uncovers root business issues and ties solutions to measurable financial, compliance, and operational outcomes.
- Analytical & Strategic: Synthesizes market, financial, and operational data into sharp, customer-specific account strategies.
- Entrepreneurial: Resourceful and proactive; creates momentum, opens doors, and builds pipeline in ambiguous, evolving markets.
- Emotionally Intelligent: Builds trust quickly, navigates complex stakeholder dynamics, and turns feedback into growth.
- Intellectually Curious: Stays ahead of shifting regulations, reimbursement models, and emerging market opportunities.
- Effective Communication: A clear, confident, persuasive communicator in writing and in person, including at the executive level.
- Organized & Resilient: Manages multiple opportunities and internal partnerships with precision, follow-through, and persistence.
Location
This role can be remote within the U.S. The expected application deadline for this job is August 30, 2026.
Compensation
The overall salary range for this role is $104,900 - $199,065. For candidates residing in:
- Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Pennsylvania, Virginia, Washington, or the District of Columbia, the salary range is $120,635 - $199,065.
- All other locations the salary range is $104,900 - $173,100.
A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.
What makes this a great opportunity?
- Join an innovative, high growth company with a solid industry track record
- Bring your expertise and ideas to directly impact and help build the next generation of MedInsight products and solutions
- Be recognized for your contributions and impact
- Work for a company that values your wellbeing and professional growth, offering a flexible work environment, generous benefits package, and investment in the development of your career
Benefits
We offer a comprehensive benefits package designed to support employees’ health, financial security, and well-being. Benefits include:
- Medical, Dental and Vision – Coverage for employees, dependents, and domestic partners
- Employee Assistance Program (EAP) – Confidential support for personal and work-related challenges
- 401(k) Plan – Includes a company matching program and profit-sharing contributions.
- Discretionary Bonus Program – Recognizing employee contributions
- Flexible Spending Accounts (FSA) – Pre-tax savings for dependent care, transportation, and eligible medical expenses
- Paid Time Off (PTO) – Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis
- Holidays – A minimum of 10 paid holidays per year
- Family Building Benefits – Includes adoption and fertility assistance
- Paid Parental Leave – 11 weeks of paid leave for employees who meet eligibility criteria.
- Life Insurance & AD&D – 100% of premiums covered by Milliman
- Short-Term and Long-Term Disability – Fully paid by Milliman
Equal Opportunity
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran.
#LI-REMOTE
#LI-SM1
#MedInsight
About Milliman
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Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.
Industry
Business management consulting and fitness and sports centers
Company size
1,001 - 5,000 Employees
Headquarters location
Seattle, WA, US