ACA, Medicare, ACO REACH, MSSP, and Medicaid. The Risk Adjustment and Quality Analyst will be responsible for working both independently and collaboratively between multiple departments such as ...
ACA, Medicare, ACO REACH, MSSP, and Medicaid. The Risk Adjustment and Quality Analyst will be responsible for working both independently and collaboratively between multiple departments such as ...
Risk Adjustment Validation Audits (RADV), conduct chart review of inpatient and outpatient medical ... Receives assignment to evaluate Medicare Wellness Visit documentation for accuracy and completeness ...
Risk Adjustment Validation Audits (RADV), conduct chart review of inpatient and outpatient medical ... Receives assignment to evaluate Medicare Wellness Visit documentation for accuracy and completeness ...
Medicare Provider Advocate
$36.05 - $38.46/hr
The Medicare Provider Advocate supports the implementation, execution, and optimization of Risk Adjustment strategies across the LaSalle provider network. This role collaborates with internal teams ...
Medicare Provider Advocate
$36.05 - $38.46/hr
The Medicare Provider Advocate supports the implementation, execution, and optimization of Risk Adjustment strategies across the LaSalle provider network. This role collaborates with internal teams ...
Medicare Provider Advocate
Fresno, CA · On-site
$36.05 - $38.46/hr
The Medicare Provider Advocate supports the implementation, execution, and optimization of Risk Adjustment strategies across the LaSalle provider network. This role collaborates with internal teams ...
Medicare Provider Advocate
Fresno, CA · On-site
$36.05 - $38.46/hr
The Medicare Provider Advocate supports the implementation, execution, and optimization of Risk Adjustment strategies across the LaSalle provider network. This role collaborates with internal teams ...
Risk Adjustment Analyst
North Palm Beach, FL · On-site
$65K - $75K/yr
Support internal and external audits and ensure compliance with Centers for Medicare & Medicaid ... risk adjustment, medical coding, or primary care * Strong knowledge of ICD-10-CM and HCC coding
Quick apply
Risk Adjustment Analyst
North Palm Beach, FL · On-site
$65K - $75K/yr
Support internal and external audits and ensure compliance with Centers for Medicare & Medicaid ... risk adjustment, medical coding, or primary care * Strong knowledge of ICD-10-CM and HCC coding
Medicare Provider Advocate
Fresno, CA · On-site
$36.05 - $38.46/hr
The Medicare Provider Advocate supports the implementation, execution, and optimization of Risk Adjustment strategies across the LaSalle provider network. This role collaborates with internal teams ...
Medicare Provider Advocate
Fresno, CA · On-site
$36.05 - $38.46/hr
The Medicare Provider Advocate supports the implementation, execution, and optimization of Risk Adjustment strategies across the LaSalle provider network. This role collaborates with internal teams ...
Review and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness ... Education: High School or Equivalent Experience: 2-5 years of risk adjustment coding, E/M ...
Review and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness ... Education: High School or Equivalent Experience: 2-5 years of risk adjustment coding, E/M ...
Senior Manager, Risk Adjustment
Pasadena, CA · On-site
$100K - $150K/yr
The Sr. Risk Adjustment Manager is responsible for leading and optimizing risk adjustment ... V28), RxHCC methodology for Medicare Part D, and HHS-HCC annual model recalibrations, including ...
Quick apply
Senior Manager, Risk Adjustment
Pasadena, CA · On-site
$100K - $150K/yr
The Sr. Risk Adjustment Manager is responsible for leading and optimizing risk adjustment ... V28), RxHCC methodology for Medicare Part D, and HHS-HCC annual model recalibrations, including ...
Utilize risk adjustment reports to prioritize chart reviews, provider education, and documentation improvement efforts. * Promote Medicare Annual Wellness Visits to support preventive care ...
Utilize risk adjustment reports to prioritize chart reviews, provider education, and documentation improvement efforts. * Promote Medicare Annual Wellness Visits to support preventive care ...
Review and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness ... High School Experience: 2-5 years of risk adjustment coding, E/M, procedures and diagnosis ...
Review and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness ... High School Experience: 2-5 years of risk adjustment coding, E/M, procedures and diagnosis ...
Risk Adjustment Analyst
Doral, FL · On-site
ACA, Medicare, ACO REACH, MSSP, and Medicaid. The Risk Adjustment and Quality Analyst will be responsible for working both independently and collaboratively between multiple departments such as ...
Risk Adjustment Analyst
Doral, FL · On-site
ACA, Medicare, ACO REACH, MSSP, and Medicaid. The Risk Adjustment and Quality Analyst will be responsible for working both independently and collaboratively between multiple departments such as ...
Utilize risk adjustment reports to prioritize chart reviews, provider education, and documentation improvement efforts. * Promote Medicare Annual Wellness Visits to support preventive care ...
Utilize risk adjustment reports to prioritize chart reviews, provider education, and documentation improvement efforts. * Promote Medicare Annual Wellness Visits to support preventive care ...
Sr. Risk Adjustment Auditor
$82K - $101K/yr
Direct experience with Medicare Advantage (Part C) risk adjustment models and HCC coding required * Experience auditing vendor-delivered work and/or CDI programs preferred * One or more of the ...
Sr. Risk Adjustment Auditor
$82K - $101K/yr
Direct experience with Medicare Advantage (Part C) risk adjustment models and HCC coding required * Experience auditing vendor-delivered work and/or CDI programs preferred * One or more of the ...
Purpose of Position The Medicare Quality & Risk Adjustment Program Lead/RN is responsible for operational leadership and coordination of Medicare Advantage Quality, HEDIS, Stars, Risk Adjustment, and ...
Purpose of Position The Medicare Quality & Risk Adjustment Program Lead/RN is responsible for operational leadership and coordination of Medicare Advantage Quality, HEDIS, Stars, Risk Adjustment, and ...
Risk Adjustment Strategic Manager
Iselin, NJ · On-site
Risk Adjustment Strategic Manager Location: Virginia, Indiana, Georgia, Tennessee, Connecticut, New ... Medicare Advantage, Medicaid, ACA Commercial is preferred. * Knowledge of value-based care ...
Risk Adjustment Strategic Manager
Iselin, NJ · On-site
Risk Adjustment Strategic Manager Location: Virginia, Indiana, Georgia, Tennessee, Connecticut, New ... Medicare Advantage, Medicaid, ACA Commercial is preferred. * Knowledge of value-based care ...
Risk Adjustment Strategic Manager Risk Adjustment Strategic Manager Location: Virginia, Indiana ... Medicare Advantage, Medicaid, ACA Commercial is preferred. * Knowledge of value-based care ...
Risk Adjustment Strategic Manager Risk Adjustment Strategic Manager Location: Virginia, Indiana ... Medicare Advantage, Medicaid, ACA Commercial is preferred. * Knowledge of value-based care ...
Risk Adjustment Strategic Manager Risk Adjustment Strategic Manager Location: Virginia, Indiana ... Medicare Advantage, Medicaid, ACA Commercial is preferred. * Knowledge of value-based care ...
Risk Adjustment Strategic Manager Risk Adjustment Strategic Manager Location: Virginia, Indiana ... Medicare Advantage, Medicaid, ACA Commercial is preferred. * Knowledge of value-based care ...
Risk Adjustment Strategic Manager Location: Virginia, Indiana, Georgia, Tennessee, Connecticut, New ... Medicare Advantage, Medicaid, ACA Commercial is preferred. * Knowledge of value-based care ...
Risk Adjustment Strategic Manager Location: Virginia, Indiana, Georgia, Tennessee, Connecticut, New ... Medicare Advantage, Medicaid, ACA Commercial is preferred. * Knowledge of value-based care ...
Risk Adjustment Strategic Manager Location: Virginia, Indiana, Georgia, Tennessee, Connecticut, New ... Medicare Advantage, Medicaid, ACA Commercial is preferred. * Knowledge of value-based care ...
Risk Adjustment Strategic Manager Location: Virginia, Indiana, Georgia, Tennessee, Connecticut, New ... Medicare Advantage, Medicaid, ACA Commercial is preferred. * Knowledge of value-based care ...
Risk Adjustment Strategic Manager Location: Virginia, Indiana, Georgia, Tennessee, Connecticut, New ... Medicare Advantage, Medicaid, ACA Commercial is preferred. * Knowledge of value-based care ...
Risk Adjustment Strategic Manager Location: Virginia, Indiana, Georgia, Tennessee, Connecticut, New ... Medicare Advantage, Medicaid, ACA Commercial is preferred. * Knowledge of value-based care ...
Temporary Medicare Risk Adjustment information
See salary details
$23.10 is the 25th percentile. Wages below this are outliers.
$19.95 - $24.28
34% of jobs
The median wage is $26.98 / hr.
$24.28 - $28.61
25% of jobs
$28.61 - $32.93
0% of jobs
$32.93 - $37.26
0% of jobs
$37.26 - $41.59
6% of jobs
$41.59 - $45.91
2% of jobs
$45.91 - $50.24
5% of jobs
$51.68 is the 75th percentile. Wages above this are outliers.
$50.24 - $54.57
6% of jobs
$54.57 - $58.89
8% of jobs
$58.89 - $63.22
10% of jobs
$63.22 - $67.55
2% of jobs
$19
$38
$67
How much do temporary medicare risk adjustment jobs pay per hour?
What is the difference between Temporary Medicare Risk Adjustment vs Medicare Risk Adjustment Specialist?
| Aspect | Temporary Medicare Risk Adjustment | Medicare Risk Adjustment Specialist |
|---|---|---|
| Credentials | Typically requires knowledge of Medicare policies, coding, and risk adjustment principles | Requires similar credentials, often including coding certifications and Medicare training |
| Work Environment | Temporary or project-based roles within healthcare organizations or consulting firms | Full-time or part-time roles within healthcare providers, insurance companies, or consulting firms |
| Employer & Industry Usage | Used for short-term projects to support Medicare risk adjustment processes | Ongoing role focused on managing Medicare risk adjustment activities |
Temporary Medicare Risk Adjustment roles focus on short-term project support, while Medicare Risk Adjustment Specialists handle ongoing compliance and coding tasks. Both require similar credentials and are integral to Medicare reimbursement processes, but differ mainly in duration and scope of employment.
- Internship Medicare Risk Adjustment
- Online Director Medicare Risk Adjustment
- Remote Medicare Risk Adjustment
- Work From Home Medicare Risk Adjustment
- Risk Adjustment Coding
- Medicare Risk Adjustment Audit
- Hueman Risk Adjustment Solutions
- Risk Adjustment Coding Specialist
- Vice President Hcc Risk Adjustment Coder
- Remote Risk Adjustment Coding

Job description
SCOPE OF ROLEÂ
The Risk Adjustment and Analytics Team is working to push boundaries to redefine Risk Adjustment and Quality Analytics in a Value-Based Care Setting. The Risk Adjustment Analyst will be the lead in the design, implementation, and maintenance of all Risk Adjustment and Quality Data and Dashboards for our entire NeueHealth Portfolio: ACA, Medicare, ACO REACH, MSSP, and Medicaid. The Risk Adjustment and Quality Analyst will be responsible for working both independently and collaboratively between multiple departments such as Analytics, Risk Adjustment and Quality, Medical Economics, & Clinical Operations.
This is an onsite position in Doral, FL.
ROLE RESPONSIBILITIES
- Proactively collaborate and interact with business stakeholders across the organization to understand analytics needs, develop plans to address those needs, and deliver analytics to meet those needs.
- Using SQL code, mine data on medical spend, clinical data and population health data and derive meaningful insights to improve operations such as trends, correlations and patterns.
- Own the data. You are responsible for accurate presentation of your data elements, so ensuring data integrity is paramount.
- Thoroughly analyze data, quickly identify relevant information, and transform it into a meaningful output. Â Conduct thoughtful presentations, online or in person, to stakeholders with actionable findings for improvement.
- Provide concise data reports and clear data visualizations for executive level reporting through Power BI, Excel and other tools used by the organization.
- Create data processes that are consistent, repeatable, and scalable.
- Conduct Quarterly Reconciliations to identify dropped HCCs and prepare supplemental data submission files according to payor partner specifications.
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE
- Bachelor's degree is required.
- Comprehensive understanding of risk adjustment and quality programs across all government-regulated lines of business, including Marketplace, Medicaid, and Medicare programs.
- Five (5) or more years of hands-on SQL code development is required, including expertise with programming languages like Scala or Python.
- Three (3) or more years of experience in healthcare field dealing with claims/utilization as it pertains to Risk Adjustment and Quality.
- Three (3) or more years of analytics experience (Required)
- Two (2) or more years of Power BI experience (Required)
- Experience with Databricks (Preferred)
- Familiarity with CMS-HCC and HHS-HCC risk Adjustment Models
- Familiarity with HEDIS and MSSP Quality Reporting
PROFESSIONAL COMPETENCIES
- Expertise in analytics, statistics, data visualization, or programming
- Dedicates exacting attention to detail and data quality
- Eager learner, collaborative partner, easy communicator, and careful analyst
- Passion for empirical research and answering hard questions with data
About Centrum Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Miami, FL, US