CPMA (Certified Professional Medical Auditor), CRC (Certified Risk Adjustment Coder), CPC (Certified Professional Coder), CCS (Certified Coding Specialist) * Willingness to travel up to 10% ...
CPMA (Certified Professional Medical Auditor), CRC (Certified Risk Adjustment Coder), CPC (Certified Professional Coder), CCS (Certified Coding Specialist) * Willingness to travel up to 10% ...
Internal Auditor
Chicago, IL · On-site +1
$90K - $110K/yr
You will help complete risk assessments to establish the annual internal audit plan, preparing ... JBT Marel will reasonably accommodate applicants who need adjustments to participate in the ...
Internal Auditor
Chicago, IL · On-site +1
$90K - $110K/yr
You will help complete risk assessments to establish the annual internal audit plan, preparing ... JBT Marel will reasonably accommodate applicants who need adjustments to participate in the ...
Internal Auditor
Chicago, IL · Remote
$90K - $110K/yr
You will help complete risk assessments to establish the annual internal audit plan, preparing ... JBT Marel will reasonably accommodate applicants who need adjustments to participate in the ...
Internal Auditor
Chicago, IL · Remote
$90K - $110K/yr
You will help complete risk assessments to establish the annual internal audit plan, preparing ... JBT Marel will reasonably accommodate applicants who need adjustments to participate in the ...
This is a Temp to Hire opportunity. Position Purpose Summary: ITS Risk Management Associate ... auditors. Internally, this position primarily interacts with IT, Financial, and Audit teams.
This is a Temp to Hire opportunity. Position Purpose Summary: ITS Risk Management Associate ... auditors. Internally, this position primarily interacts with IT, Financial, and Audit teams.
Maintain corrective action plans, risk assessments, and quality documentation * Conduct & oversee ... We staff temp, temp to hire, and direct hire placements
Quick apply
Maintain corrective action plans, risk assessments, and quality documentation * Conduct & oversee ... We staff temp, temp to hire, and direct hire placements
Audit Manager - Risk and Control Enhancement
Chicago, IL · On-site
$83K - $141K/yr
Provides training, coaching, and auditing expertise to the audit team. * Work on several audit ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
Audit Manager - Risk and Control Enhancement
Chicago, IL · On-site
$83K - $141K/yr
Provides training, coaching, and auditing expertise to the audit team. * Work on several audit ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
Audit Manager - Risk and Control Enhancement
Chicago, IL · Hybrid
$83K - $141K/yr
Provides training, coaching, and auditing expertise to the audit team. * Work on several audit ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
Audit Manager - Risk and Control Enhancement
Chicago, IL · Hybrid
$83K - $141K/yr
Provides training, coaching, and auditing expertise to the audit team. * Work on several audit ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
Audit Manager - Risk and Control Enhancement
Chicago, IL · On-site
$83.10 - $141.30/hr
Provides training, coaching, and auditing expertise to the audit team.* Work on several audit ... Northern Trust is committed to working with and providing adjustments to individuals with health ...
Audit Manager - Risk and Control Enhancement
Chicago, IL · On-site
$83.10 - $141.30/hr
Provides training, coaching, and auditing expertise to the audit team.* Work on several audit ... Northern Trust is committed to working with and providing adjustments to individuals with health ...
AI Risk & Controls Lead
Chicago, IL · On-site
$137K - $233K/yr
Role Purpose The AI Risk & Controls Lead is responsible for establishing and operationalising first ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
AI Risk & Controls Lead
Chicago, IL · On-site
$137K - $233K/yr
Role Purpose The AI Risk & Controls Lead is responsible for establishing and operationalising first ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
AI Risk & Controls Lead
$137K - $233K/yr
Role Purpose The AI Risk & Controls Lead is responsible for establishing and operationalising first ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
AI Risk & Controls Lead
$137K - $233K/yr
Role Purpose The AI Risk & Controls Lead is responsible for establishing and operationalising first ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
AI Risk & Controls Lead
Chicago, IL · On-site
$137K - $233K/yr
Role Purpose The AI Risk & Controls Lead is responsible for establishing and operationalising first ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
AI Risk & Controls Lead
Chicago, IL · On-site
$137K - $233K/yr
Role Purpose The AI Risk & Controls Lead is responsible for establishing and operationalising first ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
Upperline Health Endocrinology NP Opportunity Hobart/Munster IN | Value-Based Care
Munster, IN · On-site
$100K - $136K/yr
Triage is temporary. Treatment is transformative. Upperline Health providers coordinate patients ... according to risk adjustment standards per education provided. • Take part in weekly ...
Upperline Health Endocrinology NP Opportunity Hobart/Munster IN | Value-Based Care
Munster, IN · On-site
$100K - $136K/yr
Triage is temporary. Treatment is transformative. Upperline Health providers coordinate patients ... according to risk adjustment standards per education provided. • Take part in weekly ...
Upperline Health Endocrinology NP Opportunity Hobart/Munster IN | Value-Based Care
Munster, IN · On-site
$100K - $136K/yr
Triage is temporary. Treatment is transformative. Upperline Health providers coordinate patients ... according to risk adjustment standards per education provided. • Take part in weekly ...
Upperline Health Endocrinology NP Opportunity Hobart/Munster IN | Value-Based Care
Munster, IN · On-site
$100K - $136K/yr
Triage is temporary. Treatment is transformative. Upperline Health providers coordinate patients ... according to risk adjustment standards per education provided. • Take part in weekly ...
Associate Audit Director - Risk and Control Enhancement
Chicago, IL · Hybrid
$114K - $194K/yr
Experience of transformation programs and of auditing Enterprise, Operational and Compliance Risk ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
Associate Audit Director - Risk and Control Enhancement
Chicago, IL · Hybrid
$114K - $194K/yr
Experience of transformation programs and of auditing Enterprise, Operational and Compliance Risk ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
Associate Audit Director - Risk and Control Enhancement
Chicago, IL · On-site
$114K - $194K/yr
Experience of transformation programs and of auditing Enterprise, Operational and Compliance Risk ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
Associate Audit Director - Risk and Control Enhancement
Chicago, IL · On-site
$114K - $194K/yr
Experience of transformation programs and of auditing Enterprise, Operational and Compliance Risk ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
Associate Audit Director - Risk and Control Enhancement
Chicago, IL · On-site
$114K - $194K/yr
Experience of transformation programs and of auditing Enterprise, Operational and Compliance Risk ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
Associate Audit Director - Risk and Control Enhancement
Chicago, IL · On-site
$114K - $194K/yr
Experience of transformation programs and of auditing Enterprise, Operational and Compliance Risk ... Reasonable Accommodation Northern Trust is committed to working with and providing adjustments to ...
... temporary. Treatment is transformative. Upperline Health providers coordinate patients' care ... Complete accurate and timely documentation according to risk adjustment standards per education ...
... temporary. Treatment is transformative. Upperline Health providers coordinate patients' care ... Complete accurate and timely documentation according to risk adjustment standards per education ...
Safety Leadership & Manufacturing Risk Management * Lead the development, implementation, and ... Serve as a key liaison with regulatory agencies, auditors, and customers as needed. Incident ...
Safety Leadership & Manufacturing Risk Management * Lead the development, implementation, and ... Serve as a key liaison with regulatory agencies, auditors, and customers as needed. Incident ...
Inventory Control, Quality Assurance & Returns Lead
Bolingbrook, IL · On-site
$50K - $62K/yr
... adjustment alone. This is a hands-on, non-union lead position that works closely with the Warehouse ... risk items, repeat-error locations, and special counts requested by management or auditors.
Inventory Control, Quality Assurance & Returns Lead
Bolingbrook, IL · On-site
$50K - $62K/yr
... adjustment alone. This is a hands-on, non-union lead position that works closely with the Warehouse ... risk items, repeat-error locations, and special counts requested by management or auditors.
Director of Safety and Social Compliance
Elgin, IL · On-site
$140K - $150K/yr
Oversee high-risk manufacturing safety programs including machine guarding, LOTO, confined space ... Serve as a key liaison with regulatory agencies, auditors, and customers as needed. Incident ...
Director of Safety and Social Compliance
Elgin, IL · On-site
$140K - $150K/yr
Oversee high-risk manufacturing safety programs including machine guarding, LOTO, confined space ... Serve as a key liaison with regulatory agencies, auditors, and customers as needed. Incident ...
Temporary Risk Adjustment Auditor information
See Chicago, IL salary details
$31.4K - $39.6K
4% of jobs
$39.6K - $47.7K
14% of jobs
$50.1K is the 25th percentile. Wages below this are outliers.
$47.7K - $55.9K
24% of jobs
The median wage is $62.7K / yr.
$55.9K - $64K
9% of jobs
$64K - $72.2K
7% of jobs
$72.2K - $80.3K
6% of jobs
$80.3K - $88.5K
6% of jobs
$95.1K is the 75th percentile. Wages above this are outliers.
$88.5K - $96.6K
4% of jobs
$96.6K - $104.7K
6% of jobs
$104.7K - $112.9K
6% of jobs
$112.9K - $121K
12% of jobs
$31.4K
$74.8K
$121K
How much do temporary risk adjustment auditor jobs pay per year?
What is the difference between Temporary Risk Adjustment Auditor vs Risk Adjustment Auditor?
| Aspect | Temporary Risk Adjustment Auditor | Risk Adjustment Auditor |
|---|---|---|
| Certifications | Typically requires certifications like CPC, CRC, or RAC | Same certifications often required |
| Work Environment | Contract or temporary positions, often project-based | Full-time or permanent roles in healthcare or insurance companies |
| Employer & Industry | Temporary staffing agencies, healthcare providers, insurance companies | Healthcare organizations, insurance firms, consulting firms |
| Search & Comparison Intent | Yes, often searched for temporary roles vs permanent roles | Yes, for full-time career options |
The main difference between a Temporary Risk Adjustment Auditor and a Risk Adjustment Auditor lies in employment type and duration. Temporary auditors work on short-term projects or contracts, often through staffing agencies, while risk adjustment auditors in permanent roles have ongoing responsibilities within healthcare or insurance organizations. Both roles require similar certifications and skills, but the employment setting and job stability differ.
$75K - $165K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 20 days ago
CVS Health rating
5.8
Based on 4,332 frontline employees who took The Breakroom Quiz
89th of 112 rated pharmacies
Job description
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 ourselvesaccountable 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.
Position Summary
As a Senior Manager, Medicare Compliance - Risk Adjustment, you are responsible for overseeing and maintaining compliance with CMS regulations related to Medicare Advantage Risk Adjustment, Hierarchical Condition Categories (HCCs), encounter data submission, documentation and coding compliance, and related regulatory requirements. This position serves as a key compliance leader and subject matter expert, partnering with Risk Adjustment Operations, Coding, Provider Education, Clinical Documentation Improvement (CDI), Internal Audit, Legal, and Government Affairs teams to ensure organizational adherence to CMS requirements.
The ideal candidate possesses extensive experience in Medicare Advantage compliance and a deep understanding of CMS Risk Adjustment methodologies, diagnosis coding requirements, medical record documentation standards, RADV audits, and evolving regulatory guidance.
Key Responsibilities
Lead the Medicare Advantage Risk Adjustment compliance program.
Monitor and interpret CMS regulations, HPMS memoranda, Final Rules, Medicare Managed Care Manual guidance, RADV requirements, and OIG enforcement activities.
Assess operational processes for compliance risks related to risk adjustment activities.
Develop and implement corrective action plans for identified compliance issues.
Conduct compliance risk assessments related to coding, documentation, and encounter data submissions.
Required Qualifications
Minimum 7 years of experience in Medicare Advantage, Risk Adjustment, Coding Compliance, Audit, or Regulatory Compliance
Minimum 5 years in a leadership role
One or more of the following certifications: CPMA (Certified Professional Medical Auditor), CRC (Certified Risk Adjustment Coder), CPC (Certified Professional Coder), CCS (Certified Coding Specialist)
Willingness to travel up to 10% (including by plane)
Preferred Qualifications
Health Information Management (RHIA/RHIT)
Nursing - Strong understanding of clinical documentation and medical record review
Certified Risk Adjustment Coder (CRC) with compliance experience
Provider coding audit/compliance leadership experience
Medicare Advantage compliance leadership experience supporting RADV, HCC validation, and CMS audits
Education
Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, Public Health, Business Administration, Healthcare Compliance, or a related healthcare field required; equivalent years of work experience may substitue.
Pay Range
The typical pay range for this role is:
$75,400.00 - $165,954.00
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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.
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 people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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About CVS Health
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Industry
Health care and social assistance and retail
Company size
10,000+ Employees
Headquarters location
Woonsocket, RI, US