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Vice President Hcc Risk Adjustment Coder Jobs in Erie, PA

The Vice President will play a central role in shaping Sedgwick's approach to IT risk, controls, and compliance, while also working directly in complex areas such as IT audit testing strategy, SAP ...

The Vice President will play a central role in shaping Sedgwick's approach to IT risk, controls, and compliance, while also working directly in complex areas such as IT audit testing strategy, SAP ...

... Insurance VP Responsible AI ESSENTIAL FUNCTIONS and RESPONSIBILITIES Own Sedgwick's enterprise ... Define AI risk-tiering methodologies and approval requirements for models, agents, copilots ...

... Insurance VP Responsible AI ESSENTIAL FUNCTIONS and RESPONSIBILITIES Own Sedgwick's enterprise ... Define AI risk-tiering methodologies and approval requirements for models, agents, copilots ...

Community Office Manager, VP - Including the above and focuses on high level strategy, financial performance, and risk management. SEEKS PROFESSIONAL DEVELOPMENT OPPORTUNITIES Actively participate in ...

ERIEBANK, Community Office Manager

Erie, PA ยท On-site

$44K - $74K/yr

Community Office Manager, VP - Including the above and focuses on high level strategy, financial performance, and risk management. SEEKS PROFESSIONAL DEVELOPMENT OPPORTUNITIES Actively participate in ...

Community Office Manager, VP - Including the above and focuses on high level strategy, financial performance, and risk management. SEEKS PROFESSIONAL DEVELOPMENT OPPORTUNITIES Actively participate in ...

Vice President Hcc Risk Adjustment Coder information

See Erie, PA salary details

$82.8K

$171.2K

$255.8K

How much do vice president hcc risk adjustment coder jobs pay per year?

As of Aug 10, 2026, the average yearly pay for vice president hcc risk adjustment coder in Erie, PA is $171,169.00, according to ZipRecruiter salary data. Most workers in this role earn between $132,700.00 and $198,600.00 per year, depending on experience, location, and employer.

What is the difference between Vice President Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?

AspectVice President Hcc Risk Adjustment CoderHcc Risk Adjustment Coder
CredentialsAdvanced certifications, leadership experienceCertifications like CPC, CCS, or RHIT
Work EnvironmentExecutive-level, strategic planningOperational, coding departments
Industry UsageUsed in large healthcare organizations, insurersCommon in hospitals, clinics, coding firms

The Vice President Hcc Risk Adjustment Coder focuses on strategic leadership and oversight of risk adjustment coding programs, often requiring advanced certifications and leadership skills. In contrast, the Hcc Risk Adjustment Coder handles day-to-day coding tasks, ensuring accurate HCC coding based on medical records. Both roles are vital in healthcare risk management but differ mainly in scope, responsibilities, and experience level.

How long does it take to become a vice president hcc risk adjustment coder?

Becoming a Vice President HCC Risk Adjustment Coder typically requires several years of experience in medical coding, risk adjustment, or healthcare management, often 5 to 10 years. Progression to this senior leadership role involves gaining expertise in coding accuracy, compliance, and leadership skills, along with relevant certifications such as CPC or CCS, and demonstrated success in managing risk adjustment programs.

What are some common challenges faced by a Vice President HCC Risk Adjustment Coder, and how can they be managed?

A Vice President HCC Risk Adjustment Coder often faces the challenge of ensuring coding accuracy and compliance across large teams while keeping up with evolving CMS guidelines. Managing remote or distributed coding staff, integrating new technology solutions, and balancing productivity with quality assurance are also common hurdles. Success in this role requires strong communication skills, ongoing coder education, and the implementation of robust audit processes to maintain data integrity and regulatory compliance.

What is a Vice President HCC Risk Adjustment Coder?

A Vice President HCC (Hierarchical Condition Category) Risk Adjustment Coder is a senior executive responsible for overseeing the medical coding operations related to risk adjustment in healthcare organizations. They lead teams that ensure accurate coding of patient diagnoses and health information, which impacts how healthcare providers are reimbursed by insurance payers, especially Medicare Advantage plans. Their role typically involves compliance oversight, quality assurance, training coders, and strategic planning to optimize risk scores. These professionals require extensive experience in medical coding, deep knowledge of HCC models, and strong leadership skills. They play a critical part in helping organizations maximize compliant reimbursement and improve patient outcomes.

What are the key skills and qualifications needed to thrive as a Vice President HCC Risk Adjustment Coder?

To thrive as a Vice President HCC Risk Adjustment Coder, you need deep expertise in HCC coding, risk adjustment methodologies, healthcare regulations, and a relevant certification such as CPC, CRC, or CCS. Mastery of coding software, EHR systems, and data analytics platforms is typically required. Leadership, strategic thinking, attention to detail, and strong communication skills distinguish top performers in this role. These skills are crucial for ensuring coding accuracy, regulatory compliance, and driving organizational success in value-based care environments.
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VP Internal Audit

York Risk Services

North East, PA โ€ข On-site

Full-time

Posted 27 days ago


Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

VP Internal Audit

About the Role

Sedgwick is seeking a seasoned and highly effective Vice President, IT Internal Audit to help lead and advance the Company's technology audit and assurance capabilities. Reporting to the Global Head of Internal Audit, this executive will lead Sedgwick's IT internal audit program, including IT audits, IT SOX, SAP controls, and technology risk assurance across a complex global environment.

This is a high-impact leadership role for a candidate who combines strategic perspective, technical depth, and strong execution discipline. The Vice President will play a central role in shaping Sedgwick's approach to IT risk, controls, and compliance, while also working directly in complex areas such as IT audit testing strategy, SAP controls, ERP implementation risk, and remediation validation.

A particularly important dimension of the role will be supporting Sedgwick through its global SAP S/4HANA migration and implementation. This leader will help Internal Audit provide meaningful oversight and assurance throughout the transformation, including evaluating implementation governance, controls readiness, security and access design, segregation of duties, testing, data migration, and go-live risk. This is an outstanding opportunity for a proven IT audit leader who wants to help shape a modern internal audit function, partner closely with senior leadership, and make a meaningful impact during a major global transformation.

What You'll Do

Lead the Company's IT Internal Audit program, including risk assessment, planning, execution, reporting, and follow-up.

Oversee and enhance Sedgwick's IT SOX program, including testing strategy and assurance over IT general controls, automated controls, interfaces, reports, and other key technology-dependent controls.

Drive a risk-based IT audit plan focused on areas such as ERP systems, cybersecurity, infrastructure, cloud environments, third-party technology risk, and major system implementations.

Provide direct leadership over IT audit testing strategy, including approach, methodology, evidence expectations, and quality of execution.

Serve as a senior subject matter leader for SAP controls, including security, logical access, segregation of duties, privileged access, change management, configuration, interfaces, key reports, and automated controls.

Partner closely with Internal Audit leadership to ensure technology and SAP risks are appropriately addressed in broader financial, operational, and compliance audits.

Play an active role in Internal Audit's involvement in Sedgwick's global SAP S/4HANA transformation, helping assess: o program governance o controls readiness o role design and access models o segregation of duties and mitigating controls o data migration and integration risks o testing and cutover readiness o post-implementation control sustainability

Lead and directly review remediation validation for IT and SAP-related findings to ensure corrective actions are practical, effective, and sustainable.

Collaborate with management and external auditors on IT SOX and SAP controls, including testing coordination, issue resolution, and reliance discussions.

Communicate technology and controls risks clearly and effectively to senior leadership, with a practical, business-oriented perspective.

Help strengthen and modernize Internal Audit's approach to auditing ERP transformation, digital risk, and enterprise technology change.

Build, mentor, and develop a high-performing team and foster strong collaboration across Internal Audit, IT, Finance, and business leadership.

What We're Looking For

Bachelor's degree in Information Systems, Accounting, Finance, Computer Science, or a related field

12+ years of progressive experience in IT audit, IT risk, SOX, internal controls, or ERP controls, including senior leadership experience Strong background leading IT internal audit and IT SOX programs in a complex, large-scale organization Deep expertise in: o IT general controls o IT SOX and technology-related financial controls o ERP and application controls o IT audit testing strategy and execution o issue tracking, follow-up, and remediation validation Significant experience with SAP environments, including controls related to access, security, segregation of duties, change management, configuration, interfaces, reports, and automated controls

Experience supporting or auditing SAP implementations or major ERP transformation programs, ideally including SAP S/4HANA

Strong understanding of implementation and transformation risk, including governance, testing, access design, data migration, and go-live readiness Ability to assess both design effectiveness and operating effectiveness of controls in a dynamic, global environment

Executive presence and strong communication skills, with the ability to influence and partner effectively across senior business and technology stakeholders Preferred Credentials

CISA preferred

CIA, CPA, CISSP, or similar relevant certification a plus

SAP or SAP controls-related certification preferred, or equivalent experience in SAP risk, controls, and GRC

Why Join Sedgwick

This role offers the opportunity to help shape the future of Sedgwick's Internal Audit function at a pivotal moment. The Vice President, IT Internal Audit will have meaningful visibility across the organization and a direct role in strengthening assurance over critical technology risks while supporting one of the Company's most important transformation initiatives. You'll join a leadership team that values strong partnership, sound judgment, and practical problem-solving - and you'll have the opportunity to make a lasting impact on the control environment, the audit function, and the business more broadly.

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

#LI-TS1 #remote

Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.