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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 ...

Regional Patient Navigator

Erie, PA ยท On-site

$19.50 - $26.50/hr

Exempt ADP Code: REGPTNAV Reports to: VP of Inpatient Operations Date: 6/26/2026 Summary The Regional Patient Navigator plays a critical role in supporting patients as they transition from skilled ...

Regional Patient Navigator

Erie, PA

$19.50 - $26.50/hr

Exempt ADP Code: REGPTNAV Reports to: VP of Inpatient Operations Date: 6/26/2026 Summary The Regional Patient Navigator plays a critical role in supporting patients as they transition from skilled ...

Regional Patient Navigator

Erie, PA

$19.50 - $26.50/hr

Exempt ADP Code: REGPTNAV Reports to: VP of Inpatient Operations Date: 6/26/2026 Summary The Regional Patient Navigator plays a critical role in supporting patients as they transition from skilled ...

Regional Patient Navigator

Erie, PA ยท On-site

$19.50 - $26.50/hr

Exempt ADP Code: REGPTNAV Reports to: VP of Inpatient Operations Date: 6/26/2026 Summary The Regional Patient Navigator plays a critical role in supporting patients as they transition from skilled ...

... VP's Offc Department Student Development & Engagemt Location Erie, Pa Position Summary Career ... risk students through emails, texts, phone calls and individual meetings Plan and implement ...

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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 Sep 1, 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 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.

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 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.

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For Vice President Hcc Risk Adjustment Coder jobs in Erie, PA, the most frequently searched job titles are:

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The top searched job categories for Vice President Hcc Risk Adjustment Coder jobs in Erie, PA are:

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Cities near Erie, PA with the most Vice President Hcc Risk Adjustment Coder job openings:

Senior Vice President Business Development Casualty

York Risk Services

North East, PA โ€ข On-site

Full-time

Posted 21 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

Senior Vice President Business Development Casualty

PRIMARY PURPOSE OF THE ROLE: The Senior Vice President of Business Development is a key senior leader responsible for driving organizational growth, expanding market presence, and developing longterm strategic partnerships. This role leads part of the business development function, identifies highvalue opportunities, and collaborates with senior leadership to execute the company's growth strategy. The SVP provides visionary direction, builds strong external relationships, and ensures alignment between business development initiatives and overall organizational goals.

ESSENTIAL RESPONSIBILITIES MAY INCLUDE

Strategic Leadership

  • Develops and leads the company's business development strategy to support longterm growth and competitive positioning.

  • Evaluates market trends, emerging opportunities, and industry shifts to inform strategic decisionmaking.

  • Partners with the executive team to set revenue goals, growth targets, and organizational priorities.

Business Growth & Market Expansion

  • Identifies, pursues, and secures new business opportunities, strategic partnerships, joint ventures, and acquisitions.

  • Oversees pipeline development and ensures consistent advancement of highvalue opportunities.

  • Expands the company's footprint in existing and new markets by building relationships with key stakeholders and industry leaders.

Relationship Management

  • Cultivates and maintains strong executivelevel relationships with clients, partners, investors, and external organizations.

  • Represents the company at industry events, conferences, and business forums to elevate brand visibility.

  • Negotiates highimpact contracts, agreements, and partnerships that align with organizational goals.

Team Leadership & Development

  • Leads, mentors, and develops a highperforming business development team with a focus on accountability, innovation, and results.

  • Fosters crossfunctional collaboration with Sales, Marketing, Finance, Operations, and Product teams.

  • Establishes performance metrics, monitoring systems, and reporting mechanisms to drive team success.

Financial & Operational Excellence

  • Oversees budgeting, forecasting, and resource allocation for business development initiatives.

  • Uses datadriven insights to evaluate opportunity viability, ROI, and strategic risks.

  • Ensures compliance with organizational policies, legal standards, and industry regulations.

QUALIFICATIONS

Bachelor's degree in business administration, finance, risk management, or a related field, from an accredited college or university preferred. Possession of, or progress towards, CPCU and/or ARM designation required.

Ten plus (10+) years of related experience, to include relationship building in the claims management or risk management area, or equivalent combination of education and experience required. Proven track record of leading large scale growth initiatives and securing high value partnerships. Executive Senior leadership experience within a complex, high growth, or multi-unit organization.

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.

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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.