How much does a Risk Adjustment Manager make in the United States?

The Insurance Risk Adjustment Analysis Manager utilizes patient health factors, their likely use of health care services, and the costs of those services to calculate payment adjustments, forecast revenue impacts, and identify coding gaps. Manages an organization's risk adjustment processes to assess patient risk scores and ensure accurate reimbursement calculations. Being an Insurance Risk Adjustment Analysis Manager monitors risk adjustment performance and leads and executes strategies to optimize financial performance while maintaining regulatory compliance. Implements processes and standards to ensure accurate, timely, and compliant reporting to government agencies for determining risk adjustment payments. In addition, Insurance Risk Adjustment Analysis Manager coordinates audit readiness and responses to regulatory data validation reviews. Partners with coding, compliance, and clinical teams to enhance data completeness and accuracy. Requires a bachelor's degree. Typically reports to a director. The Insurance Risk Adjustment Analysis Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Working as an Insurance Risk Adjustment Analysis Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. View Insurance Risk Adjustment Analysis Manager Salary

The Health Risk Adjustment Analyst II utilizes patient health factors, their likely use of health care services, and the costs of those services to calculate payment adjustments, forecast revenue impacts, and identify coding gaps. Analyzes healthcare data to assess patient risk scores and ensure accurate reimbursement calculations. Being a Health Risk Adjustment Analyst II prepares reports on risk adjustment performance and recommends strategies to optimize financial performance while maintaining regulatory compliance. Reviews medical claims, encounter data, and electronic health records to ensure proper coding of diagnoses and accurate reporting to government healthcare programs. In addition, Health Risk Adjustment Analyst II supports audits and data validation activities to ensure compliance with risk adjustment program requirements. Requires a bachelor's degree. Typically reports to a manager. Being a Health Risk Adjustment Analyst II occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Working as a Health Risk Adjustment Analyst II typically requires 2-4 years of related experience. View Health Risk Adjustment Analyst II Salary

The Health Risk Adjustment Analyst III utilizes patient health factors, their likely use of health care services, and the costs of those services to calculate payment adjustments, forecast revenue impacts, and identify coding gaps. Analyzes healthcare data to assess patient risk scores and ensure accurate reimbursement calculations. Being a Health Risk Adjustment Analyst III prepares reports on risk adjustment performance and recommends strategies to optimize financial performance while maintaining regulatory compliance. Reviews medical claims, encounter data, and electronic health records to ensure proper coding of diagnoses and accurate reporting to government healthcare programs. In addition, Health Risk Adjustment Analyst III supports audits and data validation activities to ensure compliance with risk adjustment program requirements. Requires a bachelor's degree. Typically reports to a manager. Being a Health Risk Adjustment Analyst III work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. Working as a Health Risk Adjustment Analyst III typically requires 4-7 years of related experience. View Health Risk Adjustment Analyst III Salary

The Health Risk Adjustment Analyst I utilizes patient health factors, their likely use of health care services, and the costs of those services to calculate payment adjustments, forecast revenue impacts, and identify coding gaps. Analyzes healthcare data to assess patient risk scores and ensure accurate reimbursement calculations. Being a Health Risk Adjustment Analyst I prepares reports on risk adjustment performance and recommends strategies to optimize financial performance while maintaining regulatory compliance. Reviews medical claims, encounter data, and electronic health records to ensure proper coding of diagnoses and accurate reporting to government healthcare programs. In addition, Health Risk Adjustment Analyst I supports audits and data validation activities to ensure compliance with risk adjustment program requirements. Requires a bachelor's degree. Typically reports to a manager. Being a Health Risk Adjustment Analyst I work is closely managed. Works on projects/matters of limited complexity in a support role. Working as a Health Risk Adjustment Analyst I typically requires 0-2 years of related experience. View Health Risk Adjustment Analyst I Salary

Risk Adjustment Data Analyst III analyzes healthcare data to assess patient risk scores and ensure accurate reimbursement calculations. Utilizes patient health factors, their likely use of health care services, and the costs of those services to calculate payment adjustments, forecast revenue impacts, and identify coding gaps. Being a Risk Adjustment Data Analyst III reviews medical claims, encounter data, and electronic health records to ensure proper coding of diagnoses and accurate reporting to government healthcare programs. Prepares reports on risk adjustment performance and recommends strategies to optimize financial performance while maintaining regulatory compliance. Additionally, Risk Adjustment Data Analyst III supports audits and data validation activities to ensure compliance with risk adjustment program requirements. Requires a bachelor's degree. Typically reports to a manager. The Risk Adjustment Data Analyst III work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. To be a Risk Adjustment Data Analyst III typically requires 4-7 years of related experience. View Risk Adjustment Data Analyst III Salary