Jobs in the United States

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Added 3 hours ago
CC
Sr. Actuarial Analyst - Risk Adjustment
Centene Corporation
Cheyenne, WY
- $70,100 to $126,200 USD / year
…business leaders and cross-functional teams. The role supports risk adjustment initiatives including data submissions, rate reconciliation, audits, and chart chase programs, with a focus on…
Added 3 days ago
Senior Risk Analyst - Rev
Mayo Clinic
Rochester, MN
…Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), Certified Risk Adjustment Coder (CRC), Registered Health Information Technician (RHIT),…
Added 3 days ago
Reporting - Senior Risk Adjustment Analyst PC# 135-2037
CommunityCare
Tulsa, OK
The Senior Risk Adjustment Analyst leads advanced analytics, data governance, and operational processes that support accurate, compliant, and optimized risk‑adjusted revenue across Medicare…
Added 4 days ago
KS
Risk Management Analyst
Kelly Services
Eagan, MN
- $35 USD / hour
…Kelly® Professional & Industrial comes in. Kelly is seeking a Risk Adjustment Coding Auditor to support a Leading Healthcare client in Eagan,…
Added 4 days ago
CR
MANAGER OF QUALITY AND POPULATION HEALTH
Charles River Community Health
Brighton, MA
- $72,800 to $101,000 USD / year
Coordinate risk adjustment and coding activities with Associate Director of Risk and Compliance to improve accurate diagnosis capture.
Added 4 days ago
Strategy & Operations Analyst
Datavant
Jefferson City, MO
+ Experience in risk adjustment coding apps and technology
Added 5 days ago
Strategy & Operations Analyst
Datavant
Bismarck, ND
Experience in risk adjustment coding apps and technology
Added 5 days ago
Senior Risk Analyst - Rev
Mayo US
Rochester, MN
…Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), Certified Risk Adjustment Coder (CRC), Registered Health Information Technician (RHIT),…
Added 6 days ago
Coding Quality Analyst
University of Wisconsin Medical Foundation, Inc.
Remote, United States
3 years progressive coding experience (for non-HCC roles) or 3 years of experience in HCC Risk Adjustment (for HCC roles) required
Added 7 days ago
Revenue Cycle Coding Specialist
HealthPartners
United States
…and payer regulations. Complete all CCI/LCD/NCD edits, Epic coding edits to ensure accurate coding through coding associated charge review work queue strategies and rules. Maintains a…
Added 7 days ago
Medical Informatics Analyst, Consultant
BSC
El Dorado Hills, CA · CA · Long Beach, CA · Lodi, CA · Oakland, CA · Rancho Cordova, CA · San Diego, CA · Woodland Hills, CA
…graphics, and supporting applied clinical study designs such as risk adjustment or provider…
Added 7 days ago
Revenue Cycle Coding Specialist
HealthPartners
United States
…and payer regulations. Complete all CCI/LCD/NCD edits, Epic coding edits to ensure accurate coding through coding associated charge review work queue strategies and rules. Maintains a…
Added 9 days ago
UP
Enrollment and Encounter Data Analyst
Upper Peninsula Health Plan
Marquette, MI
- $24.75 USD / hour
…expert for audits and compliance reviews. 13. Works with the Risk Adjustment Analyst & Coding Compliance Auditor to interpret and correct errors…
Added 10 days ago
Revenue Cycle Coding Specialist
HealthPartners
United States
…and payer regulations. Complete all CCI/LCD/NCD edits, Epic coding edits to ensure accurate coding through coding associated charge review work queue strategies and rules. Maintains a…
Added 10 days ago
PH
Director, Clinical Performance
Pearl Health
Remote, United States
- $165,000 to $200,000 USD / year
- Analyze client-level performance data such as utilization patterns, quality measure gaps, risk adjustment and coding trends and cost drivers to identify the root causes behind a client's…
Added 11 days ago
Staff Data Scientist, Actuarial
Nourish
NY
Know healthcare claims data inside out: You're fluent in medical and pharmacy claims, eligibility data, and coding (ICD-10, CPT, HCPCS, NDC). You understand PMPM, cost trends, claims…
Added 11 days ago
Actuarial Analyst II
The Harbor Health Team Inc
Remote, United States
Harbor Health is seeking an Actuarial Analyst II to join our growing team. Sitting at the intersection of traditional actuarial science and data analytics, this role offers the unique…
Added 11 days ago
Medical Informatics Analyst – Business Analyst Advanced
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Detroit, MI
Provides technical, data and analytical support to customer departments such as Quality, Value Partnerships, Hospital Contracting, Care Management, Risk Adjustment and HCV.
Added 11 days ago
Software Privacy Engineer, Devices & Services Trust, Privacy, and Accessibility (TPA)
Amazon
Bellevue, WA
5+ years of any combination of the following: threat modeling experience, secure coding, identity management and authentication, software development, cryptography, system administration…
Added 12 days ago
Sr. Quality Data Analytics & PI Analyst
H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.
United States
Strong understanding of analytic methodology, including risk adjustment, geometric versus arithmetic methodology
Added 12 days ago
CC
Data Analyst III Healthcare Analytics, Medical Economics
Centene Corporation
Tallahassee, FL
- $70,100 to $126,200 USD / year
…SQL/querying languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical, or data mining techniques including basic data…
Added 13 days ago
Senior Risk Adjustment Coding Analyst
CenterWell
Cheyenne, WY
Added 13 days ago
Senior Risk Adjustment Coding Analyst
CenterWell
Jackson, MS
Added 13 days ago
Senior Risk Adjustment Coding Analyst
CenterWell
Lincoln, NE
Added 13 days ago
Senior Risk Adjustment Coding Analyst
CenterWell
Jefferson City, MO

CenterWell

Senior Risk Adjustment Coding Analyst

Nashville, TN, United States

$86,300 - $118,700 per year

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Job details

Pay: $86,300 - $118,700 per year
Working hours: 40 hours per week
Posting language: English
Posted: Oct 26, 2026

Original job description

Become a part of our caring community

The Senior Clinical Operations Professional designs and implements initiatives that optimize clinical operations and enhance care delivery across aligned area(s), or the organization. The Senior Clinical Operations Professional works on problems of diverse scope and complexity ranging from moderate to substantial.

The Senior Clinical Operations Professional identifies strategic improvement opportunities, establishes operational priorities, and develops standardized processes and practices to support clinical operational effectiveness. Aligns operational processes with organizational goals, regulatory requirements, and industry best practices to ensure efficiency, quality, and sustainability in operations and service. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on moderating complex issues regarding job duties and related tasks, and works under minimal supervision, uses judgment requiring analysis of variable factors and determining the best course of action.

Use your skills to make an impact

Bachelor's degree
5 or more years of technical experience
Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$86,300 - $118,700 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 12-29-2026

About us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources