Risk Adjustment Campaign Associate (Risk Adjustment Coordinator)
$62.9k - $85.1kCambia Health Solutions
Risk Adjustment Campaign Associate Hybrid role (3 days/week in office) at our Portland, Medford, Burlington, Vancouver, Renton, Boise, Lewiston, Spokane or Salt Lake City offices. Candidates must reside within commutable distance of that location. Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Every day, Cambia’s dedicated team of Risk Adjustment Campaign Associate is living our mission to make health care easier and lives better. As a member of the Risk Adjustment team, our Risk Adjustment Campaign Associate works with the Risk Adjustment operations team on on-going activities related to Medicare Advantage and Commercial risk adjustment campaigns. Working under the direction of the Manager of Campaign Execution and alongside other cross functional teams, the campaign associate is responsible for day to day operations and performance of risk adjustment campaigns. The Risk Adjustment Campaign Associate is also responsible for internal EMR medical record retrieval for all Risk Adjustment campaigns - all in service of creating a person-focused health care experience. Qualifications What You Bring to Cambia: Risk Adjustment Campaign Associate would have a Bachelor's Degree in business, project management, healthcare, or related field and at least 2 years of experience in a project support role (preferably within health care), or equivalent combination of education and experience. Required Licenses, Certifications, Registration, Etc. Certificate or training in Project Management a plus CPC and CRC certification a plus Skills And Attributes Ability to manage small, less complex projects with minimum supervision. Experience with Microsoft Office suite of tools. Demonstrated analytical and problem-solving skills. Experience in project management methods and techniques. Ability to interpret service provider contracts and statements of work (SOW). Knowledge of Facets, PIMS, and claims processes is preferred. Ability to track and monitor service provider performance and delivery quality against service level agreements (SLAs). Ability to communicate effectively, verbally and in writing, with all levels of leadership. Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired What You Will Do At Cambia Monitors daily vendor performance against project schedule. Supports the preparation of project reports and presentation of information to management, project teams, and client/customer groups. Monitors project documentation for compliance with standards. Develops and maintains the overall project documentation library ensuring that all documentation is established, maintained and retained as necessary in project databases. Applies continuous quality improvement techniques and methodologies to all facets of job responsibility. May plan and manage small, well-defined projects or sub-projects under the general direction of more senior project managers. May retrieve medical records for MA and ACA campaigns through internal EMR access based on production goals set by the manager of Risk Adjustment Campaigns. Work Environment Work is primarily performed in an office or remote work environment. Travel may be required, either locally or out of state. Oregon, Washington, Utah, and Idaho: The expected hiring range is $62,900.00 – $85,100.00, the full salary range is $59,000.00 – $97,000.00 and the bonus target is 5%. About Cambia Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through. Why Join the Cambia Team? At Cambia, You Can Work alongside diverse teams building cutting-edge solutions to transform health care. Earn a competitive salary and enjoy generous benefits while doing work that changes lives. Grow your career with a company committed to helping you succeed. Give back to your community by participating in Cambia-supported outreach programs. Connect with colleagues who share similar interests and backgrounds through our employee resource groups. We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more. Benefits Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. Annual employer contribution to a health savings account. Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). Award-winning wellness programs that reward you for participation. Employee Assistance Fund for those in need. Commute and parking benefits. Learn More About Our Benefits. We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb. As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees. We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email View email address on click.appcast.io. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. #J-18808-Ljbffr Cambia Health Solutions
$80k - $100k
...searching for a Deployment Implementation Coordinator to support the execution of customer... ...checklists. You are adaptable and able to adjust priorities as schedules, customer needs,... ..., permit, logistics, or documentation risks before they impact execution. In your first...RiskFor contractorsFlexible hours- UnitedHealth Group's Optum NY in New York, NY seeks an Executive Director of Risk Adjustment to lead enterprise-wide risk capture programs across networks, ensuring compliant and sustainable RAF performance that affects financial results. The role partners with provider...Risk
- Optum in New York, NY seeks an Executive Director of Risk Adjustment to lead enterprise risk adjustment programs across Optum East and embed risk capture into clinical workflows. This leadership role focuses on accurate RAF performance, regulatory compliance, and cross-...Risk
- A healthcare technology firm is seeking a Senior Product Manager to lead the strategy and execution of a risk adjustment product. The ideal candidate should have 5-7 years of experience in product management within healthcare, a strong understanding of Value-Based Care,...RiskRemote job
- UASI is actively seeking a Clinical Risk Adjustment Documentation Specialist to support accurate outpatient CDI and HCC coding in a fully remote capacity. You'll collaborate with physicians and care teams to ensure documentation quality and regulatory compliance while optimizing...RiskRemote job
- Oscar Health is hiring a remote Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This role involves conducting internal and external quality audits specific to ICD-10 code accuracy. The ideal candidate will have experience in risk adjustment coding...RiskRemote job
- ...markets outside of NCAL.Support Health Plan Risk Adjustment operations through government audit... ...follows all procedures and policies; coordinating resources to accomplish priorities and... ...Health Information Management Association OR Certified Professional Coder from American...RiskWork experience placement
- ...Job Description Job Description Position:Manager of Risk Adjustment AnalyticsLocation: Hybrid (Must Reside in NY/NJ/CT)Work Schedule: Monday - Friday, 9:00am - 5:00pmCompensation: $135,292.44 - $152,204.00 Annual Salary Our OrganizationVillageCare is a community...RiskContract workMonday to Friday
- ...Consulting Actuary – ACA Risk Adjustment As a Consulting Actuary – ACA Risk Adjustment, you will play a pivotal role in delivering a wide... ...an FSA, candidates with at least 9 years of experience and an Associate of the Society of Actuaries (ASA) will be considered. Deep experience...Risk
- ...company expertise. Our Crop Division has been helping farmers manage risk since 1915 and is one of the few private companies authorized by... ...part‑time. Hours fluctuate based on seasonal needs. As a Crop Adjuster, You Will Understand and work claims for all major crops, policy...RiskFull timePart timeSeasonal work
$134.6k - $230.8k
Optum NY, is seeking an Executive Director of Risk Adjustment join our team in New York, NY. Optum is a clinician-led care organization... ...and reduce provider abrasion tied to documentation processes Coordinate with Quality teams to align provider touchpoints where...RiskMinimum wageFull timeWork experience placementLocal areaWork from home- MetroPlusHealth in New York City is seeking a Risk Adjustment Specialist to support processes and lead projects to ensure data for high-risk populations is accurately captured and submitted to federal and state agencies. You will work independently with internal partners...Risk
- Blue Cross NC is seeking a Consulting Actuary - ACA Risk Adjustment to lead pricing strategies and actuarial initiatives across business segments. You will evaluate advanced care management models, conduct competitive benchmarking analyses, and design and price sophisticated...Risk
- ...Position Overview Risk Adjustment is a growing and critical field within Health Insurance Finance. This is your opportunity to support this function at MetroPlusHealth, New York City’s not-for-profit health insurance company. As a Risk Adjustment Specialist, you will support...Risk
$85 per hour
...Consulting Opportunity We are sharing a specialised part-time consulting opportunity for United States-based healthcare coding and risk adjustment professionals experienced in HCC coding, Medicare Advantage risk adjustment, Medicaid managed care, ACA risk adjustment, RADV...RiskRemote jobHourly payWeekly payContract workPart timeFor contractorsFlexible hours- MetroPlusHealth in New York City is seeking a Risk Adjustment Specialist to support data capture for high-risk populations and lead projects ensuring accurate submission to federal and state agencies. You will monitor vendor data, resolve issues, and measure performance...Risk
$33.88 - $42.35 per hour
...Categories (HCC). Participates in and supports the Medicare Risk Adjustment team-based environment to educate providers on coding compliance... ..., provider reimbursement, ICD-10, HCPCS and CPT-4 coding, coordination of benefits required Additional years of experience/...RiskContract workWork experience placementFlexible hours$130k - $145k
...individuals and families who require world‑class risk and claims management customized to... ...As a Field Property General Adjuster, you will be responsible for quality handling... ...quality improvement Collaborative, you will coordinate with lead adjusters and managers on...RiskFull timeFor contractors- Customer Success Manager - Healthcare Risk Adjustment Remote Opportunity About Reveleer Reveleer delivers a unified platform spanningrisk adjustment,quality improvement,clinical intelligence, andmember managementfor health plans and provider organizations navigating the...RiskWork experience placementLocal areaRemote workFlexible hours
$40k - $75k
...reach further, and take smarter risks in a world full of... ...connections.The RoleAs a Senior Associate, Digital Activation - Paid Search... ...Responsibilities:Manage paid search campaigns: Oversee the implementation... ...trends, and make necessary adjustments.Create assets: Lead the...RiskFull timeWork at officeLocal area3 days per week- Senior Claims Adjuster - Workers' Compensation page is loaded## Senior Claims Adjuster -... ...solutions that address your business’s unique risks.**Summary/Job Purpose:**This position is... ...investigations and understand rules associated with state regulations* New York or...RiskTemporary workWork experience placementLocal areaFlexible hours
$68.9k - $99.62k
...Preferred Requirements: Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG’s), Ambulatory Patient Groups (APG’s), Ambulatory Payment Classifications...RiskContract workTemporary workWork experience placementWork at office$175k
...and develops proposals/campaigns to garner new business... ...Structured Products Associate in Santander’s U.S. Corporate... ...The salesperson will coordinate between trading,... ...it to the appropriate risk takers and business partners... ...needs to adapt and adjust to different markets...RiskHourly payFull timeContract workWork experience placementBank staffWork at officeShift work- ...Template Management Build campaigns and flows using Klaviyo’s drag... ...revisions, and minor layout adjustments prior to setup in Klaviyo... ...at deployment Flag timeline risks (late assets, pending approvals... ...reporting and documentation associated with onboarding and sales...RiskFull timeFor contractorsImmediate startRemote workMonday to FridayShift work
- ...Associate Sample ManagerHaddad is a privately held family business with over 100 years of... ...Montreal.The Associate Sample Manager will coordinate seasonal sample development across... ...sample timelines and escalate potential risks or delays that could impact key milestonesPartner...RiskSeasonal workWork at officeOverseas
- Mercor seeks experienced Risk Adjustment and HCC Coding leaders to guide AI-enabled risk capture improvements for Medicare Advantage, Medicaid managed care, and ACA markets. You will evaluate AI outputs, oversee chart reviews, and drive regulatory compliance across CMS...Risk
$120k - $150k
...THE ROLE We are seeking a highly capable operator to lead Risk Adjustment Operations at Daymark while also serving as a core member of... ...delivery workflows, enrollment operations, and cross-team coordination Diagnose operational friction and implement solutions that...RiskFlexible hours$87k - $93k
## Associate, ETF & Alternatives MarketingApplylocations: New York, NY USAtime... ...and investors who seek strong risk-adjusted returns.Since 1971, our people... ...journeys, managing collateral, coordinating creative production, and helping campaigns move from idea to impact.The...RiskFlexible hours- A healthcare solutions provider in New York is seeking a compassionate certified Nurse Practitioner for flexible in-home risk adjustment assessments. The role involves performing comprehensive health evaluations for Medicare members and building trust with populations at...RiskDaily paidReliefFlexible hours
- Firm Risk ManagementFirm Risk Management (FRM) supports Morgan Stanley to achieve its... ...across the Firm to realize efficient risk-adjusted returns, acting as a strategic advisor... ..., evaluation, monitoring of credit risk associated with ISG corporate lending activities.Morgan...RiskTemporary workWork experience placementWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Risk Adjustment Campaign Associate (Risk Adjustment Coordinator). Be the first to apply!
- quantitative risk analyst New York, NY
- third party risk analyst New York, NY
- operational risk specialist New York, NY
- risk officer New York, NY
- senior quantitative risk analyst New York, NY
- risk analyst intern New York, NY
- transaction risk analyst New York, NY
- information risk analyst New York, NY
- market risk analyst New York, NY
- risk analyst New York, NY


