E-3 Visa Risk Adjustment Coding Jobs
Risk Adjustment Coding roles qualify as E-3 specialty occupations when tied to a relevant degree in health information management, coding, or clinical informatics. Australian professionals can secure E-3 visa sponsorship without competing in the H-1B lottery, and the visa renews indefinitely as long as you hold a qualifying position with a U.S. employer.
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Get Access To All JobsWe’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
We are seeking a highly motivated and strategic professional to serve as the Medicaid Market Manager for our Risk Adjustment programs. This is a high-visibility role responsible for driving market level engagement, delivering insights, and demonstrating the value of Medicaid risk adjustment performance to senior leaders and market partners.
The Medicaid Market Manager will serve as the key connector between national Risk Adjustment strategy and market execution, ensuring alignment, accountability, and measurable impact. The individual in this role will lead territory meetings with health plan executives and territory presidents, bringing actionable and important insights that inform decisions, address barriers, and support risk adjustment performance.
Market Lead & Performance Management
- Function as a face of Revenue Integrity across internal market teams.
- Develop and deliver executive level presentations highlighting key performance drivers, challenges, and solutions.
- Investigates operational issues that impact market performance – work with business partners to implement solutions.
- Track deliverables and identify barriers in market engagement in conjunction with implementing resolutions.
- Assist with development of educational material to support market intelligence.
- Lead territory meetings for health plan executives and territory presidents, bringing forward timely insights, priorities, and recommendations to support risk adjustment initiatives.
- Lead working groups with provider engagement, network, and quality partners to determine the support required to advance risk adjustment initiatives.
- Apply project management skills to coordinate deliverables, track timelines, and manage competing priorities.
Data Analysis & Reporting
- Work closely with the Informatics team to review requirements, dashboards, reports including any enhancements.
- Utilize data analyses using national tools in conjunction with the corporate lead to identify areas of opportunity.
- Produce and present market specific performance specific to Medicaid Revenue Integrity efforts at various governance, market, and executive leadership meetings.
Strategy & Execution
- Monitors program or programs that are jointly accountable for risk adjustment strategy, performance, and results within a designated market(s).
- Responsible for identifying and recommending nuanced market risk adjustment strategies and collaboratively executing tactics to focus, maximize and achieve market success, including market referrals.
- Coordinate with local markets to drive correctness, completeness, accuracy, and timeliness of risk score performance.
- Collaborate on market specific strategies that drive member engagement in risk adjustment programs.
- Stay abreast of regulatory changes and leading risk adjustment practices and tools to maximize the effectiveness and efficiency of the team.
- Partner with segment product, sales, network, clinical teams to implement processes aimed at strengthening member and provider engagement of Revenue Integrity programs resulting in improved outcomes.
Required Qualifications
- 5+ years of experience developing and delivering executive presentations (e.g., monthly/quarterly performance reviews) to senior leaders and cross functional audiences.
- 2+ years experience of health insurance regulatory and contractual requirements.
- Demonstrated experience leading recurring territory meetings with health plan executives and territory presidents by presenting actionable insights, capturing decisions, assigning owners, documenting due dates, and driving closure within agreed timelines.
- Demonstrated ability to independently research, gather, and validate information from multiples sources with minimal direction.
- Advanced proficiency in Microsoft PowerPoint with 3+ years producing executive-ready decks that translate analytics into clear recommendations (charts, tables, storyline, and summary slides).
- Proven ability to lead projects end-to-end, including defining scope, building project plans, and delivering milestones on time (e.g., 3+ years owning cross-functional initiatives with documented schedules, RAID logs, and status reporting).
- Ability to translate complex data into concise actionable insights using visuals and structured storytelling.
- Ensures rigorous follow up on takeaways, driving accountability and timely completion of next steps across stakeholders.
- Maintains organized tracking of deliverables, action plans, and project milestones to ensure progress and visibility.
- Effectively manages multiple priorities in a fast-paced, dynamic environment, adapting quickly to shifting business needs.
- Exhibits strong attention to detail and organizational skills to support high-quality execution.
- Collaborates cross-functionally with provider engagement, network, quality, and operations partners to align objectives, define required support, and advance risk adjustment priorities.
- Proactively identifies risks, gaps, and dependencies, escalating as appropriate and proposing solutions.
- Knowledge of insurance regulatory and contractual requirements.
- Self-starter who demonstrates initiative and displays a high energy level.
- Intellectual curiosity and tenacity: strong ability to learn on the fly; to understand and solve complex problems. Thinks and acts strategically – Anticipates opportunities and challenges.
Preferred Qualifications
- Experience delivering presentations to Senior Executives and Provider groups
- Master’s degree or management development program preferred.
- 2+ years of experience in Medicaid operations, risk adjustment, or medical coding and documentation
- Deep knowledge of local markets across Aetna Medicaid.
Education
Bachelor’s Degree or equivalent work experience
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$54,300.00 - $145,860.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 10/31/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
We are seeking a highly motivated and strategic professional to serve as the Medicaid Market Manager for our Risk Adjustment programs. This is a high-visibility role responsible for driving market level engagement, delivering insights, and demonstrating the value of Medicaid risk adjustment performance to senior leaders and market partners.
The Medicaid Market Manager will serve as the key connector between national Risk Adjustment strategy and market execution, ensuring alignment, accountability, and measurable impact. The individual in this role will lead territory meetings with health plan executives and territory presidents, bringing actionable and important insights that inform decisions, address barriers, and support risk adjustment performance.
Market Lead & Performance Management
- Function as a face of Revenue Integrity across internal market teams.
- Develop and deliver executive level presentations highlighting key performance drivers, challenges, and solutions.
- Investigates operational issues that impact market performance – work with business partners to implement solutions.
- Track deliverables and identify barriers in market engagement in conjunction with implementing resolutions.
- Assist with development of educational material to support market intelligence.
- Lead territory meetings for health plan executives and territory presidents, bringing forward timely insights, priorities, and recommendations to support risk adjustment initiatives.
- Lead working groups with provider engagement, network, and quality partners to determine the support required to advance risk adjustment initiatives.
- Apply project management skills to coordinate deliverables, track timelines, and manage competing priorities.
Data Analysis & Reporting
- Work closely with the Informatics team to review requirements, dashboards, reports including any enhancements.
- Utilize data analyses using national tools in conjunction with the corporate lead to identify areas of opportunity.
- Produce and present market specific performance specific to Medicaid Revenue Integrity efforts at various governance, market, and executive leadership meetings.
Strategy & Execution
- Monitors program or programs that are jointly accountable for risk adjustment strategy, performance, and results within a designated market(s).
- Responsible for identifying and recommending nuanced market risk adjustment strategies and collaboratively executing tactics to focus, maximize and achieve market success, including market referrals.
- Coordinate with local markets to drive correctness, completeness, accuracy, and timeliness of risk score performance.
- Collaborate on market specific strategies that drive member engagement in risk adjustment programs.
- Stay abreast of regulatory changes and leading risk adjustment practices and tools to maximize the effectiveness and efficiency of the team.
- Partner with segment product, sales, network, clinical teams to implement processes aimed at strengthening member and provider engagement of Revenue Integrity programs resulting in improved outcomes.
Required Qualifications
- 5+ years of experience developing and delivering executive presentations (e.g., monthly/quarterly performance reviews) to senior leaders and cross functional audiences.
- 2+ years experience of health insurance regulatory and contractual requirements.
- Demonstrated experience leading recurring territory meetings with health plan executives and territory presidents by presenting actionable insights, capturing decisions, assigning owners, documenting due dates, and driving closure within agreed timelines.
- Demonstrated ability to independently research, gather, and validate information from multiples sources with minimal direction.
- Advanced proficiency in Microsoft PowerPoint with 3+ years producing executive-ready decks that translate analytics into clear recommendations (charts, tables, storyline, and summary slides).
- Proven ability to lead projects end-to-end, including defining scope, building project plans, and delivering milestones on time (e.g., 3+ years owning cross-functional initiatives with documented schedules, RAID logs, and status reporting).
- Ability to translate complex data into concise actionable insights using visuals and structured storytelling.
- Ensures rigorous follow up on takeaways, driving accountability and timely completion of next steps across stakeholders.
- Maintains organized tracking of deliverables, action plans, and project milestones to ensure progress and visibility.
- Effectively manages multiple priorities in a fast-paced, dynamic environment, adapting quickly to shifting business needs.
- Exhibits strong attention to detail and organizational skills to support high-quality execution.
- Collaborates cross-functionally with provider engagement, network, quality, and operations partners to align objectives, define required support, and advance risk adjustment priorities.
- Proactively identifies risks, gaps, and dependencies, escalating as appropriate and proposing solutions.
- Knowledge of insurance regulatory and contractual requirements.
- Self-starter who demonstrates initiative and displays a high energy level.
- Intellectual curiosity and tenacity: strong ability to learn on the fly; to understand and solve complex problems. Thinks and acts strategically – Anticipates opportunities and challenges.
Preferred Qualifications
- Experience delivering presentations to Senior Executives and Provider groups
- Master’s degree or management development program preferred.
- 2+ years of experience in Medicaid operations, risk adjustment, or medical coding and documentation
- Deep knowledge of local markets across Aetna Medicaid.
Education
Bachelor’s Degree or equivalent work experience
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$54,300.00 - $145,860.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 10/31/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
See all E-3 Visa Risk Adjustment Coding Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new E-3 Visa Risk Adjustment Coding Jobs.
Get Access To All JobsTips for Finding E-3 Visa Sponsorship in Risk Adjustment Coding
Verify your credentials meet specialty occupation requirements
The E-3 visa requires a direct connection between your degree field and the role. A health information management or clinical coding degree maps cleanly, but a general business degree may trigger scrutiny. Gather your academic transcripts and a credential evaluation before approaching employers.
Target payers and risk-bearing provider groups
Medicare Advantage plans, ACOs, and large hospital systems with in-house risk adjustment teams file LCAs regularly and understand the E-3 process. These employers are structurally more likely to sponsor than staffing agencies, which often can't act as the petitioning employer.
Ask employers about LCA filing before accepting an offer
The DOL Labor Condition Application must be certified before your visa appointment. Confirm your prospective employer has done this before or is prepared to file. Delays here push back your start date, not the employer's.
Use Migrate Mate's E-3 filing service to manage your LCA and consulate prep
Once you have an offer, use Migrate Mate's E-3 filing service to handle the LCA, DS-160, and consulate appointment preparation end-to-end. This reduces errors that cause delays at the Sydney, Melbourne, or Perth consulate.
Align your CPC or CRC certification with your visa documentation
Coding certifications like CPC or CRC strengthen the specialty occupation argument but don't replace degree requirements. Include them in your supporting documentation to reinforce that the role demands specialized knowledge beyond a general workforce.
Negotiate a clear remote-to-onsite arrangement in your offer letter
Risk adjustment coding roles are often remote, but your LCA must list a specific worksite location. Clarify with your employer whether the LCA will reflect your U.S. work address or a corporate headquarters before filing begins.
E-3 Visa Risk Adjustment Coding: Frequently Asked Questions
How do I find Risk Adjustment Coding jobs with E-3 visa sponsorship?
Migrate Mate is built specifically for Australian professionals seeking E-3 sponsorship and lets you filter roles by visa type and job category. Standard job boards don't distinguish between employers willing to sponsor Australians on an E-3 versus those set up only for H-1B, so filtering for E-3-ready employers from the start saves significant time.
How much does it cost to get an E-3 visa?
Migrate Mate's E-3 filing service covers the entire process for $499, including the Labor Condition Application, visa document preparation, and consulate appointment guidance. Traditional immigration lawyers charge $2,000–$5,000+ for the same work. The E-3 has less paperwork than most work visas, so paying thousands for legal help is usually unnecessary.
Does Risk Adjustment Coding qualify as a specialty occupation for the E-3?
Yes, when the role requires a bachelor's degree or higher in a directly related field such as health information management, clinical informatics, or a related health sciences discipline. The connection between your specific degree and the coding role matters. Roles that accept any bachelor's degree regardless of field are harder to qualify under the specialty occupation standard USCIS applies.
How does the E-3 compare to the H-1B for Risk Adjustment Coding roles?
The E-3 has a separate 10,500 annual allocation exclusively for Australian citizens and has never been fully utilized, meaning there's no lottery and no cap pressure. The H-1B requires surviving a random selection process with a roughly 25% chance before any review begins. For a qualifying Australian professional with a job offer, the E-3 is a direct path the H-1B simply isn't.
Can I work remotely in the U.S. on an E-3 in a Risk Adjustment Coding role?
You can work remotely, but your LCA must still list a prevailing wage for a specific geographic location, and that location determines your required wage floor under DOL rules. If your employer is headquartered in one state but you'll work from another, the LCA needs to reflect your actual worksite. This detail catches many applicants off guard during filing and can require an amended LCA if it changes after approval.