Green Card Risk Adjustment Coding Jobs
Risk adjustment coding roles at health plans, managed care organizations, and risk-bearing provider groups qualify for EB-2 and EB-3 green card sponsorship through PERM labor certification. Employers document that no equally qualified U.S. worker is available before filing an I-140 immigrant petition, making structured sponsorship the standard pathway for credentialed foreign professionals in this specialty.
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We are seeking a Lead, Organic Risk Adjustment to build, operationalize, and scale our Organic Risk Adjustment program.
This is not a role focused primarily on setting strategy from the sidelines. We're looking for a builder and a doer someone who enjoys rolling up their sleeves, creating processes from the ground up, solving operational challenges, and driving results through execution. The ideal candidate is equally comfortable analyzing data, developing provider outreach plans, creating workflows, facilitating meetings, and following through on implementation.
This role will work closely with clinical, operational, and analytical partners to improve documentation accuracy, risk capture, and overall program performance. Success will come from the ability to turn ideas into action and build sustainable processes that create measurable impact.
Key Responsibilities
Program Development & Execution
- Build and operationalize programs that improve organic risk adjustment performance.
- Develop workflows, playbooks, provider engagement approaches, and reporting processes from the ground up.
- Identify opportunities, create action plans, and personally drive implementation through completion.
- Manage multiple initiatives simultaneously, ensuring deliverables are completed on time and produce measurable results.
- Serve as the point person for day-to-day execution of Organic Risk Adjustment initiatives.
Provider & Operational Partnership
- Partner directly with providers, practice leaders, operations teams, and clinical stakeholders to improve documentation and coding performance.
- Create practical solutions that fit within existing clinical workflows.
- Lead meetings, track action items, and ensure accountability across stakeholders.
Analytics & Performance Improvement
- Analyze data to identify documentation and risk capture opportunities.
- Translate insights into operational actions and measurable performance improvement.
- Monitor outcomes and adjust programs based on results.
Use your skills to make an impact
Required Qualifications
- Bachelor’s degree or equivalent experience
- 6+ years of related lead level experience
- Experience in Medicare Advantage risk adjustment, RAF performance, clinical documentation improvement, coding, quality, or value-based care operations.
- Demonstrated ability to lead cross-functional initiatives involving clinical, coding, analytics, quality, and operational stakeholders.
- Experience developing provider education, documentation improvement strategies, and performance feedback processes.
- Ability to analyze data trends, identify root causes, and translate insights into operational action plans.
- Strong communication, facilitation, and stakeholder management skills.
- Ability to manage multiple priorities in a fast-paced, highly regulated healthcare environment.
Preferred Qualifications
- Experience leading organic or prospective risk adjustment programs.
- Experience with provider-facing documentation workflows, EMR-based interventions, suspect condition programs, or point-of-care gap closure strategies.
- Experience developing dashboards, executive reporting, or performance scorecards.
- Knowledge of Medicare Advantage operations, quality programs, Stars, care management, and value-based payment models.
- Prior people leadership or matrixed team leadership experience.
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
40
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.
$115,200 - $158,400 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: 08-04-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and 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.
Become a part of our caring community
We are seeking a Lead, Organic Risk Adjustment to build, operationalize, and scale our Organic Risk Adjustment program.
This is not a role focused primarily on setting strategy from the sidelines. We're looking for a builder and a doer someone who enjoys rolling up their sleeves, creating processes from the ground up, solving operational challenges, and driving results through execution. The ideal candidate is equally comfortable analyzing data, developing provider outreach plans, creating workflows, facilitating meetings, and following through on implementation.
This role will work closely with clinical, operational, and analytical partners to improve documentation accuracy, risk capture, and overall program performance. Success will come from the ability to turn ideas into action and build sustainable processes that create measurable impact.
Key Responsibilities
Program Development & Execution
- Build and operationalize programs that improve organic risk adjustment performance.
- Develop workflows, playbooks, provider engagement approaches, and reporting processes from the ground up.
- Identify opportunities, create action plans, and personally drive implementation through completion.
- Manage multiple initiatives simultaneously, ensuring deliverables are completed on time and produce measurable results.
- Serve as the point person for day-to-day execution of Organic Risk Adjustment initiatives.
Provider & Operational Partnership
- Partner directly with providers, practice leaders, operations teams, and clinical stakeholders to improve documentation and coding performance.
- Create practical solutions that fit within existing clinical workflows.
- Lead meetings, track action items, and ensure accountability across stakeholders.
Analytics & Performance Improvement
- Analyze data to identify documentation and risk capture opportunities.
- Translate insights into operational actions and measurable performance improvement.
- Monitor outcomes and adjust programs based on results.
Use your skills to make an impact
Required Qualifications
- Bachelor’s degree or equivalent experience
- 6+ years of related lead level experience
- Experience in Medicare Advantage risk adjustment, RAF performance, clinical documentation improvement, coding, quality, or value-based care operations.
- Demonstrated ability to lead cross-functional initiatives involving clinical, coding, analytics, quality, and operational stakeholders.
- Experience developing provider education, documentation improvement strategies, and performance feedback processes.
- Ability to analyze data trends, identify root causes, and translate insights into operational action plans.
- Strong communication, facilitation, and stakeholder management skills.
- Ability to manage multiple priorities in a fast-paced, highly regulated healthcare environment.
Preferred Qualifications
- Experience leading organic or prospective risk adjustment programs.
- Experience with provider-facing documentation workflows, EMR-based interventions, suspect condition programs, or point-of-care gap closure strategies.
- Experience developing dashboards, executive reporting, or performance scorecards.
- Knowledge of Medicare Advantage operations, quality programs, Stars, care management, and value-based payment models.
- Prior people leadership or matrixed team leadership experience.
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
40
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.
$115,200 - $158,400 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: 08-04-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and 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.
See all 55+ Green Card Risk Adjustment Coding Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Green Card Risk Adjustment Coding Jobs.
Get Access To All JobsTips for Finding Green Card Sponsorship in Risk Adjustment Coding
Align your CRC or CPC credential first
PERM audits in healthcare coding routinely scrutinize whether the job requirements are genuinely tied to the role. Holding a current CRC or CPC certification from AHIMA or AAPC before your employer files makes the specialty occupation case harder to challenge.
Target employers subject to recruitment obligations
Health plans filing PERM must run a compliant recruitment cycle before DOL approval. Prioritize mid-size managed care organizations and risk-bearing IPAs that have in-house HR capacity to manage that cycle, since they're less likely to abandon the petition mid-process.
Verify the SOC code your employer plans to use
Risk adjustment coding roles can be filed under different Standard Occupational Classification codes, which affects the prevailing wage DOL assigns. Ask your employer's attorney which SOC code they intend before the Labor Condition Application is submitted, because changing it later restarts the process.
Search Migrate Mate for active sponsoring employers
Filter by green card sponsorship history in risk adjustment and healthcare coding roles. Migrate Mate surfaces employers who have filed PERM or I-140 petitions for coding positions, so you're targeting organizations with a documented track record rather than guessing.
Check the prevailing wage before accepting an offer
PERM requires your offered wage to meet or exceed the DOL prevailing wage for your SOC code and work location. Run your role and zip code through the OFLC Wage Search before signing an offer letter to confirm the salary meets the Level I or Level II threshold your employer intends to use.
Understand EB-3 priority date implications for your country
EB-3 green card backlogs vary significantly by country of birth, not citizenship. If you were born in India or China, your priority date wait could extend years beyond what EB-3 applicants born elsewhere face, which affects how you weigh a permanent sponsorship offer against your current visa status.
Green Card Risk Adjustment Coding: Frequently Asked Questions
Do risk adjustment coding roles qualify for EB-2 or EB-3 green card sponsorship?
Both categories are available depending on the job requirements your employer defines. EB-3 covers skilled professionals and is the more common path for coding roles requiring a bachelor's degree or equivalent credential. EB-2 applies if the position genuinely requires an advanced degree, such as a master's-level health informatics role with a risk adjustment coding component. Your employer's attorney determines the appropriate category based on the actual duties and minimum requirements documented in the PERM application.
How does green card sponsorship differ from H-1B sponsorship for this role?
The green card route through PERM leads to permanent residency rather than a temporary status that requires renewal every few years. There is no annual lottery for EB-3 petitions the way there is for H-1B visa cap-subject filings, so your employer can file any time of year. The tradeoff is timeline: PERM labor certification and I-140 approval typically take longer than an H-1B petition, and if you were born in a backlogged country, you may wait years before your priority date becomes current for adjustment of status or consular processing.
What does the PERM recruitment process look like for a risk adjustment coding position?
Your employer must conduct DOL-mandated recruitment, including job postings in specific formats and timeframes, to demonstrate no qualified U.S. worker is available. For professional roles, this typically includes a Sunday print newspaper ad in the area of intended employment, three additional recruitment steps such as a careers page posting or job fair, and a 30-day posting period. DOL reviews the recruitment documentation before certifying the application, and audits in healthcare occupations often request detailed wage and duty documentation.
How do I find employers who have actually sponsored green cards for coding roles?
Migrate Mate lets you filter job listings by verified green card sponsorship history, including PERM and I-140 filings in healthcare and coding categories. Targeting employers with a documented sponsorship track record in this specialty reduces the risk of accepting an offer from a company unfamiliar with the PERM process or unwilling to see it through to I-140 approval.
Can my employer start the green card process while I'm on an H-1B or OPT?
Yes. PERM labor certification can be filed while you're in valid H-1B status, and many employers begin the process during the first or second year of an H-1B period to build in time before the six-year H-1B limit approaches. If you're on OPT, your employer can initiate PERM, but you'll need to maintain valid work authorization throughout the multi-stage process. An approved I-140 also preserves your priority date even if you change employers later, provided the new role is in the same or similar occupational classification.