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Internship Medicare Risk Adjustment Jobs (NOW HIRING)

Position Overview Risk Adjustment is a growing and critical field within Health Insurance Finance ... Medicaid, Medicare and Affordable Care Act/QHP. This includes monitoring submission timelines ...

New

Position Overview Risk Adjustment is a growing and critical field within Health Insurance Finance ... Medicaid, Medicare and Affordable Care Act/QHP. This includes monitoring submission timelines ...

New

Knowledge of Medicare, Medicaid, and ACA Commercial risk adjustment models. * Ability to interpret and apply coding policies, regulations, and guidelines. * Experience providing coding education ...

Auditor, Risk Adjustment

Tempe, AZ · Remote

$82K - $108K/yr

We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team. Oscar is the ... Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record ...

MRA Coder

Miami, FL · On-site

$18 - $24/hr

Minimum 3 years of Medicare Risk Adjustment coding * Advanced Microsoft Excel * Familiar with HCC Dashboard tool * Strong knowledge of ICD-10 and CPT codes * Fluent in English and Spanish * Clean ...

Showing results 41-60

Internship Medicare Risk Adjustment information

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$5

$16

$25

How much do internship medicare risk adjustment jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for internship medicare risk adjustment in the United States is $16.65, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $18.51 per hour, depending on experience, location, and employer.

What is the difference between Internship Medicare Risk Adjustment vs Medicare Risk Adjustment Specialist?

AspectInternship Medicare Risk AdjustmentMedicare Risk Adjustment Specialist
CredentialsTypically enrolled students or recent graduates, no certification requiredCertifications like RAC, CRC, or CPC required
Work EnvironmentInternship setting, learning-focused, entry-levelFull-time, professional healthcare setting, specialized
Employer & IndustryHospitals, insurance companies, healthcare providers during trainingInsurance companies, healthcare organizations, government agencies

In summary, Internship Medicare Risk Adjustment is an entry-level, learning-focused role for students, while Medicare Risk Adjustment Specialists are experienced professionals with certifications handling complex risk adjustment tasks in healthcare organizations.

More about Internship Medicare Risk Adjustment jobs
What cities are hiring for Internship Medicare Risk Adjustment jobs? Cities with the most Internship Medicare Risk Adjustment job openings:
What are the most commonly searched types of Medicare Risk Adjustment jobs? The most popular types of Medicare Risk Adjustment jobs are:
What states have the most Internship Medicare Risk Adjustment jobs? States with the most job openings for Internship Medicare Risk Adjustment jobs include:
Infographic showing various Internship Medicare Risk Adjustment job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 8% Part Time, and 3% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $34,624 per year, or $16.6 per hour.

Risk Adjustment Specialist

MetroPlusHealth

Manhattan, NY • Hybrid

$72K - $82K/yr

Full-time

Posted 2 days ago

New


MetroPlusHealth rating

6.7

Company rating: 6.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

264th of 304 rated insurance


Job description

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 ongoing processes and lead projects to ensure MetroPlusHealth is fully capturing data about our high-risk populations and submitting accurate information to federal and state agencies. You will work independently to monitor and support internal partners and external vendors in data collection and submission. You’ll apply your problem-solving skills to resolve issues you identify. You will also calculate errors and acceptance rates to track progress over time.

This opportunity is ideal for an individual interested in working at the intersection of Health Insurance Analytics and Operations, who excels at creative problem solving, is detail-oriented, and who is committed to our mission of providing access to health insurance to all New Yorkers.

Scope of Role and Responsabilities 

  • Ongoing monitoring of data submitted by vendors to ensure project goals are being met,
  • submitted data is complete and accurate, and errors are identified quickly.
  • Proactively work with external and internal partners to resolve issues – this includes identifying the root cause, devising plans to remediate, and ensuring on-time completion from all stakeholders.
  • Support end-to-end submission processes and encounter data across all lines of business, including Medicaid, Medicare and Affordable Care Act/QHP. This includes monitoring submission timelines, resubmissions, and validating accepted and rejected encounter metrics to ensure data is accurately reflected in downstream reporting.
  • Perform financial impact analysis of Risk Adjustment activities, including implications of data errors, missed submissions, and remediation efforts.
  • Access and analyze data within the enterprise data warehouse to evaluate member, provider, claims, and enrollment data in support of Risk Adjustment and encounter data initiatives.
  • Utilize dashboards to identify trends and potential opportunities in data collection and reportng. 

Required Education, Training & Professional Experience

  • Bachelor’s degree required, with a demonstrated interest in Finance, Social Services or Health Care.
  • Minimum of 3-4 years’ experience required working for a Health Plan, or in a Finance, Project Management or Actuarial capacity in another industry.
  • Ability to work independently to investigate, pinpoint, and resolve problems.
  • Strong analytical and financial skills. Experience using SQL, R, SAS or another programming language is a plus.
  • Proactive communication style and ability to work with a variety of stakeholders to achieve project goals.

Professional Competencies 

  • Integrity and Trust
  • Customer Focus
  • Functional/Technical skills
  • Written/Oral Communication

#MPH50

#LI-Hybrid


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