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Medicare Risk Adjustment Jobs in Florida (NOW HIRING)

MASC Medical

Primary Care Physician

Bradenton, FL · On-site

Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS) * Light call schedule (approximately 1 week every 6 weeks) Key Responsibilities * Provide comprehensive primary ...

MASC Medical

Primary Care Physician

Bradenton, FL · On-site

Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS) * Light call schedule (approximately 1 week every 6 weeks) Key Responsibilities * Provide comprehensive primary ...

MASC Medical

Primary Care Physician

Fort Myers, FL · On-site

$200 - $260/hr

Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS) * Light call schedule (approximately 1 week every 6 weeks) Key Responsibilities * Provide comprehensive primary ...

MASC Medical

Primary Care Physician

Fort Myers, FL · On-site

Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS) * Light call schedule (approximately 1 week every 6 weeks) Key Responsibilities * Provide comprehensive primary ...

MASC Medical

Primary Care Physician

Arcadia, FL · On-site

Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS) * Light call schedule (approximately 1 week every 6 weeks) Key Responsibilities * Provide comprehensive primary ...

Doist

Primary Care Physician

Fort Myers, FL · On-site

$190 - $270/hr

Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS) * Light call schedule (approximately 1 week every 6 weeks) Key Responsibilities * Provide comprehensive primary ...

MASC Medical

Primary Care Physician

Arcadia, FL · On-site

Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS) * Light call schedule (approximately 1 week every 6 weeks) Key Responsibilities * Provide comprehensive primary ...

MASC Medical

Primary Care Physician

Cape Coral, FL · On-site

Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS) * Light call schedule (approximately 1 week every 6 weeks) Key Responsibilities * Provide comprehensive primary ...

Phsorg

Analyze the impact of risk adjustment models, acuity shifts, redeterminations and eligibility churn ... Ensure Commercial and Medicare rates balance competitiveness and adequacy, and comply with ...

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Medicare Risk Adjustment information

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$9

$16

$29

How much do medicare risk adjustment jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for medicare risk adjustment in Florida is $16.75, according to ZipRecruiter salary data. Most workers in this role earn between $12.02 and $20.29 per hour, depending on experience, location, and employer.

What is Medicare Risk Adjustment?

Medicare Risk Adjustment is a process used by the Centers for Medicare & Medicaid Services (CMS) to adjust payments to Medicare Advantage plans based on the health status and demographic characteristics of their enrolled beneficiaries. The goal is to ensure that plans receive appropriate compensation for taking care of members with varying levels of health risk. This system uses diagnosis codes and other data to predict future healthcare costs, encouraging plans to provide comprehensive care and accurately document patient conditions.

What are jobs in Medicare Risk Adjustment?

Jobs in Medicare risk adjustment include work in data analytics, consulting, insurance, and closely related industries. Your duties and responsibilities differ depending on the type of work. For example, as a Medicare risk-adjustment consultant, you provide advice and recommendations to healthcare organizations or an insurance provider on how to mitigate risk across a customer pool. Data analytics and statistics specialists gather and analyze insurance and Medicare data and documentation from hospitals, healthcare providers, and other medical care facilities that accept Medicare. This includes reviewing different types of diagnosis and comparing patient chart information. Some health care providers have in-house risk adjustment workers, while others contract with outside consulting and analytics firms.

What are the key skills and qualifications needed to thrive in Medicare Risk Adjustment?

To excel in Medicare Risk Adjustment, you need a solid understanding of medical coding (especially ICD-10), healthcare regulations, and risk adjustment methodologies, often supported by credentials like CRC or CPC certifications. Familiarity with data analytics platforms, EHR systems, and specialized risk adjustment software is typically required. Strong attention to detail, analytical thinking, and effective communication are crucial soft skills for interpreting complex clinical data and collaborating across teams. These competencies ensure accurate risk scores, compliance with CMS requirements, and optimal financial outcomes for healthcare organizations.

What are some common challenges faced by professionals working in Medicare Risk Adjustment roles?

Professionals in Medicare Risk Adjustment often encounter challenges such as staying current with frequently changing CMS regulations, ensuring the accurate capture and documentation of patient diagnoses, and collaborating effectively with providers to optimize risk scores. The role requires meticulous attention to detail when reviewing medical records and coding, as well as strong communication skills to educate and support healthcare teams. Additionally, there can be pressure to meet strict deadlines for data submission and to ensure compliance with audit standards.

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

AspectMedicare Risk AdjustmentMedicare Coding Specialist
Primary FocusAssessing patient health risk scores for reimbursementAccurately coding medical diagnoses and procedures
Required CredentialsCertifications in risk adjustment or coding, often CPC or RHITCertifications like CPC, CCS, or RHIT
Work EnvironmentHealth plans, risk adjustment companies, healthcare providersHospitals, clinics, billing departments
Industry UsageUsed for Medicare Advantage plan reimbursementsUsed for medical billing and claims processing

While both roles involve healthcare coding and require similar certifications, Medicare Risk Adjustment focuses on evaluating patient health data to determine reimbursement levels, whereas Medicare Coding Specialists concentrate on accurately coding diagnoses and procedures for billing purposes.

More about Medicare Risk Adjustment jobs

What are the most commonly searched types of Medicare Risk Adjustment jobs in Florida?

The most popular types of Medicare Risk Adjustment jobs in Florida are:

What are popular job titles related to Medicare Risk Adjustment jobs in Florida?

For Medicare Risk Adjustment jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Medicare Risk Adjustment jobs in Florida look for?

The top searched job categories for Medicare Risk Adjustment jobs in Florida are:

What cities in Florida are hiring for Medicare Risk Adjustment jobs?

Cities in Florida with the most Medicare Risk Adjustment job openings:

Medicare Risk Adjustment jobs near you
Infographic showing various Medicare Risk Adjustment job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, and 3% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $34,848 per year, or $16.8 per hour.

Primary Care Physician

MASC Medical Recruitment Firm

Bradenton, FL • On-site

$250K - $260K/yr

Full-time

Medical, Dental, Vision, Life, PTO

Posted 8 days ago

Job description

Join a growing, value-based care practice as a full-time Primary Care Physician, focusing on a predominantly geriatric population. This 100% outpatient opportunity emphasizes preventive care, chronic disease management, and improving quality outcomes for seniors. The role is ideal for a physician passionate about delivering high-quality, relationship-driven care to Medicare Advantage patients.

Practice Info

  • 100% outpatient setting
  • Manageable daily volume (15–20 patients)
  • Dedicated clinical and administrative support staff
  • Value-based care model with a focus on quality metrics and patient outcomes
  • Use of technology and virtual care tools to support high-risk patient management

Responsibilities

  • Provide comprehensive primary care to a geriatric patient population with multiple chronic conditions
  • Deliver patient-centered care with an emphasis on preventive services and care coordination
  • Develop and manage individualized care plans in collaboration with patients, families, and interdisciplinary teams
  • Utilize virtual care tools to monitor and manage high-risk patients between visits
  • Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding
  • Communicate effectively with patients, caregivers, and other providers across the continuum of care
  • Support improved clinical outcomes and patient satisfaction through proactive engagement

Compensation

  • Competitive base salary
  • Quarterly quality-based bonus incentives
  • Salary: $250,000 to $260,000

Benefits

  • Malpractice insurance with tail coverage provided
  • Generous paid time off (4 weeks PTO + paid holidays)
  • Comprehensive benefits package including: Medical, dental, and vision insurance
  • Company-paid life and disability insurance
  • CME allowance
  • DEA and Florida license reimbursement
  • Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS)

Shift & Schedule

  • Monday–Friday schedule, 8:00 AM – 5:00 PM (no weekends)
  • Light call schedule (approximately 1 week every 6 weeks)

Requirements

  • MD or DO from an accredited medical school (Family Medicine, Internal Medicine, or Geriatrics preferred)
  • Board Certified or Board Eligible strongly preferred
  • Active and unrestricted Florida Medical License
  • DEA license
  • Current CPR certification (BLS required; ACLS/PALS preferred)
  • Experience managing geriatric patients and Medicare Advantage populations required
  • Familiarity with value-based care models, risk adjustment (MRA), and quality measures strongly preferred
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About MASC Medical

Sourced by ZipRecruiter

Masc Medical is a prominent healthcare staffing firm based in Fort Lauderdale, Florida, US. As a recognized name in the healthcare industry, the company effectively connects healthcare providers and organizations across the country. Dedicated to offering a comprehensive set of recruitment services, Masc Medical helps healthcare organizations fill permanent vacancies as efficiently and effectively as possible. The company was established on a mission to pair medical offices with qualified healthcare professionals, striving to become an industry leader.

Industry

Recruiting and staffing services

Company size

1 - 10 Employees

Headquarters location

Fort Lauderdale, FL, US

Year founded

2010

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