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Remote Aca Jobs in Florida (NOW HIRING)

Remote: Open to applicants in the United States, excluding CA, IL, ND, NY, OH, WA, and WY. Hybrid ... ACA Individual & Small Group Pricing * Lead annual ACA Individual and Small Group rate development ...

Remote ???? Reports to CEO ???? Full-Time ???? Equity Available $120-150K Base Salary $200-250K OTE ... Licensing & Compliance Entity setup, state licensing, carrier appointments, ERISA and ACA ...

Auditor, Risk Adjustment

Miami, FL · Remote

$82K - $108K/yr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and ...

From world-class events that last a few weeks to mining operations and remote communities who rely ... Strong Accountant Background (ACA, ACCA, CPA, or equivalent preferred). * Strong experience in ...

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Remote Aca information

What are the key skills and qualifications needed to thrive as a Remote Accountant, and why are they important?

To thrive as a Remote Accountant, you need a solid understanding of accounting principles, financial reporting, and typically a degree in accounting or finance with relevant certifications like CPA. Familiarity with accounting software such as QuickBooks, Xero, or SAP, as well as cloud-based collaboration tools, is essential. Strong attention to detail, self-motivation, and effective virtual communication skills help you excel in a remote environment. These competencies ensure accurate financial management, regulatory compliance, and seamless teamwork despite physical distance.

How to make $1000 a week remotely?

Remote ACA (Affordable Care Act) roles typically involve administrative or customer service tasks in healthcare, which may pay hourly wages that can add up to $1000 weekly with full-time hours. To reach this income level, professionals often need strong organizational skills, familiarity with healthcare regulations, and experience with remote communication tools, or they may supplement with multiple part-time positions or freelance work in related fields.

How can I make $100,000 a year working from home?

Remote ACA (Affordable Care Act) roles, such as health insurance agents or compliance specialists, can reach six-figure incomes with experience, strong sales skills, and certifications. Achieving this often involves building a client base, leveraging digital tools, and working flexible hours to maximize earnings.

What is the difference between Remote Aca vs Remote Biller?

AspectRemote AcaRemote Biller
Required CredentialsMedical coding certification (e.g., CPC)Medical billing certification or training
Work EnvironmentHome-based, healthcare offices, hospitalsHome-based, healthcare providers, clinics
Employer & Industry UsageHospitals, clinics, insurance companiesMedical practices, billing companies
Common Search & ComparisonYesYes

Remote Aca and Remote Biller roles often overlap in healthcare billing and coding. While Remote Aca focuses on medical coding and insurance claim processing, Remote Biller emphasizes managing billing processes directly with healthcare providers. Both require relevant certifications and are typically home-based, serving healthcare organizations. Understanding these differences helps job seekers find the role that best matches their skills and career goals.

What are some common challenges faced by Remote Academic Advisors, and how can these be managed effectively?

Remote Academic Advisors often encounter challenges such as building rapport with students virtually, managing time across different time zones, and maintaining clear communication without in-person cues. To overcome these, advisors use video conferencing, set regular check-ins, and leverage digital tools to track student progress. Staying organized and proactive in outreach helps ensure students feel supported, while participating in virtual team meetings fosters collaboration with colleagues and continuous professional development.

How can I make 2000 a week working from home?

Remote ACA (Affordable Care Act) roles typically involve health insurance enrollment and customer support, which can pay hourly or per project. To earn $2,000 weekly, you may need to work full-time hours, develop specialized knowledge, and possibly hold relevant certifications, while utilizing skills in communication and data management.

What are remote Accountants?

Remote Accountants are financial professionals who perform accounting tasks such as bookkeeping, preparing financial statements, managing payroll, and filing taxes from a location outside of a traditional office setting. They use cloud-based accounting software and other digital tools to collaborate with clients and colleagues. This arrangement allows for greater flexibility and enables businesses to access accounting expertise regardless of location.

What is the highest paying remote job right now?

Remote software engineering roles, especially senior positions such as software architects or engineering managers, tend to be among the highest paying remote jobs, with salaries often exceeding $150,000 annually. Other high-paying remote roles include data scientists, cloud architects, and cybersecurity directors, which require specialized skills and experience.
What are the most commonly searched types of Aca jobs in Florida? The most popular types of Aca jobs in Florida are:
What cities in Florida are hiring for Remote Aca jobs? Cities in Florida with the most Remote Aca job openings:
Infographic showing various Remote Aca job openings in Florida as of July 2026, with employment types broken down into 96% Full Time, and 4% Part Time. Highlights an 100% Remote job distribution.

Director Underwriting & Pricing

Phsorg

On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago


Job description

Location Address:

9521 San Mateo NE Albuquerque, NM 87113-2237

Summary:

Presbyterian Health Plan (PHP) seeks a strategic and analytically driven leader to serve as Director, Underwriting & Pricing. This highly visible leadership role is responsible for developing and executing underwriting, pricing, and rating strategies that support growth, profitability, regulatory compliance, and long-term financial sustainability across the Health Plan.
Reporting to senior health plan leadership, this executive oversees underwriting and pricing for commercial large group, level-funded, and Administrative Services Only (ASO) products while providing enterprise leadership for ACA Individual and Small Group rate development and implementation. The Director also leads reinsurance strategy and negotiations across all lines of business and serves as a key partner to Sales, Actuarial, Finance, Product, and Market leadership.
This role is ideal for a leader who combines strong technical underwriting expertise with strategic business acumen, exceptional communication skills, and a proven ability to influence business outcomes in a complex healthcare environment.
Work Arrangement:
Remote: Open to applicants in the United States, excluding CA, IL, ND, NY, OH, WA, and WY.
Hybrid: For individuals within 60 miles of Albuquerque, in-office presence is required Tuesday through Thursday.

Job Description:

Strategic Underwriting & Pricing Leadership

  • Develop and execute underwriting and pricing strategies for Commercial Large Group, Level-Funded, and ASO business segments.

  • Partner with executive leadership to support organizational growth, profitability, and market competitiveness.

  • Contribute to the development and execution of commercial market and sales strategies.

  • Evaluate emerging market trends and recommend pricing actions to support business objectives.

Financial Performance & Risk Management

  • Monitor Medical Loss Ratio (MLR) performance across commercial and level-funded products.

  • Identify emerging financial trends and implement corrective pricing or underwriting actions as needed.

  • Develop periodic revenue forecasts to support organizational budgeting and provider contracting activities.

  • Ensure pricing assumptions appropriately reflect benefit design, administrative expenses, commissions, and risk profiles.

ACA Individual & Small Group Pricing

  • Lead annual ACA Individual and Small Group rate development and implementation processes.

  • Ensure rate development methodologies comply with all applicable regulatory requirements.

  • Oversee successful implementation and loading of approved rates into operational systems.

  • Ensure timely development and distribution of annual renewal communications.

Reinsurance Strategy

  • Lead negotiation and procurement of reinsurance agreements across all lines of business.

  • Evaluate market conditions and reinsurance opportunities to optimize financial performance and risk protection.

  • Partner with Finance and Actuarial leadership to assess and manage enterprise risk exposure.

Regulatory & Compliance Oversight

  • Ensure timely filing of underwriting guidelines, rating methodologies, and pricing parameters.

  • Lead annual Federal Employees Health Benefits Program (FEHBP) rate proposal and reconciliation processes.

  • Support regulatory audits and inquiries, including Office of Inspector General (OIG) reviews.

  • Maintain compliance with federal, state, and industry underwriting requirements.

Leadership & Talent Development

  • Lead, mentor, and develop a high-performing underwriting team.

  • Establish clear performance expectations, accountability measures, and professional development opportunities.

  • Foster a culture of collaboration, customer service, analytical rigor, and continuous improvement.

Stakeholder Engagement

  • Serve as a trusted advisor to Sales, Marketing, brokers, and consultants on underwriting and pricing matters.

  • Evaluate non-standard proposals and exception requests to ensure financially viable decisions.

  • Effectively communicate complex financial and underwriting concepts to executive, internal, and external stakeholders.

Success Measures

Within the first 12-24 months, the Director will:

  • Strengthen underwriting and pricing strategies to support profitable membership growth.

  • Ensure ACA, Large Group, and Level-Funded products achieve targeted financial performance.

  • Enhance forecasting accuracy and underwriting performance analytics.

  • Maintain full compliance with regulatory rate filing requirements and audit standards.

  • Successfully negotiate reinsurance arrangements that balance risk protection and economic value.

  • Develop and retain a high-performing underwriting team capable of supporting strategic growth objectives.

Additional Job Description:

  • Required: Bachelor's degree in Business, Finance, Economics, Mathematics, Healthcare Administration, or a related field.

  • Preferred: Master's degree (MBA, MHA, or related discipline).

Benefits
Benefits are effective day-one (for .45 FTE and above) and include:

  • Competitive salaries
  • Full medical, dental and vision insurance
  • Flexible spending accounts (FSAs)
  • Free wellness programs
  • Paid time off (PTO)
  • Retirement plans, including matching employer contributions
  • Continuing education and career development opportunities
  • Life insurance and short/long term disability programs

About Us
Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system ofnine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.
Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.
We are part of New Mexico's history-and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

About New Mexico
New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.
Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.
New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.