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Remote Medicare Risk Adjustment Jobs (NOW HIRING)

Oscar Health

Auditor, Risk Adjustment

Tempe, AZ · Remote

$82K - $108K/yr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record ...

Oscar Health

Auditor, Risk Adjustment

Atlanta, GA · Remote

$82K - $108K/yr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record ...

Oscar Health

Auditor, Risk Adjustment

Dallas, TX · Remote

$82K - $108K/yr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record ...

Oscar Health

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 ... Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record ...

Strive Health

Risk Adjustment Coder

Denver, CO · Remote

$27.88 - $32.21/hr

Extensive knowledge of documentation and coding guidelines established by the Center for Medicare ... Ability to work in a remote team environment while also being a strong individual contributor.

Molina Healthcare

VP, Risk Adjustment

Long Beach, CA · On-site +1

$137K - $184K/yr

Provides executive oversight of all risk adjustment programs across Medicare Advantage, Medicaid, and ACA Marketplace lines of business, ensuring alignment of operational activities with ...

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All JobsRemote Medicare Risk Adjustment Jobs

Remote Medicare Risk Adjustment information

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

As of Jun 24, 2026, the average hourly pay for remote medicare risk adjustment in the United States is $21.50, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.

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

AspectRemote Medicare Risk AdjustmentRemote Medical Coding Specialist
CertificationsCPR, CPC, or RAC certifications often preferredCPC, CCS, or CCS-P certifications
Work EnvironmentHealthcare insurance companies, Medicare plansHospitals, clinics, insurance companies
Industry UsagePrimarily in Medicare risk adjustment programsMedical billing and coding across various healthcare settings

Remote Medicare Risk Adjustment and Remote Medical Coding Specialist roles share certifications and healthcare industry usage but differ in focus. Medicare Risk Adjustment involves analyzing patient data to optimize Medicare plan reimbursements, while Medical Coding Specialists translate medical records into billing codes. Both roles require healthcare knowledge but serve distinct functions within the healthcare revenue cycle.

More about Remote Medicare Risk Adjustment jobs
What cities are hiring for Remote Medicare Risk Adjustment jobs? Cities with the most Remote 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 Remote Medicare Risk Adjustment jobs? States with the most job openings for Remote Medicare Risk Adjustment jobs include:
What job categories do people searching Remote Medicare Risk Adjustment jobs look for? The top searched job categories for Remote Medicare Risk Adjustment jobs are:
Remote Medicare Risk Adjustment jobs near you
Infographic showing various Remote Medicare Risk Adjustment job openings in the United States as of June 2026, with employment types broken down into 1% Internship, 2% As Needed, 42% Full Time, 45% Part Time, and 10% Contract. Highlights an 37% Physical, 3% Hybrid, and 60% Remote job distribution, with an average salary of $44,724 per year, or $21.5 per hour.
Manager, Medicare Risk Adjustment Analytics Consulting - REMOTE

Manager, Medicare Risk Adjustment Analytics Consulting - REMOTE

Health Care Service Corporation

Nashville, TN • On-site, Remote

$112K - $202K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 22 days ago

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
The Medicare Risk Adjustment Analytics Consulting Manager is a Subject Matter Expert (SME) who will drive revenue integrity and analytics strategy by serving as the primary consultative resource for strategic initiatives. This role leads cross-functional, matrixed teams and works directly with risk adjustment analysts to transform complex financial and risk adjustment data into actionable business intelligence. Additionally, the SME champions advanced data science initiatives by supporting the end-to-end development, refinement, and deployment of predictive models. As a key advisor to the business, the SME consistently delivers strategic, data-driven insights and collaborates with key stakeholders to ensure revenue accuracy and analytic product integrity.
Core responsibilities include consultive leadership, translating complex risk adjustment analyses into high-impact strategic recommendations and presentations. The manager is a strategic advisor, collaborates with key business partners and oversees the design and execution of complex data initiatives.
JOB REQUIREMENTS:
  • Bachelor Degree in Math, Actuarial Science, Business Statistics, Accounting or Finance OR 4 years experience.
  • 5 years experience interfacing with external clients, large employers, brokers, or consultants OR 5 years experience in presenting analytic results to both internal and external audiences.
  • 5 years experience in requiring data analysis and information reporting related to healthcare data.
  • 2 years leadership experience.
  • Negotiation, decision-making, organizational, and analytical skills.
  • Verbal and written communication skills, including presentation skills.
  • PC proficiency to include Access, Excel, Word, and PowerPoint.

PREFERRED JOB REQUIREMENTS:
  • Deep Medicare Risk Adjustment experience (HCC models, risk score calculations, RADV audits).
  • Proven success leading data projects and influencing indirect reports, peers, and cross-functional teams in a complex environment and without formal authority.
  • Advanced understanding of querying, manipulating, and visualizing healthcare data (e.g.' SQL, SAS, Python, Tableau or Power BI).
  • Exceptional presentation skills reporting to C-suite or executive-level stakeholders including the ability to simplify complex data analyses into business insights for non-technical partners.

This is a Remote role.
#LI -PD1
#LI-REMOTE
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range
$112,200.00 - $202,600.00
Exact compensation may vary based on skills, experience, and location.

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