ZipRecruiter

Log In

2

Remote Medicare Risk Adjustment Jobs in Rio Rancho, NM

All JobsRemote Medicare Risk Adjustment JobsRemote Medicare Risk Adjustment Jobs in Rio Rancho, NM

Remote Medicare Risk Adjustment information

See Rio Rancho, NM salary details

$16

$20

$22

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

As of Jun 25, 2026, the average hourly pay for remote medicare risk adjustment in Rio Rancho, NM is $20.22, according to ZipRecruiter salary data. Most workers in this role earn between $16.97 and $21.49 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.

What are popular job titles related to Remote Medicare Risk Adjustment jobs in Rio Rancho, NM? For Remote Medicare Risk Adjustment jobs in Rio Rancho, NM, the most frequently searched job titles are:
What job categories do people searching Remote Medicare Risk Adjustment jobs in Rio Rancho, NM look for? The top searched job categories for Remote Medicare Risk Adjustment jobs in Rio Rancho, NM are:
Remote Medicare Risk Adjustment jobs near you
Infographic showing various Remote Medicare Risk Adjustment job openings in Rio Rancho, NM as of June 2026, with employment types broken down into 3% As Needed, 87% Full Time, and 10% Contract. Highlights an 24% In-person, 3% Hybrid, and 73% Remote job distribution, with an average salary of $42,067 per year, or $20.2 per hour.
Clinical Pharmacist (MTM) - Work From Home

Clinical Pharmacist (MTM) - Work From Home

Health Care Service Corporation

Albuquerque, NM • Remote

$102K - $184K/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(Healthspring)The Clinical Pharmacist plays a vital role in advancing the quality, safety, and effectiveness of drug therapy for Healthspring Medicare members. In this position, you will collaborate with a high performing, multidisciplinary team of professionals across multiple functions to conduct comprehensive medication reviews (CMRs) for high-risk populations. These reviews include but are not limited to the assessment of drug interactions, identifying therapeutic duplications, evaluating renal and hepatic dosing adjustments, addressing evidence-based gaps in care, supporting STAR-related pharmacy initiatives, and identifying barriers to medication affordability and adherence.

JOB REQUIREMENTS (MTM):

  • Active and unrestricted Pharmacist license in the State of residence required

  • Doctor of Pharmacy (PharmD) degree required

  • Strong clinical medication knowledge with the ability to apply evidence-based guidelines in practice

  • Minimum 3 years' experience in Managed Care, Medicare and/orMedicaid settingspreferred

  • Experience with Medication Therapy Management (MTM) programs strongly preferred

  • Familiarity with MTM platforms (ex: Adhere Health's Optimize or similar applications) preferred

  • Excellent verbal and written communication skills, with the ability to effectively engage diverse audiences

  • Bilingualproficiencyin English and Spanish

  • Advancedproficiencyin Microsoft Office applications including Word, Excel, PowerPoint, and Outlook

  • Strong computer literacy with the ability to navigate systems and applications simultaneously

  • Strong learning agility and ability to apply new concepts and tools

  • Strong analytical thinking, problemsolvingand clinical decision-making skills

  • Ability to develop innovative solutions to complex healthcare challenges

PREFERRED JOB REQUIREMENTS:

*Strong experience with MTM required

*Bilingual (English and Spanish preferred)
*Must be willing to work Phone Queue

*Must be clinically strong with experience in diverse programs (MTM, Case Referrals, Narcotics)
*Residency and/or Board Certification preferred

#LI-FW1

#LI-Remote
This is a Remote/Work-From-Home role. Must have an active and unrestricted Pharmacist licensein the State of residence.

Sponsorship is not available

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 plansubject 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$102,000.00 - $184,300.00

Exact compensation may vary based on skills, experience, and location.

Apply