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Remote Risk Adjustment Provider Educator Jobs in Florida

Lee Health

Coder II - E/M

Cape Coral, FL · Remote

$20.50 - $27.85/hr

Remote - FL Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM Minimum ... Risk Adjustment Coder) CIC (Certified Inpatient Coder) CCS (Certified Coding Specialist) RHIT ...

Lee Health

Coder II - E/M

Cape Coral, FL · On-site +1

$20.50 - $27.85/hr

Remote - FL Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM Minimum ... Risk Adjustment Coder) • CIC (Certified Inpatient Coder) • CCS (Certified Coding Specialist ...

Porter Cares, Inc.

Healthcare Coordinator

Pompano Beach, FL · Remote

$18/hr

  • Medical

  • Dental

  • Vision

  • PTO

... care, risk adjustment, and member experience. What You\'ll Do We're seeking dedicated, detail ... Directly communicate with providers using Athena chat during the day-of appointment workflow--this ...

Danaher

Senior Cybersecurity Risk Analyst - USA Remote

Miami, FL · Remote

$130K - $160K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... as Remote. In this role, you will have the opportunity to: * Execute the third-party risk ... Review and provide cybersecurity input on third-party contracts (IS Terms & Conditions, Data ...

Porter Cares, Inc.

Healthcare Coordinator

Pompano Beach, FL · Remote

$16 - $18/hr

  • Medical

  • Dental

  • Vision

  • PTO

... care, risk adjustment, and member experience. What You'll Do We're seeking dedicated, detail ... Directly communicate with providers using Athena chat during the day-of appointment workflow-this ...

Monogram Health

Market Physician Executive

Fort Myers, FL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Provide direct and indirect patient care, including diagnosis and treatment of disease. * Engage ... risk adjustment. * Current state medical license without restrictions to practice and free of ...

Monogram Health

Market Physician Executive

Cape Coral, FL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Provide direct and indirect patient care, including diagnosis and treatment of disease. * Engage ... risk adjustment. * Current state medical license without restrictions to practice and free of ...

Monogram Health

Market Physician Executive

Bonita Springs, FL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Provide direct and indirect patient care, including diagnosis and treatment of disease. * Engage ... risk adjustment. * Current state medical license without restrictions to practice and free of ...

INTEGRO

Risk Manager / Senior Risk Analyst

Tallahassee, FL · On-site +1

$120K - $150K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Remote flexibility available for the right candidate Division : Dealer General Warranty About CV ... Education: Bachelor's and/or Master's degree in Economics, Finance, Actuarial Science, Mathematics ...

Phsorg

$81K - $138K/yr

  • Medical

  • Dental

  • Vision

  • Life

Consultation, rounding, and education: Provide on-site and virtual consultative support through site visits, coaching, education, and communication that strengthen risk identification, reporting ...

Humana

Healthcare Market Finance Lead

Fort Lauderdale, FL · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... risk adjustment, market operations, provider engagement, hospitals, ancillary partners, sales ... education, certifications, etc. $104,000 - $143,000 per year This job is eligible for a bonus ...

Humana

Healthcare Market Finance Lead

Fort Lauderdale, FL · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... risk adjustment, market operations, provider engagement, hospitals, ancillary partners, sales ... education, certifications, etc. $104,000 - $143,000 per year This job is eligible for a bonus ...

Hoot Reading

Online Educator (Remote)

Tampa, FL · Remote

$18 - $20/hr

Part-Time Literacy Tutor (Remote) At Hoot Reading, were on a mission to change childrens lives ... Hoot Reading is a leading online tutoring provider delivering 1:1, evidence-based literacy ...

Humana

Healthcare Market Finance Lead

Fort Lauderdale, FL · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... risk adjustment, market operations, provider engagement, hospitals, ancillary partners, sales ... education, certifications, etc. $104,000 - $143,000 per year This job is eligible for a bonus ...

Hoot Reading

Online Educator (Remote)

Miami, FL · Remote

$18 - $20/hr

Part-Time Literacy Tutor (Remote) At Hoot Reading, were on a mission to change childrens lives ... Hoot Reading is a leading online tutoring provider delivering 1:1, evidence-based literacy ...

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Showing results 21-40

All JobsRisk Adjustment Provider Educator JobsRemote Risk Adjustment Provider Educator JobsRemote Risk Adjustment Provider Educator Jobs in Florida

Remote Risk Adjustment Provider Educator information

What is the difference between Remote Risk Adjustment Provider Educator vs Remote Risk Adjustment Analyst?

AspectRemote Risk Adjustment Provider EducatorRemote Risk Adjustment Analyst
CredentialsCertifications in risk adjustment, healthcare coding, or related fieldsCertifications in data analysis, healthcare analytics, or coding
Work EnvironmentRemote, educational, training-focusedRemote, data analysis, reporting
Employer & IndustryHealth plans, healthcare providers, education companiesHealth plans, analytics firms, healthcare organizations

The Remote Risk Adjustment Provider Educator primarily focuses on training healthcare providers and staff on risk adjustment processes, requiring educational skills and certifications. In contrast, the Remote Risk Adjustment Analyst analyzes data to identify trends and improve risk scores. Both roles are remote and industry-specific but differ in their core functions and skill sets.

What are popular job titles related to Remote Risk Adjustment Provider Educator jobs in Florida?

For Remote Risk Adjustment Provider Educator jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Remote Risk Adjustment Provider Educator jobs in Florida look for?

The top searched job categories for Remote Risk Adjustment Provider Educator jobs in Florida are:

What cities in Florida are hiring for Remote Risk Adjustment Provider Educator jobs?

Cities in Florida with the most Remote Risk Adjustment Provider Educator job openings:

Remote Risk Adjustment Provider Educator jobs near you

Director, Actuarial Services (Tampa)

Avalon Administrative Services LLC

Tampa, FL • On-site, Remote

Part-time

Posted 4 days ago

Job description

About Avalon Healthcare Solutions:

Avalon Healthcare Solutions is the nation’s leader in diagnostic intelligence, uniquely focused on transforming the role of diagnostic testing across the healthcare ecosystem. Our proprietary Diagnostic Insights Platform delivers evidence-based policies, curated lab networks, and real-time analytics that simplify complex diagnostics, accelerate innovation adoption, and optimize diagnostic investments.

Supporting over 30 health plans and 100 million members nationwide, Avalon partners with payers and providers to ensure diagnostic testing is performed appropriately, efficiently, and at the right time. Our flexible solutions span routine and genetic testing management, automated adherence, and end-to-end diagnostics support—driving measurable value, reduced waste, and improved clinical outcomes.

With unmatched scientific rigor, deep clinical expertise, and a performance-based model, Avalon is redefining how diagnostics power personalized care and healthcare value. You will be part of a team that shapes a new market and business. Most importantly, you will help Avalon to achieve its mission and improve clinical outcomes and health care affordability for the people we serve.

For more information about Avalon, please visit www.avalonhcs.com

Avalon Healthcare Solutions is an Equal Opportunity Employer - Vet/Disability.

This position description is subject to change at any time. As determined by the company based upon business needs, an employee in this position may be required to perform duties and take responsibility for work other than as described in this document.

About the Director, Actuarial Services Position:

The Director, Actuarial Services is responsible for leading the organization's actuarial and healthcare analytics functions in support of strategic, financial, and operational objectives. This role directs the development and maintenance of actuarial models, financial forecasts, reserving methodologies, and risk analyses that support business performance and informed decision-making. Leveraging deep actuarial expertise and healthcare industry knowledge, the Director evaluates emerging trends, utilization patterns, medical cost drivers, and financial risks to provide actionable insights and recommendations.  

The Director, Actuarial Services partners closely with executive leadership and cross-functional stakeholders, including Finance, Health Analytics, Network Management, and Product teams, to support pricing strategies, financial forecasting, risk adjustment initiatives, and regulatory compliance. This position is responsible for communicating actuarial findings, financial risk exposure, and strategic recommendations to leadership while driving continuous improvement of actuarial methodologies, tools, data infrastructure, and reporting capabilities. Through the application of advanced analytics and actuarial principles, the Director supports organizational performance, financial sustainability, and data-driven decision-making.

This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida.

Director, Actuarial Services – Essential Functions and Responsibilities:

  • Direct the development and maintenance of actuarial models for all lines of businesses and products
  • Monitor program performance, researching reasons for variances and providing/implementing actionable plans
  • Oversee medical cost trend analysis, utilization reviews, and per-member-per-month (PMPM) projections
  • Own the reserving process, including incurred but not reported (IBNR) liability estimates, claims development triangles, and variance analyses
  • Ensure actuarial compliance with state and federal regulatory requirements
  • Partner with finance, health analytics, network management, and product teams to support pricing strategy and financial forecasting
  • Serve as the primary actuarial liaison with internal and external auditors
  • Direct the development of risk adjustment strategies and analytics
  • Provide executive leadership with clear, concise communication of actuarial findings, financial risk exposure, and strategic recommendations
  • Drive continuous improvement of actuarial models, tools, data infrastructure, and team workflows
  • Monitor industry trends, regulatory changes, and emerging healthcare cost drivers and communicate implications to leadership
  • Lead ad hoc analyses and deep dives as required.

    • Director, Actuarial Services – Minimum Qualifications:

  • Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related quantitative field
  • Associate of the Society of Actuaries (ASA) designation is required at minimum
  • Member in good standing with the American Academy of Actuaries (MAAA) required
  • 5+ years of actuarial experience, with at least 5 years in a health plan or managed care setting
  • Demonstrated expertise in healthcare actuarial pricing, reserving, or risk adjustment
  • Strong proficiency in actuarial and analytical tools (e.g., Excel/VBA, Tableau, SAS, R, Python, or similar)
  • Deep understanding of ACA regulations, CMS programs (Medicare Advantage, Medicaid)
  • Exceptional communication and presentation skills with the ability to convey complex actuarial concepts to non-actuarial executives and board members
  • Understanding of medical coding systems (ICD-10, CPT, HCPCS, DRG)
  • Strong analytical, critical thinking, and problem-solving skills
  • Excellent written and verbal communication skills

    • Director, Actuarial Services – Preferred Qualifications:

  • 10+ years of actuarial experience in health insurance, managed care environment
  • Experience with risk adjustment and risk transfer
  • Exposure to predictive modeling, machine learning applications in actuarial contexts, or health risk scoring
  • Experience working with large-scale data platforms (Snowflake, Databricks, AWS)
  • Experience with Tableau, Python or R for statistical analysis
  • Knowledge of value-based care models (ACOs, PCMH, bundled payments)
  • Understanding of HIPAA regulations and healthcare data governance practices

    • PI5017766a9212-38003-41276692

    Apply