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Remote Risk Adjustment Provider Educator Jobs in Tennessee

Altegra Health

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

Altegra provides end-to-end solutions to help improve payment integrity data, to support ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...

Altegra Health

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

Altegra provides end-to-end solutions to help improve payment integrity data, to support ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...

Humana

Medical Coder

Cookeville, TN · On-site +1

$16 - $21.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Provider onsite education, based on business needs * Collaboration with other market provider ...

Humana

Medical Coder

Chattanooga, TN · On-site +1

$17 - $22.75/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Provider onsite education, based on business needs * Collaboration with other market provider ...

Humana

Medical Coder

Monteagle, TN · On-site +1

$16 - $21.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Provider onsite education, based on business needs * Collaboration with other market provider ...

Humana

Medical Coder

Sevierville, TN · On-site +1

$15.75 - $21.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Provider onsite education, based on business needs * Collaboration with other market provider ...

Humana

Medical Coder

Hendersonville, TN · On-site +1

$17.50 - $23.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Provider onsite education, based on business needs * Collaboration with other market provider ...

Humana

Medical Coder

Lexington, TN · On-site +1

$14.25 - $19/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Provider onsite education, based on business needs * Collaboration with other market provider ...

Humana

Medical Coder

Bristol, TN · On-site +1

$18.25 - $24.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Provider onsite education, based on business needs * Collaboration with other market provider ...

Humana

Medical Coder

Madison, TN · On-site +1

$17.25 - $23.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Provider onsite education, based on business needs * Collaboration with other market provider ...

Humana

Medical Coder

Jackson, TN · On-site +1

$17.75 - $23.75/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Provider onsite education, based on business needs * Collaboration with other market provider ...

Humana

Medical Coder

Newport, TN · On-site +1

$16 - $21.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Provider onsite education, based on business needs * Collaboration with other market provider ...

Humana

Medical Coder

Tullahoma, TN · On-site +1

$16.25 - $21.50/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Provider onsite education, based on business needs * Collaboration with other market provider ...

Humana

Medical Coder

Clarksville, TN · On-site +1

$16.25 - $21.75/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Provider onsite education, based on business needs * Collaboration with other market provider ...

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

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 Tennessee? For Remote Risk Adjustment Provider Educator jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Provider Educator jobs in Tennessee look for? The top searched job categories for Remote Risk Adjustment Provider Educator jobs in Tennessee are:
What cities in Tennessee are hiring for Remote Risk Adjustment Provider Educator jobs? Cities in Tennessee with the most Remote Risk Adjustment Provider Educator job openings:
Remote Risk Adjustment Provider Educator jobs near you
Infographic showing various Remote Risk Adjustment Provider Educator job openings in Tennessee as of June 2026, with employment types broken down into 73% Full Time, 18% Part Time, and 9% Contract. Highlights an 100% Remote job distribution.
Principal, Risk Adjustment Analytics Consultant - REMOTE

Principal, Risk Adjustment Analytics Consultant - REMOTE

Health Care Service Corporation

Nashville, TN • Remote

$102K - $184K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 5 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 SummaryThe Principal Risk Adjustment Consultant drives analytical strategies and solutions to optimize Medicare Risk Adjustment (RA) performance. Leveraging deep healthcare expertise and advanced coding proficiency, this role delivers actionable insights, builds dynamic visualizations, and provides strategic advisory services to internal stakeholders and senior leadership.
Core responsibilities include analyses for revenue optimization, risk forecasts, HCC coding logic, RADV audits, Medicare segmentation, data & logic governance. The Principal Risk Adjustment Consultant will build interactive visualizations, interpret CMS model updates that affect organization-wide strategy and risk adjustment analytics and translate highly technical coding, regulatory, and statistical nuances into clear business recommendations for executive leadership

Required Job Qualifications:

  • Bachelor's degree and 8 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree with 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR PhD with 4 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR 12 years of experience in health care services, statistical analysis, or insurance industry economics or related field

  • Understanding, and being highly proficient at querying a wide variety of internal and external data sources to get meaningful insights.

  • Strong analytical skills and proficiency in computer languages, such as SQL, Python, R, etc.

  • Ability to create a dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BI.

  • High degree of business intelligence and understanding how to take a business case from inception to customer or partner execution.

  • Excellent communication and presentation skills.

  • Ability to work independently and as part of a team.

  • Ability to lead multiple analytic related projects in parallel.

  • Analytics subject matter expert

  • Performance excellence in championing initiatives and collaborating with multiple stakeholders to bring the initiative to life.

  • Ability to work under pressure and delivery high quality output to senior leadership to decision making within short timeline.

Preferred Job Qualifications:

  • Deep experience with Medicare Risk Adjustment and Stars.

  • Advanced analytics & automation using Alteryx or Airflow for data blending and automation.

  • Proficiency with GitHub for collaborative coding and version control.

  • Certification or practical experience with project management methodologies and tracking tools (e.g., Agile, Wrike, PMP), and exposure to data science in healthcare including hands-on experience working with predictive models, machine learning pipelines, or Large Language Models (LLMs).

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 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.

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