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Remote Risk Adjustment Provider Educator Jobs in Philadelphia, PA

Actively lead daily high-risk and concurrent review rounds, and provide direct supervision of front ... This position will be remote within the designated market with occasional in-home patient treatment ...

Chief Risk Officer

Philadelphia, PA · On-site +1

$185K - $250K/yr

Remote; AL; CA; IL; FL; MA; NC; NJ; NY; PA; TX; UT; VA Pay Salary: $185,000-$250,000, bonus ... Reporting risk profiles, providing insights to the CEO and Board of Directors, and advising on ...

Actuary

Philadelphia, PA · Remote

$150/hr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

Actuary

Marlton, NJ · Remote

$150/hr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

Finance Tutor

Chester, PA · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... Ways To Connect With Students * 1-on-1 Online Tutoring - Provide personalized instruction to ...

Finance Tutor

Trenton, NJ · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... Ways To Connect With Students * 1-on-1 Online Tutoring - Provide personalized instruction to ...

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Remote Risk Adjustment Provider Educator information

See Philadelphia, PA salary details

$19

$44

$69

How much do remote risk adjustment provider educator jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for remote risk adjustment provider educator in Philadelphia, PA is $44.35, according to ZipRecruiter salary data. Most workers in this role earn between $33.94 and $52.88 per hour, depending on experience, location, and employer.

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 Philadelphia, PA?

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

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

The top searched job categories for Remote Risk Adjustment Provider Educator jobs in Philadelphia, PA are:

Remote Nurse Practitioner

Purposelink Recruitment

Wilmington, DE • Remote

Full-time

Posted 9 days ago


Job description

Qualifications

Required: 2 Years Triage experience AND leadership experience.
  • Master's degree or higher in Nursing or a related clinical field
  • 2+ years of experience in any of the following:
    • Telemedicine Care
    • Care Management
  • Active clinical licensureany of the following:
    • Nurse Practitioner (NP) – Delaware (DE)
    • Family Nurse Practitioner (FNP) – Delaware (DE)
  • OR any of the following nationally recognized NP certifications:
    • Family Nurse Practitioner (FNP)
    • Nurse Practitioner (NP)
    • Gerontological Nurse Practitioner (GNP)
Preferred
  • 1+ years of Medicaid or Dual Eligible (D‑SNP) populations
  • Experience working in interdisciplinary care teams
  • Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures
  • Background in home‑based care, transitional care, or chronic disease management
Overview

Join our client's innovative healthcare team to deliver virtual, physician‑led care for medically complex Medicaid and Dual Eligible patients across Delaware. This role offers flexibility, autonomy, and the opportunity to help launch a new market focused on proactive, home‑based care that improves patient outcomes and reduces avoidable hospitalizations.

Key Responsibilities
  • Provide comprehensive care management for medically complex Medicaid and D‑SNP patients through telehealth and remote monitoring
  • Collaborate with physicians, RNs, social workers, therapists, caregivers, PCPs, managed care organizations, and community partners
  • Guide patients and caregivers through care transitions, including hospital‑to‑home coordination and advance care planning
  • Support quality initiatives through accurate clinical documentation, including HCC coding, risk adjustment, and closure of STAR/HEDIS gaps
  • Contribute to the development of care pathways, workflows, and best practices as the Delaware program expands
  • Build strong, trusting relationships with patients, families, caregivers, and interdisciplinary team members
Schedule & Shift Details
  • Participate in a shared 24/7 clinical triage rotation to prevent avoidable emergency department visits and hospitalizations