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Risk Adjustment Provider Educator Jobs in Renton, WA

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$49

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

As of Aug 13, 2026, the average hourly pay for risk adjustment provider educator in Renton, WA is $49.44, according to ZipRecruiter salary data. Most workers in this role earn between $37.84 and $58.94 per hour, depending on experience, location, and employer.

What is a risk adjustment provider educator?

A Risk Adjustment Provider Educator is a healthcare professional who trains and supports medical providers on proper documentation and coding practices for risk adjustment programs. These educators help ensure that providers accurately capture patient diagnoses, which affects health plan payments and compliance with regulatory requirements. Their role is essential in promoting accurate risk scores, improving quality of care, and minimizing potential errors in coding and documentation. They may also review medical records, provide feedback, and conduct educational sessions for providers and staff.

What are the key skills and qualifications needed to thrive as a risk adjustment provider educator?

To thrive as a Risk Adjustment Provider Educator, you need in-depth knowledge of risk adjustment methodologies, coding guidelines (such as ICD-10-CM), and healthcare regulations, typically supported by a clinical or coding certification (e.g., CPC, CRC, CCS). Familiarity with electronic health record (EHR) systems, coding software, and data analytics tools is crucial. Strong communication, presentation, and interpersonal skills help educate and engage providers effectively. These competencies ensure accurate documentation, compliance, and optimized risk adjustment outcomes for healthcare organizations.

What are some typical challenges faced by a risk adjustment provider educator, and how can they be addressed?

Risk Adjustment Provider Educators often face challenges such as ensuring providers understand complex coding requirements, maintaining engagement during training sessions, and keeping up with frequent regulatory updates. To address these challenges, educators can use clear, real-world examples, interactive training methods, and ongoing communication to reinforce key concepts. Collaborating closely with coding and compliance teams also helps educators stay current and provide the most accurate guidance to providers.

What is the difference between Risk Adjustment Provider Educator vs Risk Adjustment Coding Specialist?

AspectRisk Adjustment Provider EducatorRisk Adjustment Coding Specialist
CredentialsCertifications in risk adjustment, healthcare educationCertifications in medical coding, CPC or CCS
Work EnvironmentTraining sessions, educational programs, provider officesMedical offices, coding departments, billing teams
Employer & IndustryHealth plans, provider organizations, healthcare education firmsHospitals, clinics, billing companies

While both roles focus on risk adjustment, the Risk Adjustment Provider Educator primarily trains healthcare providers on documentation and compliance, whereas the Risk Adjustment Coding Specialist concentrates on accurate medical coding to support risk adjustment calculations. The educator role emphasizes teaching and communication, while the coding specialist focuses on detailed coding accuracy.

What job categories do people searching Risk Adjustment Provider Educator jobs in Renton, WA look for? The top searched job categories for Risk Adjustment Provider Educator jobs in Renton, WA are:
Risk Adjustment Provider Educator jobs near you

Lead Actuarial Analyst, MA Risk Adjustment

Strive Health

Seattle, WA • On-site

$99K - $124K/yr

Full-time

Medical

Re-posted 15 days ago

Job description

What You'll Do

We are seeking a Lead Actuarial Analyst, MA Risk Adjustment to join our high-performing, insights-driven team. You will play a critical role in evaluating financial performance, uncovering areas of opportunity, and use your 3+ actuarial exam progress to help translate complex data into actionable strategies. Your work will directly influence how Strive supports patients, clinicians, and markets in achieving both clinical and financial success. (This position is internally titled Lead Analyst, Risk Adjustment Analytics). We offer a competitive Actuarial Study Program designed to help you succeed, including exam fee support, study resources, and rewards for passing exams and achieving actuarial credentials.

Essential Functions 

  • Translate RA performance data into clear financial insights (i.e. revenue impact, payment accuracy, ROI, forecasting). 
  • Analyze CMS data to identify areas of opportunity to increase operational efficiency. 
  • Interpret trends, model scenarios, and assess program and policy impacts. 
  • Enable data-driven decisions by linking operational performance to enterprise financial outcomes. 
  • Perform end-to-end reconciliation from submissions to CMS acceptance, RAF leakage, and implement controls. 
  • Develop business cases to assess opportunity, determine target metrics, and provide data driven insights to support investment decisions (i.e. staffing, tech, etc.). 
  • Prepare and deliver clear and concise reports, presentations, and recommendations to senior leadership, illustrating the findings and implications of analyses conducted. 

Who You Are 

  • A highly analytical problem-solver with a strong sense of ownership and intellectual curiosity. 
  • Able to manage a high volume of recurring and ad hoc deliverables without compromising quality. 
  • Comfortable navigating ambiguity and bringing structure to complex problems. 
  • An exceptional communicator who can translate technical findings into actionable business recommendations. 

Qualifications 

  • 4+ years of experience in risk adjustment analytics. 
  • 4+ years of experience analyzing MMR, MOR, MAO-004 and medical claims data. 
  • 3+ actuarial exams passed. 
  • High degree of proficiency in Microsoft Excel and SQL.  
  • Experience with PBI, Redshift, dbt docs is a plus. 
  • Bachelor's degree in a quantitative or health-related field (e.g., Economics, Public Health, Statistics, Health Services Research, Math, Finance). 

Annual Salary Range: $99,000 - $124,000. This position is also eligible for a target annual bonus of 10%

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