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Work From Home Medicare Risk Adjustment Jobs (NOW HIRING)

Abel Personnel

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Work From Home Medicare Enrollment Specialist

Harrisburg, PA · Remote

$17.88/hr

Work From Home Medicare Enrollment Specialist Help Seniors. Make a Difference. Work From Home. $17.88/hour | Full-Time | September 8, 2026 - January 2027 Final Interviews Are Happening Now! Looking ...

Veteran-friendly

Humana, Inc.

MRA Finance Senior Financial Analyst

$87K - $109K/yr

Experience in Medicare Advantage - risk adjustment or Stars Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service ...

Oscar Health

Auditor, Risk Adjustment

Tempe, AZ · Remote

$82K - $108K/yr

While your daily work will be completed from your home office, occasional travel may be required ... Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record ...

Oscar Health

Auditor, Risk Adjustment

Miami, FL · Remote

$82K - $108K/yr

While your daily work will be completed from your home office, occasional travel may be required ... Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record ...

Oscar Health

Auditor, Risk Adjustment

Dallas, TX · Remote

$82K - $108K/yr

While your daily work will be completed from your home office, occasional travel may be required ... Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record ...

Oscar Health

Auditor, Risk Adjustment

Atlanta, GA · Remote

$82K - $108K/yr

While your daily work will be completed from your home office, occasional travel may be required ... Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record ...

TEKsystems

Risk Adjustment Coding Auditor

Phoenix, AZ · Remote

$32 - $37/hr

Knowledge of Medicare, Medicaid, and ACA Commercial risk adjustment models. * Ability to interpret ... Ability to work independently while collaborating with cross-functional teams. * Commitment to ...

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Work From Home Medicare Risk Adjustment information

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How much do work from home medicare risk adjustment jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for work from home medicare risk adjustment in the United States is $22.42, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $27.16 per hour, depending on experience, location, and employer.

What is the difference between Work From Home Medicare Risk Adjustment vs Work From Home Medicare Coding Specialist?

AspectWork From Home Medicare Risk AdjustmentWork From Home Medicare Coding Specialist
Required CredentialsCertifications in risk adjustment, healthcare complianceMedical coding certifications (CPC, CCS)
Work EnvironmentRemote, collaborative with healthcare teamsRemote, focused on coding documentation
Employer & Industry UsageHealth plans, Medicare Advantage organizationsHospitals, billing companies, healthcare providers
Common Search & ComparisonYesNo

Work From Home Medicare Risk Adjustment involves analyzing patient data to predict healthcare costs and ensure accurate reimbursements, requiring risk adjustment certifications. In contrast, Work From Home Medicare Coding Specialists focus on reviewing medical records and assigning appropriate codes, primarily needing coding certifications. Both roles are remote and essential in the healthcare industry but serve different functions within Medicare services.

What are the key skills and qualifications needed to thrive as a work from home Medicare risk adjustment specialist?

To excel as a Work From Home Medicare Risk Adjustment Specialist, you need a deep understanding of ICD-10 coding, risk adjustment methodologies, and relevant healthcare regulations, often supported by a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote communication platforms is crucial. Strong attention to detail, self-motivation, and effective written communication help you accurately review and document patient data while working independently. These skills ensure accurate risk score calculations, regulatory compliance, and effective collaboration with healthcare teams from a remote setting.

What are some common challenges faced when working from home in a Medicare risk adjustment role, and how can they be addressed?

One of the main challenges in a work-from-home Medicare Risk Adjustment role is maintaining effective communication with team members and providers, as much of the collaboration is virtual. Staying updated on frequently changing CMS guidelines and documentation requirements can also be demanding. To address these challenges, it's important to establish regular check-ins with your team, utilize secure digital platforms for information sharing, and dedicate time each week to review new regulations. Staying organized and building strong virtual relationships with colleagues can help ensure accuracy and efficiency in risk adjustment processes.

What is a work from home Medicare risk adjustment job?

Work From Home Medicare Risk Adjustment jobs involve evaluating and documenting patient health records to ensure accurate risk scoring for Medicare Advantage plans. Professionals in these roles typically review medical charts, identify diagnoses, and ensure documentation meets regulatory requirements, all from a remote setting. These positions help healthcare organizations receive proper reimbursement from Medicare by accurately reflecting the health status of enrollees. Strong attention to detail, knowledge of ICD-10 coding, and experience with healthcare regulations are usually required.
More about Work From Home Medicare Risk Adjustment jobs
What cities are hiring for Work From Home Medicare Risk Adjustment jobs? Cities with the most Work From Home Medicare Risk Adjustment job openings:
What states have the most Work From Home Medicare Risk Adjustment jobs? States with the most job openings for Work From Home Medicare Risk Adjustment jobs include:
What job categories do people searching Work From Home Medicare Risk Adjustment jobs look for? The top searched job categories for Work From Home Medicare Risk Adjustment jobs are:
Work From Home Medicare Risk Adjustment jobs near you
Infographic showing various Work From Home Medicare Risk Adjustment job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $46,633 per year, or $22.4 per hour.

Work From Home Medicare Enrollment Specialist

Abel Personnel

Harrisburg, PA • Remote

Veteran-friendly

$17.88/hr

Temporary

Medical, Dental, Vision, Life

Posted 22 days ago

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Job description

Work From Home Medicare Enrollment Specialist

Help Seniors. Make a Difference. Work From Home.

$17.88/hour | Full-Time | September 8, 2026 – January 2027

Final Interviews Are Happening Now!

Looking for a remote position where your customer service skills truly matter?

Join a healthcare team dedicated to helping Medicare beneficiaries understand and enroll in their prescription drug benefits during one of the most important healthcare enrollment periods of the year.

Every conversation you have can make someone's day a little easier.

Why You'll Love This Opportunity

✔ Work from home

✔ Meaningful healthcare work

✔ Support Medicare beneficiaries

✔ High-impact customer service role

✔ Gain valuable healthcare experience

✔ Work with one of Central Pennsylvania's most respected staffing firms

What You'll Do

You'll assist Medicare members by:

  • Answering enrollment and benefit questions
  • Explaining Medicare Part D prescription coverage
  • Updating member information accurately
  • Documenting calls while navigating multiple computer systems
  • Providing compassionate, professional customer service

We'd Love to Meet You If You Have Experience In

  • Healthcare Customer Service
  • Insurance
  • Medicare or Medicaid
  • Medical Office
  • Provider Services
  • Patient Services
  • Pharmacy
  • Benefits Administration
  • Call Center Customer Service

Don't have Medicare experience?

If you've worked in healthcare and genuinely enjoy helping people, we'd still love to hear from you.

The Ideal Candidate

You are:

  • Patient and compassionate
  • A strong communicator
  • Comfortable talking on the phone throughout the day
  • Detail-oriented
  • Computer savvy
  • Dependable
  • Passionate about helping others

Work From Home Requirements

  • Must reside in the Harrisburg, PA area
  • Reliable high-speed internet
  • Dedicated workspace free from distractions

Hiring Timeline

This project begins September 8, 2026 and continues through January 2027.

We're currently scheduling our final interviews, so now is the perfect time to apply.

About Abel Personnel

For more than 55 years, Abel Personnel has connected talented professionals with outstanding employers throughout Central Pennsylvania.

We believe the best customer service begins with people who genuinely care.

If that sounds like you—we'd love to meet you.

Apply today before final interviews are complete!

Company Description

A trusted family-owned company since 1969, we are one of Central Pennsylvania's oldest and most respected recruitment firms. Based in Harrisburg, we offer flexible staffing, placement, and recruitment services across diverse industries. Our personalized approach ensures the best match for both clients and candidates.

Working with our staffing firm means you’ll enjoy several benefits: our services are completely free for candidates, and you gain access to exclusive opportunities that may not be publicly advertised. Our experienced recruiters work directly with hiring managers, ensuring your qualifications are seen by decision-makers. We also provide personalized resume recommendations, helping you stand out and showcase your skills effectively. From interview preparation to offer negotiations, we guide you through every step of the hiring process, saving you time and effort.

We are proud to be an equal opportunity employer, committed to providing fair and inclusive employment opportunities for all. This policy covers every aspect of employment, from recruitment and hiring to training and advancement, ensuring a workplace that values diversity and equity. Let us help you find your next great opportunity—start your journey with us today!