ZipRecruiter

Log In

1

Remote Risk Adjustment Provider Educator Jobs Near Me

Socket.dev

Segment Risk Manager

Columbus, OH · On-site

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Specific work arrangements will be provided by the hiring team. Huntington is an Equal Opportunity ...

Huntington

Segment Risk Manager

Columbus, OH · On-site +1

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Specific work arrangements will be provided by the hiring team. Huntington is an Equal Opportunity ...

Huntington

Segment Risk Manager

Columbus, OH · On-site +1

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Specific work arrangements will be provided by the hiring team. Huntington is an Equal Opportunity ...

Huntington

Segment Risk Manager

Columbus, OH · On-site +1

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Specific work arrangements will be provided by the hiring team. Huntington is an Equal Opportunity ...

Huntington

Segment Risk Manager

Columbus, OH · On-site +1

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Specific work arrangements will be provided by the hiring team. Huntington is an Equal Opportunity ...

Huntington

Segment Risk Manager

Columbus, OH · On-site +1

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Specific work arrangements will be provided by the hiring team. Huntington is an Equal Opportunity ...

next page

Showing results 1-20

All JobsRemote Risk Adjustment Provider Educator JobsRemote Risk Adjustment Provider Educator Jobs Near Me

Remote Risk Adjustment Provider Educator information

See salary details

$18

$43

$68

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

As of Sep 10, 2026, the average hourly pay for remote risk adjustment provider educator in the United States is $43.95, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $52.40 per hour, depending on experience, location, and employer.

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

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

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

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

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

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

What states have the most Remote Risk Adjustment Provider Educator jobs?

States with the most job openings for Remote Risk Adjustment Provider Educator jobs include:

What are the most commonly searched types of Risk Adjustment Provider Educator jobs?

The most popular types of Risk Adjustment Provider Educator jobs are:

Remote Risk Adjustment Provider Educator jobs near you
A map of the United States highlighting the number of Remote Risk Adjustment Provider Educator job openings by state according to ZipRecruiter. The image is accompanied by a detailed chart listing the number of Remote Risk Adjustment Provider Educator job openings in each state, with California having the most at 2 and Hawaii the least at 0.

Consulting Actuary - ACA Risk Adjustment

Columbus, OH • On-site

Blue Cross and Blue Shield of North Carolina
Insurance Services • 5 - 10K employees
Learn more about Blue Cross and Blue Shield of North Carolinaexternal

$143K - $229K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 days ago

Blue Cross and Blue Shield of North Carolina rating

7.8

Company rating: 7.8 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

196th of 315 rated insurance

Job description

Job Description

As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services for our organization. Responsibilities include leading pricing strategies and actuarial initiatives for business segments, evaluating advanced care management models, conducting competitive benchmarking analyses, and designing and pricing sophisticated insurance products. You will support company objectives by providing reliable, actionable actuarial insights and recommendations, proactively identifying and addressing complex risks and opportunities. This position requires adaptability to the evolving landscape of the industry, ensuring our actuarial practices remain at the forefront of innovation and excellence.

What You'll Do

  • Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work

  • Provide proactive and strategic thought leadership of ways to improve processes, reduce risks, and meet department and enterprise objectives to achieve profitable growth and/or improve value, quality, and access for Blue Cross NC customers

  • Achieve segment financial targets and provide concise explanations of results and variances to expectations; act as a financial steward for the company

  • Communicate effectively with all levels and divisions within the organization, including Divisional Leadership

  • Manage external partnerships with vendors, auditors, regulators, and health care providers, including effective negotiation of contracts and/or rates

  • Develop and maintain strong business relationships with internal partners through business expertise and exceptional support; act as a strategic advisor

  • Meet continuing education standards required for job function, thought leadership and maintenance of actuarial credentials

What You Bring

  • Bachelor's degree or advanced degree (where required)

  • Member of the American Academy of Actuaries

  • Fellow of the Society of Actuaries

  • 7 years of relevant actuarial experience, related experience may be considered.

  • In lieu of an FSA, will consider candidates who are an Associate of the Society of Actuaries (ASA) and have at least 9 years of relevant actuarial experience.

Bonus Points

  • Deep experience with ACA Risk Adjustment, including HHS-HCC model methodology, risk score forecasting, and financial impact analysis - Highly Preferred

  • Proven expertise in ACA Risk Adjustment transfer forecasting and explanation of results to senior leadership - Highly Preferred

  • Strong understanding of diagnosis coding (ICD-10-CM), provider documentation practices, and their impact on risk adjustment outcomes.

  • Advanced analytical skills to identify risk adjustment leakage, emerging risks, and optimization opportunities across ACA populations

What You'll Get

  • The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community.

  • Work-life balance, flexibility, and the autonomy to do great work.

  • Medical, dental, and vision coverage along with numerous health and wellness programs.

  • Parental leave and support plus adoption and surrogacy assistance.

  • Career development programs and tuition reimbursement for continued education.

  • 401k match including an annual company contribution

  • Learn more

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$143,616.00 - $229,786.00

Skills

Actuarial Analysis, Actuarial Management, Actuarial Science, Actuarial Services, Affordable Care Act (ACA), Complex Care Management, Financial Reporting and Analysis, Hiring Management, Insurance Industry, Organizational Leadership, Regulatory Compliance

_____________________________________________________________________
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

What Blue Cross and Blue Shield of North Carolina employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply