Remote Healthcare administration Jobs • Medicare Advantage

Drive provider enablement initiatives, and serve as the key liaison to both payer partners and participating practices. The ideal candidate is a strategic, hands-on leader with deep expertise in risk adjustment and a track record of influencing provider performance through education, analytics, and collaboration.

In this role, you will review, audit, and analyze outpatient clinical documentation from external provider partners, ensuring accurate and complete coding of risk-adjustable conditions. You will translate chart insights into feedback that improves documentation quality, supports proper reimbursement, and enables provider performance in risk-bearing arrangements, working alongside educators and managers.