Remote Risk Specialist Jobs
Remote risk specialist jobs are open across insurance, financial services, healthcare, and enterprise technology, with distributed teams at both established firms and remote-first companies hiring at every level from analyst to senior specialist. Employers hiring remotely right now include Farmer's Union Insurance, EMC Insurance, and Oak View. Scan the live roles below and apply to whichever ones fit.
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Hi, we're Oscar. We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role:
The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing effective Risk Adjustment processes.
You will report into the Manager, Risk Adjustment.
Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote
Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $75,348 - $98,894 per year. The base pay for this role in all other locations is: $67,813 - $89,005 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
- Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential CMS audits and medical record retrieval efforts.
- Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
- Participate in CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
- Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
- Support in the identification of document improvement opportunities for provider education in both MA and ACA line of business.
- Identify process improvements to enhance medical encounter review efficiency.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- Bachelor's degree in a relevant field of study or commensurate work experience.
- Certified professional coder (CPC)
- 2+ year(s) retrospective risk adjustment coding experience.
Bonus points:
- Certified Risk Adjustment Coder (CRC) or similar certification
- Experience coding in a variety of different Electronic Medical Record (EMR) systems.
Travel required - upto 5%
This is an authentic Oscar Health job opportunity.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.
Hi, we're Oscar. We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role:
The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing effective Risk Adjustment processes.
You will report into the Manager, Risk Adjustment.
Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote
Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $75,348 - $98,894 per year. The base pay for this role in all other locations is: $67,813 - $89,005 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
- Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential CMS audits and medical record retrieval efforts.
- Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
- Participate in CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
- Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
- Support in the identification of document improvement opportunities for provider education in both MA and ACA line of business.
- Identify process improvements to enhance medical encounter review efficiency.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- Bachelor's degree in a relevant field of study or commensurate work experience.
- Certified professional coder (CPC)
- 2+ year(s) retrospective risk adjustment coding experience.
Bonus points:
- Certified Risk Adjustment Coder (CRC) or similar certification
- Experience coding in a variety of different Electronic Medical Record (EMR) systems.
Travel required - upto 5%
This is an authentic Oscar Health job opportunity.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.
See All 28 Remote Risk Specialist Jobs
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Find Remote Risk Specialist JobsRemote Risk Specialist Job Market
Who's Hiring
Top Industries Hiring
- Insurance
- Technology & Software
What Employers Look For
The qualifications that appear most often in remote risk specialist jobs.
- Bachelor's degree in finance, economics, accounting, or a related field
- Experience conducting risk assessments, control testing, or audit reviews
- Proficiency with GRC platforms such as Archer, ServiceNow, or similar tools
- Knowledge of regulatory frameworks including SOX, Basel III, or COSO
- Professional certification such as FRM, CRISC, or CPA preferred
- Strong written communication skills for drafting risk reports and policy documentation
Tips for Your Remote Risk Specialist Job Search
Show async communication skills up front
Remote risk employers want to know you can flag issues clearly in writing without a meeting. Include examples in your resume or cover letter of written risk reports, documented findings, or async stakeholder updates you produced independently.
Highlight remote risk tools you already use
Name the platforms you've worked with, such as GRC software, audit management tools, or collaborative documentation systems. Remote teams hire faster when they see you won't need a ramp-up on the tools they depend on daily.
Apply early to remote roles that fit
Migrate Mate lists remote risk specialist openings from across the U.S. in one place, so you can find roles that match your background and apply directly without sorting through unrelated listings.
Prepare for remote-specific interview questions
Remote risk hiring panels ask how you manage competing deadlines without direct oversight and how you escalate a risk finding when you can't walk down the hall. Have two or three concrete examples ready that show independent judgment and clear written follow-through.
Remote Risk Specialist Jobs: Frequently Asked Questions
How do I get a remote risk specialist job?
Target companies with distributed teams in financial services, insurtech, and enterprise SaaS, since those sectors hire risk specialists remotely most consistently. Remote employers screen for self-direction, precise written communication, and comfort with async workflows alongside the core risk skills. Demonstrable experience in risk modeling, compliance documentation, or audit support in a remote or hybrid setting gives your application a clear edge over equally qualified in-office candidates.
Which companies hire remote risk specialists?
Companies hiring remote risk specialists right now include Farmer's Union Insurance, EMC Insurance, and Oak View, based on current remote listings on Migrate Mate as of November 2026. Remote-first firms and large distributed teams in insurance, banking, and enterprise technology make up the bulk of remote openings for this role.
Can you get a remote risk specialist job with no experience?
Yes, but remote entry-level risk roles are harder to land because employers expect you to work independently from day one with minimal oversight. Insurtech startups and fintech companies with distributed teams are the most likely to post remote junior roles. Certifications like a Risk Management Certificate, coursework in compliance or audit, and any project where you identified and documented risk can substitute for direct work history.
Do you need a degree for remote risk specialist jobs?
Not always. Many remote employers care more about demonstrated risk assessment skills, relevant certifications, and a history of concrete results than a specific degree. Fields like finance, business, or statistics are common backgrounds, but candidates who can show they have handled risk documentation, internal audits, or compliance workflows independently often compete effectively regardless of their academic path.
Which industries hire the most remote risk specialists?
Remote risk specialist roles concentrate in Insurance and Technology & Software, based on current remote listings on Migrate Mate as of November 2026. Those sectors rely on distributed teams that need risk specialists who can assess, document, and communicate risk clearly without being on-site.
See All 28 Remote Risk Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
Find Remote Risk Specialist Jobs