Top 136 Risk manager Jobs in Doral, Fl

Risk & Quality Performance Manager (Remote)
Molina Healthcare —Miami, FL
- $66,456 - $129,590 a year
- Full-time
- Remote
- Microsoft Excel
- Azure
- Mid-level
- Health insurance
Cyber Risk Assessor III
180 Seminole Hard Rock Support Services —Davie, FL
- Full-time
- 7 years
- Computer Science
- Master's degree
Quick Apply
VP, Enterprise Risk Management
Seminole Hard Rock Support Services —Davie, FL
- Full-time
- Office
- Master's degree
- Ability to lift 50 pounds
Quick Apply
Risk Manager - AI Trainer
DataAnnotation —Miami, FL
- $50 - $100 an hour
- Part-time
- Remote
- English
- Mid-level
- Master's degree
Quick Apply
Fiduciary Risk Officer
MJ Boyd Consulting —Miami, FL
- Microsoft Excel
- 5 years
- Office
Quick Apply
Risk & Compliance Analyst (On-Site)
Educational Federal Credit Union —Kendall, FL
- Full-time
- Background check
- Writing skills
- Research
- Paid holidays
- Disability insurance
Quick Apply
Risk Manager
Robert Half —Sunrise, FL
- $43.70 - $50.60 an hour
- Temporary
- Mid-level
- Analysis skills
- US work authorization
- Disability insurance
- Dental insurance
Quick Apply
10d
FBI Special Agent: Risk Management & Threat Analysis Expertise
Federal Bureau of Investigation —Miami, FL
- $103,236 - $133,200 a year
- Full-time
- Doctoral degree
- Master's degree
- Analysis skills
Risk Manager - Villa Maria Nursing Center
Catholic Health Services —North Miami, FL
- Full-time
- Nursing
- Skilled nursing facility
- RN License
Risk Operations Specialist, Payments
Ramp —Miami, FL
- $100,000 - $184,000 a year
- Full-time
- Hybrid work
- Bachelor of Science
- Mid-level
- SQL
- Travel reimbursement
- AD&D insurance
Risk Management Coordinator
HCA Florida Aventura Hospital —Aventura, FL
- Full-time
- Surgery
- Mid-level
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
Manager, Healthcare Risk Management
University of Miami —Miami, FL
- Full-time
- RN License
- Outpatient experience
- 3 years
- Health insurance
- Dental insurance
Risk Manager
Westchester General Hospital —Miami, FL
- Full-time
- Nursing
- Hospital
- Bachelor of Science
Quick Apply
4d
Payment and Fraud Governance Manager
Ocean Bank —Miami, FL
- Hybrid work
- Microsoft Outlook
- 5 years
- Word processing
10d
Risk Manager
Watsco, Inc —Coconut Grove, FL
- Hybrid work
- Office
- 3 years
- Math
Quick Apply
Healthcare Risk Management Specialist
University of Miami —Miami, FL
- Temporary
- Hybrid work
- Research
- Bachelor's degree
- 1 year
- Health insurance
- Dental insurance
Risk Management Analyst
Chewy —Plantation, FL
- $68,500 - $102,500 a year
- Full-time
- Microsoft Word
- Mid-level
- Office
- Paid holidays
- Health insurance
Risk Manager
Watsco —Coconut Grove, FL
- Full-time
- Hybrid work
- Office
- 3 years
- Math
Manager Risk & Patient Safety Registered Nurse, Risk Management
Baptist Health South Florida —Miami, FL
- $102,570.20 - $136,418.37 a year
- Nursing
- RN License
- Hospital
- Wellness program
- Health insurance
Human Resources Compliance Manager
SIXT USA —Fort Lauderdale, FL
- Full-time
- Hybrid work
- Continuous improvement
- Training & development
- Senior level
- Paid holidays
- Health insurance
Quick Apply

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Risk & Quality Performance Manager (Remote)

Molina Healthcare -
Miami, FL

Apply Now

Job Details

Full-time
$66,456 - $129,590 a year

Benefits

Health insurance

Qualifications

Project development phase management
Microsoft Excel
Performance Reporting
Data summary reports
SQL
Project management experience in healthcare
Managing projects
Productivity software
Microsoft Project
Query management
Cross-functional collaboration
Clinical data analysis
Cross-functional team management
Technical Proficiency
Cross-functional communication
HEDIS

Full Job Description

Job Description

Job Summary

The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various departments and stakeholders within Molina to plan, coordinate, and manage resources and execute performance improvement initiatives in alignment with RQS's strategic objectives.

Job Duties

Collaborate with Health Plan Risk and Quality leaders to improve outcomes by managing Risk/Quality data collection strategy, analytics, and reporting, including but not limited to: Risk/Quality rate trending and forecasting; provider Risk/Quality measure performance, CAHPS and survey analytics, health equity and SDOH, and engaging external vendors.
Monitor projects from inception through successful delivery.
Oversee Risk/Quality data ingestion activities and strategies to optimize completeness and accuracy of EHR/HIE and supplemental data.
Meet customer expectations and requirements, establish, and maintain effective relationships and gain their trust and respect.
Draw actionable conclusions, and make decisions as needed while collaborating with other teams.
Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success.
Partner with other teams to ensure data quality through sequential transformations and identify opportunities to close quality and risk care gaps.
Proactively communicate risks and issues to stakeholders and leadership.
Create, review, and approve program documentation, including plans, reports, and records.
Ensure documentation is updated and accessible to relevant parties.
Proactively communicate regular status reports to stakeholders, highlighting progress, risks, and issues.

Job Qualifications

REQUIRED EDUCATION:

Bachelor's degree or equivalent combination of education and experience

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

2+ years of program and/or project management experience in risk adjustment and/or quality
2+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems
2+ years of data analysis experience utilizing technical skillsets and resources to answer nuanced Risk and Quality questions posed from internal and external partners
Familiarity with running queries in Microsoft Azure or SQL server
Healthcare experience and functional risk adjustment and/or quality knowledge
Mastery of Microsoft Office Suite including Excel and Project
Experience partnering with various levels of leadership across complex organizations
Strong quantitative aptitude and problem solving skills
Intellectual agility and ability to simplify and clearly communicate complex concepts
Excellent verbal, written and presentation capabilities
Energetic and collaborative

PREFERRED EDUCATION:

Graduate degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

Knowledge of, and familiarity with, NCQA, CMS, and State regulatory submission requirements
Experience working in a cross-functional, highly matrixed organization
SQL proficiency
Knowledge of healthcare claim elements: CPT, CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs, etc.

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification, and/or comparable coursework desired

#PJCorp

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $66,456 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

risk manager jobs in doral, fl

Risk & Quality Performance Manager (Remote)

Cyber Risk Assessor III

VP, Enterprise Risk Management

Risk Manager - AI Trainer

Fiduciary Risk Officer

Risk & Compliance Analyst (On-Site)

Risk Manager

FBI Special Agent: Risk Management & Threat Analysis Expertise

Risk Manager - Villa Maria Nursing Center

Risk Operations Specialist, Payments

Risk Management Coordinator

Manager, Healthcare Risk Management

Risk Manager

Payment and Fraud Governance Manager

Risk Manager

Healthcare Risk Management Specialist

Risk Management Analyst

Risk Manager

Manager Risk & Patient Safety Registered Nurse, Risk Management

Human Resources Compliance Manager

I want to receive the latest job alert for risk manager in doral, fl

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