Top 52 Healthcare risk manager Jobs in Florida

Risk & Quality Performance Manager (Remote)
Molina Healthcare —Tampa, FL
- $66,456 - $129,590 a year
- Full-time
- Remote
- Microsoft Excel
- Azure
- Mid-level
- Health insurance
Manager, Healthcare Risk Management
University of Miami —Miami, FL
- Full-time
- RN License
- Outpatient experience
- 3 years
- Health insurance
- Dental insurance
Lead Director, Healthcare Medicaid Risk Adjustment Analytics
CVS Health —Florida
- $100,000 - $231,540 a year
- Full-time
- Remote
- 3 years
- SQL
- Bachelor's degree
- Health insurance
- Dental insurance
Cath Lab and Risk Manager
Bay Surgical Specialists —Saint Petersburg, FL
- Full-time
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Manager Risk & Patient Safety Registered Nurse, Risk Management, FT,9A-5:30P
Baptist Health South Florida —Miami, FL
- $102,570.20 - $136,418.37 a year
- Full-time
- Nursing
- RN License
- Hospital
- Wellness program
- Health insurance
Healthcare Risk Management Specialist
University of Miami —Miami, FL
- Temporary
- Hybrid work
- Research
- Bachelor's degree
- 1 year
- Health insurance
- Dental insurance
Risk Manager I
Orlando Health —Orlando, FL
- Full-time
- Hospital
- Mid-level
- Bachelor's degree
- Paid parental leave
- Loan repayment program
6d
Manager Risk Adjustment Program
BayCare —Tampa, FL
- Full-time
- 3 years
- Master's degree
- Supervising experience
Risk Manager III
Orlando Health —Orlando, FL
- Full-time
- Hospital
- Computer literacy
- 3 years
- Benefits from day one
Director of Quality, Risk & Safety
United Vein & Vascular Centers —Tampa, FL
- Remote
- Nursing
- RN License
- 3 years
- Paid holidays
- Dental insurance
Quick Apply
6d
Risk Management Coordinator
SandyPines Hospital —Jupiter, FL
- Full-time
- Psychiatry
- Customer service
- HIPAA
- Health savings account
- Health insurance
Quick Apply
Director of Risk Management
AdventHealth Sebring —Lake Placid, FL
- $92,877.13 - $172,742.40 a year
- Full-time
- Background check
- Nursing
- 5 years
- Paid parental leave
- Disability insurance
Director of Risk Management
North Tampa Behavioral Health —Wesley Chapel, FL
- Full-time
- CPR Certification
- Nursing
- Hospital
Risk Manager
Baptist Health Care Corporation —Pensacola, FL
- Full-time
- Background check
- Mid-level
- 3 years
Quick Apply
14d
Sr. Manager, Risk Management
University of Miami —Miami, FL
- Full-time
- RN License
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
Risk Management/ Medical record
Wellness Resource Center —Boca Raton, FL
- From $24 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Health savings account
- Paid holidays
Manager of Quality/Risk Management
Parrish Medical Center —Titusville, FL
- Full-time
- Hospital
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
Manager of Quality/Risk Management
Parrish Healthcare —Titusville, FL
- Full-time
- Hospital
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
Risk Manager
Westchester General Hospital —Miami, FL
- Full-time
- Nursing
- Hospital
- Bachelor of Science
Quick Apply
8d
Director Quality, Compliance & Risk
Healthy MD —Coconut Creek, FL
- Nursing
- Management
- 5 years
Quick Apply

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healthcare risk manager jobs near florida

Risk & Quality Performance Manager (Remote)

Molina Healthcare -
Tampa, 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

healthcare risk manager jobs in florida

Risk & Quality Performance Manager (Remote)

Manager, Healthcare Risk Management

Lead Director, Healthcare Medicaid Risk Adjustment Analytics

Cath Lab and Risk Manager

Manager Risk & Patient Safety Registered Nurse, Risk Management, FT,9A-5:30P

Healthcare Risk Management Specialist

Risk Manager I

Manager Risk Adjustment Program

Risk Manager III

Director of Quality, Risk & Safety

Risk Management Coordinator

Director of Risk Management

Director of Risk Management

Risk Manager

Sr. Manager, Risk Management

Risk Management/ Medical record

Manager of Quality/Risk Management

Manager of Quality/Risk Management

Risk Manager

Director Quality, Compliance & Risk

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