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Freelance Remote Risk Analyst Jobs in Florida (NOW HIRING)

Félix

Data Analyst, Fraud

Miami, FL · On-site +1

You will work closely with Risk Operations, Payments, Growth, and Senior Management to identify ... Remote work environment (with office locations in Miami and Mexico City; hybrid model available for ...

ARC Group

Cybersecurity Analyst

Jacksonville, FL · Remote

Cybersecurity Analyst - Remote ARC Group has an immediate opportunity for a Cybersecurity Analyst ... Knowledge of information security principles, including risk assessment and management, threat and ...

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Freelance Remote Risk Analyst information

What is the difference between Freelance Remote Risk Analyst vs Freelance Remote Credit Analyst?

AspectFreelance Remote Risk AnalystFreelance Remote Credit Analyst
CredentialsRisk management certifications, analytical skillsFinancial analysis, credit risk certifications
Work EnvironmentRemote, project-based, consultingRemote, financial institutions, consulting
Employer & IndustryConsulting firms, finance, insuranceBanks, lending companies, financial services
Search & Comparison IntentRisk assessment, financial risk, consultingCredit evaluation, lending risk, financial analysis

Both roles involve financial analysis and risk assessment but differ in focus. A Freelance Remote Risk Analyst primarily evaluates overall risk factors for organizations, while a Freelance Remote Credit Analyst specializes in assessing creditworthiness for lending decisions. Understanding these distinctions helps freelancers target the right clients and projects.

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What job categories do people searching Freelance Remote Risk Analyst jobs in Florida look for? The top searched job categories for Freelance Remote Risk Analyst jobs in Florida are:
What cities in Florida are hiring for Freelance Remote Risk Analyst jobs? Cities in Florida with the most Freelance Remote Risk Analyst job openings:
Freelance Remote Risk Analyst jobs near you
Risk & Quality Performance Manager (Remote)

Risk & Quality Performance Manager (Remote)

Molina Healthcare

Jacksonville, FL • Remote

$66K - $129K/yr

Full-time

Posted 29 days ago

Molina Healthcare rating

8.1

Company rating: 8.1 out of 10

Based on 193 frontline employees who took The Breakroom Quiz

134th of 281 rated insurance

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.

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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