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Payment Risk Manager Jobs in Michigan (NOW HIRING)

Citizens

Third Party Risk Analyst

Southfield, MI

$86K - $101K/yr

... risk by executing proactive payment network compliance oversight, managing network inquiries and ... Own and manage payment network compliance matters for sponsored clients, including merchant ...

Citizens

Third Party Risk Analyst

Southfield, MI

$86K - $101K/yr

... risk by executing proactive payment network compliance oversight, managing network inquiries and ... Own and manage payment network compliance matters for sponsored clients, including merchant ...

Deloitte

Payments Product Lead, Banking

Detroit, MI · Hybrid

... and risk management needs of financial institutions. Our team works across all sectors of the ... securities firms, and payment networks with U.S. operations. The team focuses on delivering ...

Aristocrat Interactive

Bank Fraud Specialist

Holt, MI

$18 - $23/hr

Demonstrated background in payments, risk management, or fraud prevention provides a competitive edge. * Familiarity with fraud detection tools, payment processing systems, and customer service ...

Aristocrat Interactive

Bank Fraud Specialist

Holt, MI

$18 - $23/hr

Demonstrated background in payments, risk management, or fraud prevention provides a competitive edge. * Familiarity with fraud detection tools, payment processing systems, and customer service ...

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Payment Risk Manager information

What are the key skills and qualifications needed to thrive as a Payment Risk Manager, and why are they important?

To thrive as a Payment Risk Manager, you need a strong background in finance, risk assessment, data analysis, and a relevant degree in business, finance, or a related field. Familiarity with payment processing systems, fraud detection tools, and risk management software, as well as certifications like Certified Fraud Examiner (CFE), are typically required. Excellent problem-solving, critical thinking, and communication skills help professionals stand out in this role. These skills and qualifications are crucial for effectively identifying, mitigating, and preventing payment risks, ensuring financial security and compliance within organizations.

What are some common challenges a Payment Risk Manager faces when implementing fraud prevention strategies?

Payment Risk Managers often encounter challenges balancing effective fraud prevention with a smooth customer experience. Implementing robust controls can sometimes result in false positives, inadvertently blocking legitimate transactions and frustrating customers. Additionally, staying ahead of constantly evolving fraud tactics requires continuous learning and adaptation, as well as close collaboration with IT, compliance, and customer support teams. Regularly updating risk models and fostering communication across departments are key to addressing these challenges effectively.

What does a Payment Risk Manager do?

A Payment Risk Manager is responsible for identifying, assessing, and mitigating risks related to payment transactions within a company. They develop strategies to detect and prevent fraud, monitor payment activities, ensure compliance with relevant regulations, and analyze transaction data to identify suspicious patterns. Their work helps protect both the organization and its customers from financial losses and ensures secure and efficient payment processes.

What is the difference between Payment Risk Manager vs Credit Analyst?

AspectPayment Risk ManagerCredit Analyst
Required CredentialsBachelor's degree, certifications like CRCM or RMA often preferredBachelor's degree in finance, economics, or related field; certifications like CFA or credit analysis courses
Work EnvironmentFinancial institutions, payment processing companies, e-commerce firmsBanks, lending institutions, credit bureaus
Employer & Industry UsageFocuses on managing payment fraud and risk in transaction environmentsEvaluates creditworthiness of individuals or businesses for lending decisions

The Payment Risk Manager primarily focuses on mitigating risks associated with payment transactions, while the Credit Analyst assesses creditworthiness for lending. Both roles require financial knowledge and analytical skills but serve different aspects of financial risk management.

What are popular job titles related to Payment Risk Manager jobs in Michigan? For Payment Risk Manager jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Payment Risk Manager jobs in Michigan look for? The top searched job categories for Payment Risk Manager jobs in Michigan are:
What cities in Michigan are hiring for Payment Risk Manager jobs? Cities in Michigan with the most Payment Risk Manager job openings:
Payment Risk Manager jobs near you
Alternative Payment Model Coordinator (Hybrid/Troy, MI) - Health Alliance Plan

Alternative Payment Model Coordinator (Hybrid/Troy, MI) - Health Alliance Plan

Henry Ford Health System

Troy, MI • On-site

Full-time

Posted 15 days ago

Henry Ford Health rating

7.1

Company rating: 7.1 out of 10

Based on 540 frontline employees who took The Breakroom Quiz

368th of 864 rated healthcare providers

Job description

GENERAL SUMMARY:
The Alternative Payment Model (APM) Coordinator supports the planning, implementation, and ongoing management of value-based care programs and alternative payment models across the organization. This role ensures accurate tracking of quality metrics, financial performance, reporting requirements, provider engagement, and compliance with payer and government program expectations. The APM Coordinator works closely with clinical, operational, financial, and analytics teams to improve outcomes and support organizational success in value-based arrangements.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
  • Coordinate activities related to CMS, commercial, and Medicaid/Medicare Advantage APMs (e.g., Shared Savings, Bundled Payments, PCMH, ACO programs).
  • Maintain program timelines, deliverables, reporting requirements, and communication workflows.
  • Support readiness assessments and implementation plan for new APM contracts or performance years.
  • Tracks impactful program elements such as payment timelines & notification requirements.
  • Monitor quality, cost, utilization, and risk-adjustment metrics tied to APM performance.
  • Collaborate with analytics teams to validate data accuracy and identify trends or performance gaps.
  • Assist in preparing dashboards and reports for clinical leadership and executive teams.
  • Provider & Stakeholder Engagement.
  • Serve as a liaison between clinical teams, administrative staff, payers, and leadership regarding APM activities.
  • Coordinate provider education on program requirements, quality measures, risk coding, and performance updates.
  • Support communication plans that drive provider alignment and engagement in APM initiatives.
  • Ensure compliance with payer program guidelines, CMS reporting expectations, and contract requirements.
  • Maintain accurate program documentation, audit files, and policy materials.
    Assist with preparation of materials for internal and external audits.
  • Operational Support.
  • Facilitate regular APM meetings, prepare agendas, track action items, and drive accountability.
  • Support cross-functional teams with workflow development, documentation updates, SOPs, and improvement initiatives.
  • Monitor deadlines, submissions, and payer notifications to ensure timely completion.
  • Perform additional responsibilities as assigned.

EDUCATION/EXPERIENCE REQUIRED:
  • Bachelor's degree in healthcare administration, Business, Public Health, or related field (or equivalent experience).
  • Minimum of two (2) years of experience in healthcare administration, population health, value-based care, managed care, or quality improvement.
  • Understanding of APM concepts such as shared savings, bundled payments, risk adjustment, HEDIS measures, and value-based contracts.
  • Strong analytical, organizational, and project coordination skills.
  • Proficiency with Microsoft tools (Excel, Teams, SharePoint, PowerPoint) and data systems.
  • Excellent verbal, written, and interpersonal communication abilities.
  • Experience with CMS Innovation Center models, ACOs, or pay-for-performance programs, preferred.
  • Familiarity with healthcare quality frameworks (NCQA, HEDIS, CMS Star Ratings, MIPS), preferred.
  • Experience working with EMRs, population health platforms, or analytics tools, preferred.
  • Project management or lean process improvement experience/certification (e.g., CAPM, Lean Six Sigma), preferred.

What Henry Ford Health employees say

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About Henry Ford Health

Sourced by ZipRecruiter

Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Detroit, MI, US

Year founded

1915

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