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Remote Credit Risk Review Jobs in Florida (NOW HIRING)

Suncoast Credit Union

Senior Fraud Data Analyst

Tampa, FL · Remote

$75K - $117K/yr

Remote (candidate must reside in FL) Position Type: Full Time The Senior Fraud Analyst actively participates in the fraud prevention and risk management activities to mitigate the credit union's and ...

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Remote Credit Risk Review information

What are the key skills and qualifications needed to thrive as a Remote Credit Risk Review Analyst, and why are they important?

To thrive as a Remote Credit Risk Review Analyst, you need a solid understanding of credit risk assessment, financial analysis, and regulatory compliance, typically supported by a degree in finance, accounting, or a related field. Familiarity with risk management software, credit scoring tools, and data analytics platforms is essential, and certifications like FRM or CFA can be advantageous. Strong attention to detail, analytical thinking, and effective communication skills help you interpret data and present findings clearly to stakeholders. These skills and qualities are crucial for identifying potential risks, ensuring sound lending decisions, and maintaining the financial health of the organization.

How does a Remote Credit Risk Review professional typically collaborate with other departments to ensure comprehensive risk assessments?

Remote Credit Risk Review professionals frequently work closely with teams such as lending, compliance, and internal audit to gather the necessary data and insights for thorough risk evaluations. While much of the analysis is conducted independently, regular virtual meetings and shared documentation platforms are used to discuss findings, clarify data discrepancies, and recommend improvements. This collaborative process ensures that the risk review is well-rounded and aligns with organizational policies and regulatory requirements. Building strong remote communication skills and a proactive approach to cross-functional teamwork are essential for success in this role.

What is a Remote Credit Risk Review?

A Remote Credit Risk Review is an evaluation process conducted by financial professionals to assess the creditworthiness of borrowers or the effectiveness of a company's credit risk management practices, all done remotely rather than in person. These reviews typically analyze loan portfolios, credit policies, and risk controls to ensure compliance with regulations and to identify potential areas of risk. By leveraging technology, remote reviews allow for efficient, flexible, and thorough assessments without the need for on-site visits, making them ideal for organizations with geographically dispersed operations.

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

AspectRemote Credit Risk ReviewRemote Credit Analyst
Primary FocusAssessing credit risk and reviewing existing credit portfoliosAnalyzing credit data to evaluate loan applications
CertificationsTypically requires risk management or financial certificationsOften requires finance or banking certifications
Work EnvironmentMostly independent review, often in risk management teamsCollaborative analysis within lending or banking teams
Industry UsageCommon in banking, finance, and lending institutionsWidely used in banking, credit unions, and financial services

While both roles involve financial analysis, Remote Credit Risk Review focuses on evaluating existing credit portfolios and managing risk, whereas Remote Credit Analyst primarily assesses new loan applications. Understanding these differences helps job seekers target the right position based on their skills and career goals.

What are the most commonly searched types of Credit Risk Review jobs in Florida? The most popular types of Credit Risk Review jobs in Florida are:
What are popular job titles related to Remote Credit Risk Review jobs in Florida? For Remote Credit Risk Review jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Credit Risk Review jobs in Florida look for? The top searched job categories for Remote Credit Risk Review jobs in Florida are:
What cities in Florida are hiring for Remote Credit Risk Review jobs? Cities in Florida with the most Remote Credit Risk Review job openings:
Remote Credit Risk Review jobs near you
Infographic showing various Remote Credit Risk Review job openings in Florida as of July 2026, with employment types broken down into 85% Full Time, and 15% Part Time. Highlights an 100% Remote job distribution.
Risk & Quality Performance Manager (Remote)

Risk & Quality Performance Manager (Remote)

Molina Healthcare

Tampa, FL • Remote

$66K - $129K/yr

Full-time

Re-posted yesterday

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.

Employment Type: Full Time

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About Molina Healthcare

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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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