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Remote Fintech Risk Management Jobs in Kentucky (NOW HIRING)

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer ... Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer ... Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal ...

Turner & Townsend

Project Manager

Shelbyville, KY · Remote

... management (budget, schedule, procurement, quality & risk) for individual projects including ... This is a remote position with some travel. What you'll do Manage all areas of project management ...

Wieland

Quality Assurance Manager

Louisville, KY · Remote

While this role is remote, travel to locations will be required (50% travel). At Wieland, we ... Lead the Quality Management System (QMS) in accordance with ISO 9001 and/or AS9100, AS9120 as ...

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Remote Fintech Risk Management information

What is a remote fintech risk manager?

A Remote Fintech Risk Manager is a professional who identifies, assesses, and mitigates financial and operational risks for fintech companies while working remotely. Their responsibilities include developing risk management strategies, ensuring compliance with regulations, analyzing data to detect potential threats, and advising on risk-related matters. This role requires strong analytical skills, familiarity with financial regulations, and the ability to communicate risk findings to stakeholders. Working remotely, these managers rely on digital tools to monitor risks and collaborate with global teams.

What are the key skills and qualifications needed to thrive as a remote fintech risk manager?

To excel in Remote Fintech Risk Management, you need a solid understanding of financial risk assessment, regulatory compliance, and data analysis, usually supported by a degree in finance, economics, or a related field. Familiarity with risk management software, analytics tools like SQL or Python, and certifications such as FRM or CFA is highly valued. Strong analytical thinking, attention to detail, and effective communication are essential soft skills for identifying risks and collaborating with cross-functional teams remotely. These skills ensure the identification and mitigation of potential threats, regulatory adherence, and the safeguarding of fintech operations in a dynamic digital environment.

How does a remote fintech risk manager typically collaborate with cross-functional teams to address emerging risks?

Remote Fintech Risk Management professionals often work closely with product, compliance, IT, and data analytics teams through virtual meetings and collaborative platforms. They are responsible for identifying, assessing, and communicating potential risks while ensuring new fintech products and services comply with regulatory standards. Success in this role relies on proactive communication, leveraging shared digital tools, and participating in regular risk review sessions. Building strong virtual relationships and maintaining transparency are key to effectively mitigating risks in a fast-paced, remote environment.

What is the difference between Remote Fintech Risk Management vs Remote Compliance Analyst?

AspectRemote Fintech Risk ManagementRemote Compliance Analyst
CredentialsCertifications like FRM, CRC, or similar risk management credentialsCertifications such as CAMS, CFE, or compliance-specific credentials
Work EnvironmentFocus on risk assessment, fraud detection, and financial security in fintech firmsFocus on regulatory adherence, policy implementation, and compliance monitoring
Industry UsageCommon in fintech startups, digital banking, and online payment platformsPrevalent in financial institutions, fintech companies, and regulatory bodies

Remote Fintech Risk Management professionals primarily assess and mitigate financial risks within fintech companies, while Remote Compliance Analysts focus on ensuring adherence to regulations and policies. Both roles require similar certifications and often work in overlapping environments, but their core responsibilities differ in scope and focus.

What are the most commonly searched types of Fintech Risk Management jobs in Kentucky?

The most popular types of Fintech Risk Management jobs in Kentucky are:

What are popular job titles related to Remote Fintech Risk Management jobs in Kentucky?

For Remote Fintech Risk Management jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Remote Fintech Risk Management jobs in Kentucky look for?

The top searched job categories for Remote Fintech Risk Management jobs in Kentucky are:

What cities in Kentucky are hiring for Remote Fintech Risk Management jobs?

Cities in Kentucky with the most Remote Fintech Risk Management job openings:

Remote Fintech Risk Management jobs near you

Pharmacy Claims Processor / Remote

BrightSpring

Louisville, KY • Remote

$15.50 - $19.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Job description

Our Company
PharMerica
Overview
Step Into a Rewarding Role as an LTC Pharmacy Claims Specialist with PharMerica!
Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly matters-delivering exceptional care and service.
Why Join PharMerica?
  • Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and specialized care centers across the nation.
  • Career Growth: We're in high growth mode, offering plenty of opportunities for those looking to advance their careers.
  • Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!

What You'll Do: As a dynamic Claims Specialist, you will:
  • Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our clients get the support they need.
  • Be a vital part of a team that's dedicated to enhancing patient care through meticulous claims management and customer service.
Shift: Evening/night must include a weekend. Shift differentials are availbale.
Must have pharmacy claims or adjudication background.
What We Offer:
  • DailyPay
  • Flexible Schedules
  • Competitive Pay with Shift Differentials
  • Health, Dental, Vision, and Life Insurance
  • Company-Paid Disability Insurance
  • Tuition Assistance & Reimbursement
  • Employee Discount Program
  • 401k Plan
  • Paid Time Off
  • Non-Retail, Closed-Door Environment

Responsibilities
The Claims Specialist - 3rd Party:
  • Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
  • Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
  • Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement
  • Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
  • Works as a team to identify, document, communicate and resolve payer/billing trends and issues
  • Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans
  • Prepares and maintains reports and records for processing
  • Performs other tasks as assigned

Qualifications
Education/Learning Experience:
  • Required: High School Diploma or GED
  • Desired: Associate's or Bachelor's Degree
Work Experience:
  • Required: Customer Service
  • Desired: Up to one year of related experience. Pharmacy Technician experience
Skills/Knowledge:
  • Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite
  • Desired: Knowledge of the insurance industry's trends, directions, major issues, regulatory considerations and trendsetters
Licenses/Certifications:
  • Desired: Pharmacy technician, but not required

About our Line of Business
PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.
Additional Job Information
This is an excellent opportunity to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing.
Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.