REMOTE (able to hire from the following states : AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC ... department, Risk Management, Patient Safety, Department Managers, Executive leaders and Medical ...
REMOTE (able to hire from the following states : AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC ... department, Risk Management, Patient Safety, Department Managers, Executive leaders and Medical ...
Procurement Senior Manager
SC · On-site +1
$90K - $122K/yr
Candidates located in Charleston South Carolina are preferred but will consider remote candidates ... Coordinate with other SAIC departments to ensure legal, accounting, leasing, risk management ...
Procurement Senior Manager
SC · On-site +1
$90K - $122K/yr
Candidates located in Charleston South Carolina are preferred but will consider remote candidates ... Coordinate with other SAIC departments to ensure legal, accounting, leasing, risk management ...
Provides active case management, assesses service needs, develops and coordinates action plans in ... Provides telephonic support for members with chronic conditions, high risk pregnancy or other at ...
Quick apply
Provides active case management, assesses service needs, develops and coordinates action plans in ... Provides telephonic support for members with chronic conditions, high risk pregnancy or other at ...
Manager, Account Management - NORAM
North, SC · Remote
$83K - $123K/yr
... remote group of relationship builders who are passionate about helping hoteliers thrive. We move ... at-risk accounts * Demonstrate strong problem-solving and conflict resolution skills with the ...
Manager, Account Management - NORAM
North, SC · Remote
$83K - $123K/yr
... remote group of relationship builders who are passionate about helping hoteliers thrive. We move ... at-risk accounts * Demonstrate strong problem-solving and conflict resolution skills with the ...
Remote Position Type: C2C/W2 Years of Experience:08+ years Duration of the Contract: 12 months ... risk management, and regulatory compliance aligned with federal and state standards. The Security ...
Remote Position Type: C2C/W2 Years of Experience:08+ years Duration of the Contract: 12 months ... risk management, and regulatory compliance aligned with federal and state standards. The Security ...
... fully remote work environment while managing multiple priorities in a fast-paced setting ... Strong understanding of state and federal regulations, nursing standards of practice, risk ...
... fully remote work environment while managing multiple priorities in a fast-paced setting ... Strong understanding of state and federal regulations, nursing standards of practice, risk ...
Physical Damage Adjuster
Spartanburg, SC · On-site +1
... risk management to the next level. Our platform arms fleets with an end-to-end solution that ... Please note that this is a remote position. What You'll Do * Responsible for the handling of all ...
Physical Damage Adjuster
Spartanburg, SC · On-site +1
... risk management to the next level. Our platform arms fleets with an end-to-end solution that ... Please note that this is a remote position. What You'll Do * Responsible for the handling of all ...
Director, Business Development and Sales
Greenville, SC · Remote
$115K - $150K/yr
This is REMOTE The role of an individual contributor within the organization focuses on completing ... Work closely with senior health and safety leaders to implement impactful risk management ...
Director, Business Development and Sales
Greenville, SC · Remote
$115K - $150K/yr
This is REMOTE The role of an individual contributor within the organization focuses on completing ... Work closely with senior health and safety leaders to implement impactful risk management ...
Director, Business Development and Sales
Greenville, SC · On-site +1
$115K - $150K/yr
This is REMOTE The role of an individual contributor within the organization focuses on completing ... Work closely with senior health and safety leaders to implement impactful risk management ...
Director, Business Development and Sales
Greenville, SC · On-site +1
$115K - $150K/yr
This is REMOTE The role of an individual contributor within the organization focuses on completing ... Work closely with senior health and safety leaders to implement impactful risk management ...
Audit Manager I - FRM - Liquidity
Greenville, SC · On-site +1
$75K - $125K/yr
... Financial Risk Management team is responsible for oversight of assigned audit execution ... There may be a possibility to hire remote if the right candidate possesses all the job requirements ...
Audit Manager I - FRM - Liquidity
Greenville, SC · On-site +1
$75K - $125K/yr
... Financial Risk Management team is responsible for oversight of assigned audit execution ... There may be a possibility to hire remote if the right candidate possesses all the job requirements ...
Project Manager, QGenda Implementation
Charleston, SC · On-site +1
... the organization Risk Management & Problem Solving Identify project risks, barriers, and ... a remote position can be considered (if candidate is in a different SC location that is convenient ...
Project Manager, QGenda Implementation
Charleston, SC · On-site +1
... the organization Risk Management & Problem Solving Identify project risks, barriers, and ... a remote position can be considered (if candidate is in a different SC location that is convenient ...
$64K - $96K/yr
... Case Managers and external vendors. * Develop and implement Return-to-Work plans for high-risk ... Identify and investigate potential fraud and subrogation opportunities, partnering with the Special ...
$64K - $96K/yr
... Case Managers and external vendors. * Develop and implement Return-to-Work plans for high-risk ... Identify and investigate potential fraud and subrogation opportunities, partnering with the Special ...
HR Technology Leader
Greenville, SC · On-site +1
This role is remote and open to candidates in the continental United States. This role requires ... Coordinate with Risk Management to review contracts and their terms & conditions and service level ...
HR Technology Leader
Greenville, SC · On-site +1
This role is remote and open to candidates in the continental United States. This role requires ... Coordinate with Risk Management to review contracts and their terms & conditions and service level ...
Supervisory/Management Responsibilities * This is a non-management job that will report to a ... Certified Risk Adjustment Coder (CRC) Knowledge, Skills and Abilities * Knowledge of office ...
Supervisory/Management Responsibilities * This is a non-management job that will report to a ... Certified Risk Adjustment Coder (CRC) Knowledge, Skills and Abilities * Knowledge of office ...
This role requires strong expertise in information security governance, risk, compliance (GRC ... managing POA&M and Corrective Action Plans (CAP) . • 3+ years of experience working with ...
This role requires strong expertise in information security governance, risk, compliance (GRC ... managing POA&M and Corrective Action Plans (CAP) . • 3+ years of experience working with ...
Remote; Field Based * Must reside in South Carolina. Will make provider visits throughout the state ... Experience negotiating reimbursement methodologies, risk-based contracts, or value-based care ...
Remote; Field Based * Must reside in South Carolina. Will make provider visits throughout the state ... Experience negotiating reimbursement methodologies, risk-based contracts, or value-based care ...
Health Information Management Inpatient Coder, FT, Days, - Remote
Columbia, SC · Remote
$20 - $24.25/hr
... risk adjustment diagnoses following established guidelines. * Reviews work queues to identify ... Supervisory/Management Responsibilities * This is a non-management job that will report to a ...
Health Information Management Inpatient Coder, FT, Days, - Remote
Columbia, SC · Remote
$20 - $24.25/hr
... risk adjustment diagnoses following established guidelines. * Reviews work queues to identify ... Supervisory/Management Responsibilities * This is a non-management job that will report to a ...
Health Information Management Inpatient Coder, FT, Days, - Remote
Columbia, SC · On-site +1
$20 - $24.25/hr
... risk adjustment diagnoses following established guidelines. * Reviews work queues to identify ... Supervisory/Management Responsibilities * This is a non-management job that will report to a ...
Health Information Management Inpatient Coder, FT, Days, - Remote
Columbia, SC · On-site +1
$20 - $24.25/hr
... risk adjustment diagnoses following established guidelines. * Reviews work queues to identify ... Supervisory/Management Responsibilities * This is a non-management job that will report to a ...
Health Information Management Inpatient Coder, FT, Days, - Remote
Columbia, SC · Remote
$20 - $24.25/hr
... risk adjustment diagnoses following established guidelines. * Reviews work queues to identify ... Supervisory/Management Responsibilities * This is a non-management job that will report to a ...
Health Information Management Inpatient Coder, FT, Days, - Remote
Columbia, SC · Remote
$20 - $24.25/hr
... risk adjustment diagnoses following established guidelines. * Reviews work queues to identify ... Supervisory/Management Responsibilities * This is a non-management job that will report to a ...
Health Information Management Inpatient Coder, FT, Days, - Remote
Columbia, SC · On-site +1
$20 - $24.25/hr
... risk adjustment diagnoses following established guidelines. * Reviews work queues to identify ... Supervisory/Management Responsibilities * This is a non-management job that will report to a ...
Health Information Management Inpatient Coder, FT, Days, - Remote
Columbia, SC · On-site +1
$20 - $24.25/hr
... risk adjustment diagnoses following established guidelines. * Reviews work queues to identify ... Supervisory/Management Responsibilities * This is a non-management job that will report to a ...
Remote Fraud Risk Management information
What is remote fraud risk management?
Remote Fraud Risk Management refers to the processes and strategies used to detect, prevent, and respond to fraudulent activities in digital environments, especially when employees and operations are distributed or working remotely. This role involves monitoring transactions, analyzing data for suspicious patterns, and implementing security measures to minimize risks. Professionals in this field work closely with IT, compliance, and legal teams to ensure that systems and data remain secure despite the challenges of remote work. Effective remote fraud risk management is critical for protecting organizations from financial losses and reputational damage.
How does a remote fraud risk management professional typically collaborate with cross-functional teams to mitigate risks?
Remote Fraud Risk Management professionals regularly work alongside departments such as IT, compliance, customer service, and legal to identify and address potential fraud threats. Collaboration often involves virtual meetings, sharing data insights, and developing joint strategies to detect suspicious activity. Effective communication and the ability to explain complex risk scenarios to non-specialists are crucial. This cross-functional teamwork ensures that fraud prevention measures are integrated throughout the organization and that responses to incidents are swift and coordinated.
What are the key skills and qualifications needed to thrive in remote fraud risk management, and why are they important?
To thrive in Remote Fraud Risk Management, you need strong analytical skills, attention to detail, and a background in finance, business, or a related field, often supported by relevant certifications such as CFE (Certified Fraud Examiner). Familiarity with fraud detection software, data analysis tools, and case management systems is typically required. Excellent communication, critical thinking, and problem-solving abilities set top performers apart in this role. These skills and qualities are essential for effectively identifying, preventing, and responding to fraudulent activities in a remote environment.
What is the difference between Remote Fraud Risk Management vs Remote Fraud Analyst?
| Aspect | Remote Fraud Risk Management | Remote Fraud Analyst |
|---|---|---|
| Credentials | Certifications in fraud prevention, risk management, or related fields | Basic knowledge of fraud detection, often with certifications like ACFE or similar |
| Work Environment | Strategic, policy development, and oversight roles within organizations | Operational, investigative roles focused on analyzing transactions and detecting fraud |
| Employer & Industry Usage | Financial institutions, e-commerce, and fintech companies | Banking, online retail, and payment processing companies |
| Search & Comparison Intent | Understanding strategic risk management roles in fraud prevention | Operational roles focused on fraud detection and analysis |
Remote Fraud Risk Management involves developing policies and overseeing fraud prevention strategies, while Remote Fraud Analysts focus on analyzing transactions to detect and investigate fraud. Both roles are essential in combating fraud but differ in scope and responsibilities.
What are popular job titles related to Remote Fraud Risk Management jobs in South Carolina?
For Remote Fraud Risk Management jobs in South Carolina, the most frequently searched job titles are:
What job categories do people searching Remote Fraud Risk Management jobs in South Carolina look for?
The top searched job categories for Remote Fraud Risk Management jobs in South Carolina are:
What cities in South Carolina are hiring for Remote Fraud Risk Management jobs?
Cities in South Carolina with the most Remote Fraud Risk Management job openings:
Full-time
Posted 22 days ago
Spartanburg Regional Healthcare System rating
6.7
Based on 117 frontline employees who took The Breakroom Quiz
530th of 891 rated healthcare providers
Job description
Job Requirements
Employment Type: FULL_TIME
Lead the Change. Elevate the Care. Shape the Future of Quality at SRHS. Join us as our next Quality Specialist!
Spartanburg Regional Healthcare System
Location: REMOTE (able to hire from the following states: AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, and WI.)
About Us
Spartanburg Regional Healthcare System (SRHS) is an award-winning, community-focused healthcare provider serving Upstate South Carolina and beyond. With a history spanning more than a century, SRHS has grown into one of the region's leading healthcare systems-anchored by Spartanburg Medical Center, a teaching and research hospital, and supported by a full continuum of services including physician practices, post-acute care, and wellness programs. Our team is driven by a shared mission to deliver compassionate, innovative, and high-quality care to every patient, every day.
When you join SRHS, you become part of a team that is committed to improving health, inspiring wellness, and transforming care across the communities we serve.
Position Summary
The Quality Specialist II will develop, implement, coordinate, and revise clinical data review activities across the acute care continuum. The Quality Specialist II is responsible for data collection and entry into comparative databases using retrospective review of closed medical records and concurrent review of open medical records and is accountable for working with nursing, physicians, and ancillary staff to champion mandated quality measures for improvement of evidence-based patient outcomes. The Quality Specialist II facilitates understanding of evidence-based practices that have been identified to improve patient outcomes and translates current data requirements into achievable best practices that are incorporated into the organization system-wide. The Quality Specialist II is expected to interact with regulatory surveyors based on area of expertise that may encompass multiple National registries, Accreditations and Certifications for multiple acute care sites within the organization. The Quality Specialist II will support mentorship and onboarding of new Quality Specialist associates and may assist in providing education on Quality Topics to Spartanburg Regional Healthcare associates as requested.
Minimum Requirements
Education
- BS, BSN or BA in healthcare administration, nursing, health informatics or related field with at least seven years of experience in an acute care setting or an associate's degree with at least nine years of experience in an acute care setting
Experience
- Minimum of seven to nine years of experience in an acute care setting
- Minimum of four years of experience in a Quality Services role (Quality Specialist, Performance Improvement, etc.)
- Proficiency with Microsoft Office Outlook, Excel, and PowerPoint
- Proficiency with accessing electronic healthcare record systems
- Proficiency with data collection and data analysis for specified assigned registries or CMS specific measures
- Knowledge and proficiency with DNV, CMS and National Registry requirements for service lines and patient populations that may include but not limited to cardiovascular, cardiology, orthopedic, stroke, sepsis, vascular surgery, and heart failure
License/Registration/Certifications
- Current state licensure in area of health care training if applicable
- Evidence of completion of Lean Six Sigma Yellow Belt education or completion within 12 months of employment
- Completion of 8 hours of continuing education specifically related to registry specialty, performance improvement or healthcare quality
Preferred Requirements
Preferred Education
BS, BSN or BA in healthcare administration, nursing, health informatics or related field.
Preferred Experience
Eight to ten years of acute care experience
Five or more years of experience in a Quality Services role (Quality Specialist, Performance Improvement, etc.)
Preferred License/Registration/Certifications
Certified Professional in Healthcare Quality (CPHQ)
Core Job Responsibilities
- Conducts timely data collection, data entry and/or data validation from the electronic health record into a specified database or for defined regulatory, accreditation or certification body.
- Develops and presents reports on organizational performance from areas of expertise within assigned registry or regulatory body
- Understands and applies current data definitions for all registry, DNV and CMS requirements
- Participates in Regulatory and/or Registry related committee meetings as indicated
- Collaborates with stakeholders, Program Coordinators and Clinical Analytics Manager regarding process improvement activities identified through chart review
- Refers process improvement opportunities to other members of the Quality Services department, Risk Management, Patient Safety, Department Managers, Executive leaders and Medical Staff providers
- Provides registry and regulatory measure education to stakeholders and new staff
- Participates in data validation and random or targeted audit surveys conducted by national organizations that may include but not be limited to Centers for Medicare Services (CMS), National Cardiovascular Data Registry, Vascular Quality Initiative and Society of Thoracic Surgery (STS)
- Assists in mentorship and onboarding coaching for new staff as assigned
- Conducts and oversees specific data registry assignments that may include multiple registries and multiple sites within the organization
- Demonstrates excellent written and verbal communication skills
- Demonstrates ability to prioritize and complete patient case load in a timely manner
- Demonstrates effective time management skills
- Demonstrates ability to use critical thinking skills and work independently with minimal direction
- Other duties as assigned
Why Join SRHS?
- Impact: Drive measurable improvements that directly enhance patient care and system-wide performance
- Collaboration: Work alongside an engaged, multidisciplinary team dedicated to excellence
- Growth: Leverage your leadership and Lean/Six Sigma expertise to shape the future of quality in a nationally recognized healthcare system
- Mission-Driven Work: Play a key role in advancing SRHS's mission to provide exceptional care and improve community health
Are you ready to lead transformational change and build a culture of quality? Join us at Spartanburg Regional Healthcare System and help shape the future of healthcare excellence.
Employment Type: FULL_TIME
What Spartanburg Regional Healthcare System employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Spartanburg Regional Healthcare System
Sourced by ZipRecruiter
Spartanburg Regional Healthcare System is a leader in the healthcare industry, located in Spartanburg, SC, US. As a comprehensive health system, it offers services encompassing everything from wellness, prevention, and care coordination to specific medical treatments for a wide range of diseases and health issues. Spartanburg Regional Healthcare System was founded in 1921 and has since developed a reputation for excellence and innovative care, growing to include six hospitals, 100 medical offices, 8,000 associates and more than 900 medical staff.
Industry
Recruiting and staffing services
Company size
5,001 - 10,000 Employees
Headquarters location
Spartanburg, SC, US
Year founded
1921