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Remote Healthcare Risk Management Jobs in Michigan

Ra

Health Care Analyst (Medicare)

Detroit, MI · Remote

You will be understanding the strategic direction set by senior management as it relates to team ... Who holds consulting experience in US Healthcare Payer market! Who holds 2+ years' experience in US ...

Harris

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients ...

Harris

Remote Care Management - CMA

Three Rivers, MI · Remote

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients ...

Harris

Remote Care Management - CMA

Wyoming, MI · Remote

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients ...

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Remote Healthcare Risk Management information

See Michigan salary details

$44.9K

$97.2K

$148.2K

How much do remote healthcare risk management jobs pay per year?

As of Jul 16, 2026, the average yearly pay for remote healthcare risk management in Michigan is $97,232.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,400.00 and $112,400.00 per year, depending on experience, location, and employer.

What is a Remote Healthcare Risk Management job?

A Remote Healthcare Risk Management job involves identifying, assessing, and mitigating risks within healthcare organizations while working remotely. Professionals in this role help ensure patient safety, regulatory compliance, and operational efficiency by analyzing data, developing policies, and implementing risk reduction strategies. They may collaborate with healthcare providers, legal teams, and insurance professionals to address potential liabilities. Strong analytical skills, knowledge of healthcare regulations, and experience in risk management are essential for success in this field.

What are the key skills and qualifications needed to thrive in the Remote Healthcare Risk Management position, and why are they important?

To thrive in Remote Healthcare Risk Management, you typically need a background in healthcare administration, risk analysis, compliance, and a relevant degree such as nursing, public health, or healthcare management. Familiarity with risk management software, incident reporting systems, HIPAA regulations, and certifications like Certified Professional in Healthcare Risk Management (CPHRM) are highly valuable. Strong analytical thinking, attention to detail, and effective virtual communication skills set candidates apart in this role. These competencies are crucial for identifying, assessing, and mitigating risks in healthcare environments while maintaining regulatory compliance and patient safety—all from a remote setting.

What are the typical daily responsibilities of someone working in Remote Healthcare Risk Management?

Professionals in Remote Healthcare Risk Management are responsible for identifying potential risks to patient safety, evaluating compliance with healthcare regulations, and developing policies to minimize those risks. On a typical day, their tasks might include reviewing incident reports, analyzing data, conducting virtual training sessions, and collaborating with clinical and administrative teams through video conferencing. They also work closely with legal and compliance departments to ensure all processes adhere to federal, state, and organizational standards. This role requires strong organizational skills, proactive communication, and the ability to manage sensitive information within a remote work environment.

What are popular job titles related to Remote Healthcare Risk Management jobs in Michigan? For Remote Healthcare Risk Management jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Remote Healthcare Risk Management jobs in Michigan look for? The top searched job categories for Remote Healthcare Risk Management jobs in Michigan are:
What cities in Michigan are hiring for Remote Healthcare Risk Management jobs? Cities in Michigan with the most Remote Healthcare Risk Management job openings:
Remote Healthcare Risk Management jobs near you

Director of Audit - Synergie (Remote)

Bcbsa

Three Rivers, MI • Remote

$150K - $200K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 7 days ago

Job description

The Director of Audit is responsible for overseeing the organization's client and pharmaceutical rebate audit function and ensuring the effectiveness of financial, operational, and contractual compliance controls across the enterprise. This role also supports organizational SOC audits. This role leads the planning and execution of audit programs, identifies risk exposures, and provides actionable recommendations to enhance operational execution, governance, efficiency, and compliance. The Director works closely with executive leadership to promote a strong internal control culture and continuous improvement mindset. In addition, this role supports participants in Synergie pharma audits.

Audit Execution. 35%

  • Lead and oversee pharma and client audits for Synergie.
  • Support SOC audit evidence gathering for annual audit.
  • Ensure audit work adheres to contractual standards and organizational policies.
  • Evaluate the efficiency and effectiveness of internal controls, processes, and risk management frameworks.
  • Coordinate with external auditors and participants to ensure alignment and minimize redundancy.
  • Communicate with participants during pharma rebate audits and obtain evidence requested.

Risk Management and Compliance. 35%

  • Collaborate with Finance, Legal, and IT to strengthen controls around invoicing.
  • Monitor corrective action plans, ensuring timely resolution of audit findings. Advise on new business processes, system implementations, and policy changes from a risk perspective.
  • Assist in development and manage invoicing and audit policies and procedure.

Leadership and Strategy. 30%

  • Develop and execute the annual risk-based audit plan aligned with organizational strategy and regulatory requirements.
  • Provide strategic direction and thought leadership for audit, risk management, and internal control programs.
  • Partner with internal leaders to identify and mitigate emerging risks within invoicing and data governance of invoicing information.
  • Present findings, insights, and progress updates to Invoicing & Audit management.

Requirements:

  • Bachelor's degree in business, healthcare, or other related field; Master's degree preferred.
  • 8+ years of work experience in a health care auditing role, with expertise in health plans, health systems, pharmacy, and managed care or specialty pharmacy. Must include at least 3 years of experience in medical and/or pharmacy drug management at a health plan or PBM.
  • Strong experience managing external audit vendors during audits
  • Strong understanding of audit practices
  • Experience designing and executing audit programs.
  • Strong data management and analytics skills with the ability to manage large data effectively.
  • Strong knowledge of medical and pharmacy rebates, value-based contracts, and invoicing processes.
  • Demonstrated ability to lead cross-functional teams, drive results in a fast-paced environment, and manage client support while ensuring alignment with Synergie's objectives.
  • Ability to develop relationships and influence with internal and external stakeholders
  • Excellent leadership, communication and critical thinking skills and ability to anticipate issues and develop solutions.
  • Must be eligible to work in the United States without need for work visa or residency sponsorship.

The compensation for this role is budgeted between $150,000 and $200,000.

#LI-Remote

This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay.

We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

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