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Remote Healthcare Risk Management Jobs in Tennessee

Wood Plc

Senior Risk Assessor

Knoxville, TN · On-site +1

... data management, and technical writing. Key Responsibilities * Prepare human health risk ... Regional travel to field project sites and occasional remote field assignments may be required

Wood Plc

Senior Risk Assessor

Nashville, TN · On-site +1

... data management, and technical writing. Key Responsibilities * Prepare human health risk ... Regional travel to field project sites and occasional remote field assignments may be required

Ra

Health Care Analyst (Medicare)

Nashville, TN · 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 ...

Cherry Bekaert

Risk Advisory Senior Manager

Nashville, TN · On-site +1

$119K - $215K/yr

Strong consulting mindset with effective communication and stakeholder management skills * Ability ... Paid Care Leave; and other programs that are dedicated to enhancing your personal and work life and ...

Corvel

RTW Coordinator

Nashville, TN · On-site

$19.24 - $31.04/hr

... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote Equal Opportunity Employer This employer is required to notify all applicants of their ...

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All JobsRemote Healthcare Risk Management JobsRemote Healthcare Risk Management Jobs in Tennessee

Remote Healthcare Risk Management information

How much does healthcare risk management make?

Healthcare risk management professionals typically earn between $70,000 and $120,000 annually, depending on experience, location, and certification level. Senior roles or those in large healthcare organizations can earn higher salaries, often exceeding $130,000. Strong knowledge of healthcare regulations and risk assessment tools can enhance earning potential.

Can risk managers work remotely?

Remote healthcare risk management roles are increasingly common, allowing risk managers to perform tasks such as policy review, data analysis, and reporting from home. These positions often require strong communication skills, familiarity with healthcare regulations, and the use of digital tools like risk management software. However, some roles may require on-site presence for audits or investigations depending on the employer's policies.

How to make $80,000 a year working from home?

Remote healthcare risk management professionals can earn $80,000 or more annually by gaining relevant certifications, such as Certified Professional in Healthcare Risk Management (CPHRM), and developing expertise in compliance, patient safety, and insurance processes. Building experience through healthcare organizations or consulting firms and utilizing strong communication and analytical skills can also help achieve this income level while working remotely.

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.

Is healthcare risk management a good career?

Healthcare risk management is a growing field that involves identifying and mitigating risks to improve patient safety and compliance. It typically requires knowledge of healthcare regulations, risk assessment skills, and certifications such as Certified Professional in Healthcare Risk Management (CPHRM). The role offers stability, opportunities for advancement, and the chance to contribute to quality care in healthcare organizations.
What are popular job titles related to Remote Healthcare Risk Management jobs in Tennessee? For Remote Healthcare Risk Management jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Remote Healthcare Risk Management jobs in Tennessee look for? The top searched job categories for Remote Healthcare Risk Management jobs in Tennessee are:
What cities in Tennessee are hiring for Remote Healthcare Risk Management jobs? Cities in Tennessee with the most Remote Healthcare Risk Management job openings:
Remote Healthcare Risk Management jobs near you
Manager, Medicare Risk Adjustment Analytics Consulting - REMOTE

Manager, Medicare Risk Adjustment Analytics Consulting - REMOTE

Health Care Service Corporation

Nashville, TN • Remote

$112K - $202K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 22 days ago

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job SummaryThe Medicare Risk Adjustment Analytics Consulting Manager is a Subject Matter Expert (SME) who will drive revenue integrity and analytics strategy by serving as the primary consultative resource for strategic initiatives. This role leads cross-functional, matrixed teams and works directly with risk adjustment analysts to transform complex financial and risk adjustment data into actionable business intelligence. Additionally, the SME champions advanced data science initiatives by supporting the end-to-end development, refinement, and deployment of predictive models. As a key advisor to the business, the SME consistently delivers strategic, data-driven insights and collaborates with key stakeholders to ensure revenue accuracy and analytic product integrity.
Core responsibilities include consultive leadership, translating complex risk adjustment analyses into high-impact strategic recommendations and presentations. The manager is a strategic advisor, collaborates with key business partners and oversees the design and execution of complex data initiatives.

JOB REQUIREMENTS:

  • Bachelor Degree in Math, Actuarial Science, Business Statistics, Accounting or Finance OR 4 years experience.
  • 5 years experience interfacing with external clients, large employers, brokers, or consultants OR 5 years experience in presenting analytic results to both internal and external audiences.
  • 5 years experience in requiring data analysis and information reporting related to healthcare data.
  • 2 years leadership experience.
  • Negotiation, decision-making, organizational, and analytical skills.
  • Verbal and written communication skills, including presentation skills.
  • PC proficiency to include Access, Excel, Word, and PowerPoint.

PREFERRED JOB REQUIREMENTS:

  • Deep Medicare Risk Adjustment experience (HCC models, risk score calculations, RADV audits).
  • Proven success leading data projects and influencing indirect reports, peers, and cross-functional teams in a complex environment and without formal authority.
  • Advanced understanding of querying, manipulating, and visualizing healthcare data (e.g.' SQL, SAS, Python, Tableau or Power BI).
  • Exceptional presentation skills reporting to C-suite or executive-level stakeholders including the ability to simplify complex data analyses into business insights for non-technical partners.

This is a Remote role.

#LI -PD1
#LI-REMOTE

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$112,200.00 - $202,600.00

Exact compensation may vary based on skills, experience, and location.

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