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Remote Healthcare Risk Management Jobs in Duluth, GA

Ensign Services, Inc.

Managed Care Resource

Atlanta, GA · On-site +1

Engage in complex levels of contract development and negotiation, including risk agreements using ... A bachelor's degree in business administration, management or health care administration, highly ...

Oscar Health

Auditor, Risk Adjustment

Atlanta, GA · Remote

$82K - $108K/yr

You will report into the Manager, Risk Adjustment. Work Location: This is a remote position, open ... We're on a mission to change health care -- an experience made whole by our unique backgrounds and ...

ResPro Health

Care Management Scheduler

Atlanta, GA · On-site +1

$17 - $19/hr

Company Overview ResPro Health is dedicated to providing our partners in the respiratory space with ... like remote patient monitoring and chronic care management in their pulmonary practices. With a ...

ResPro Health

Care Management Scheduler

Atlanta, GA · Remote

$17 - $19/hr

Company Overview ResPro Health is dedicated to providing our partners in the respiratory space with ... like remote patient monitoring and chronic care management in their pulmonary practices. With a ...

ResPro Health

Care Management Scheduler

Atlanta, GA · Remote

$17 - $19/hr

Company Overview ResPro Health is dedicated to providing our partners in the respiratory space with ... like remote patient monitoring and chronic care management in their pulmonary practices. With a ...

The Benefits Boss

Health Insurance Agent

Atlanta, GA · Remote

$20K/mo

Health Insurance Agent | Remote | 1099 | Commission + Residuals | Leads Provided About The Benefits ... Dialer, CRM, appointment setters, and back-office support * Contracts with 26+ carriers across ...

A-Line Staffing Solutions

Be Seen First

Pharmacy Technician / Prior Authorization

Atlanta, GA · Remote

$20/hr

... and manage department email inquiries * Support additional administrative duties as needed Requirements: * Minimum 2 years of experience in a high-volume call center or remote (health plan, PBM, or ...

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Remote Healthcare Risk Management information

See Duluth, GA salary details

$47.4K

$102.7K

$156.5K

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

As of Aug 12, 2026, the average yearly pay for remote healthcare risk management in Duluth, GA is $102,679.00, according to ZipRecruiter salary data. Most workers in this role earn between $82,800.00 and $118,700.00 per year, depending on experience, location, and employer.

What is remote healthcare risk management?

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 remote healthcare risk management?

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 job categories do people searching Remote Healthcare Risk Management jobs in Duluth, GA look for? The top searched job categories for Remote Healthcare Risk Management jobs in Duluth, GA are:
What cities near Duluth, GA are hiring for Remote Healthcare Risk Management jobs? Cities near Duluth, GA with the most Remote Healthcare Risk Management job openings:
Remote Healthcare Risk Management jobs near you
Infographic showing various Remote Healthcare Risk Management job openings in Duluth, GA as of August 2026, with employment types broken down into 85% Full Time, 3% Part Time, 3% Temporary, and 9% Contract. Highlights an 45% In-person, 9% Hybrid, and 46% Remote job distribution, with an average salary of $102,679 per year, or $49.4 per hour.

Managed Care Resource

Ensign Services, Inc.

Atlanta, GA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Ensign Group rating

6.5

Company rating: 6.5 out of 10

Based on 168 frontline employees who took The Breakroom Quiz

605th of 887 rated healthcare providers

Job description

Managed Care Resource - Southeast Region
Position Type: Full-time, exempt employee.
Compensation Range: Depending on Experience.
Location: Candidate must reside in the Atlanta, Georgia area.
About the Company:
Ensign Services, Inc. ("ESI") is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast-growing post-acute care industry. ESI provides service and support to over 378 facilities in the long-term care continuum that employ over 55,000 employees.
ESI is known as the "Service Center" and provides the facilities and leaders it serves with "back-office" support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting. This structure allows the onsite leaders and caregivers to focus on day-to-day care and operational issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people.
We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership ("CAPLICO") seriously. We want an individual in this role who will demonstrate these values through actions and words.
About the Opportunity:
The Managed Care Consultant supports the Skilled Nursing Facility leaders in managed care contracting and revenue enhancement strategies for all healthcare payers and preparation for changes in the healthcare industry. The Consultant will provide guidance regarding development of managed care relationships and rate negotiation, ensuring timeliness and rate appropriateness. Additionally, the Consultant will negotiate contracts for new locations, assist with ensuring that contracts are updated for new services and help with contract cancellations, denials and appeals.
Job Duties and Responsibilities include, but are not limited to:
  • Establish, implement and evaluate the strategic plan(s) that will ensure each local operation the ability to optimize financial performance through rates and increased census.
  • Engage in complex levels of contract development and negotiation, including risk agreements using utilization, claims and market data with health plans and direct service agreements with physicians, physician organizations and hospitals and ancillary providers.
  • Identify, develop and maintain an effective relationship with contracted health plans and managed care regulatory agencies.
  • Manage complex and high-profile health plan negotiations. Actively draft and negotiate contracts in the health care operations and health care plan functional areas.
  • Assist in analysis and coordination of amendments, reimbursement, and language changes.
  • Assess resource utilization, cost management and negotiate effectively.
  • Monitor industry changes, trends and events to proactively identify opportunities to increase market penetration and performance improvement.
  • Understands the competitive pricing levels in the local market and improves the company's cost position through unit costs strategies.
  • Strategizes for facility census growth and retention.
  • Teach, Train and Instruct facility level personnel on how to operationalize the contract.
  • Interact with facility personnel on utilization, clinical results and managed care census.

Preferred Qualifications:
  • A bachelor's degree in business administration, management or health care administration, highly desired.
  • At least 2 years of experience with Managed Care contracting, highly desired.
  • Must reside in Georgia, preferably in the Atlanta area.
  • Willing to travel up to 80% of the time (as deemed appropriate).
  • Knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance, contract language review and contract analysis.
  • Must be knowledgeable about the managed care environment, including capitation, PPO, HMO, IPA, ACO and POS.
  • Knowledge of CPT-4, HCPCS, Revenue and ICD coding.
  • Expert in Skilled Nursing Managed care plans.
  • Experience in successful operationalizing managed care contracts in the skilled nursing environment.
  • Knowledge of contracts and contractual interpretations for payment and benefit issues.
  • Working knowledge of medical terminology, claims payment, contract negotiations, and problem resolution; ability to work collaboratively in a team setting.
  • Communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, consulting, and advising.
  • Ability to deal with responsibility with confidential matters. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
  • Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to detail.
  • Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously.
  • Excellent verbal and written communication skills, as well as excellent critical thinking skills.
  • Computer savvy (Contract Logix, MS Word, MS Outlook & Excel).
  • Ability to be flexible, be readily adaptable, and work in a rapidly and constantly changing environment.
  • Present in facilities on a weekly basis, (currently as deemed appropriate).

Additional Information:
  • Pre-employment criminal background screening required.

What We Offer:
We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. We also believe in supporting our employee's professional growth and development through our Learning Management System as well as training sessions and seminars. Take a look at these benefits (and more!) at www.ensignbenefits.com.
Ensign Services, Inc. is an equal opportunity employer. If you need assistance or accommodation during the application process, please contact us at 888-659-3616.
Job ID: 1230

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