Provides managed care education and communication. Essential Functions * All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with ...
Provides managed care education and communication. Essential Functions * All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with ...
Provides managed care education and communication. Essential Functions * All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with ...
Provides managed care education and communication. Essential Functions * All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with ...
ResPro Health is dedicated to providing our partners in the respiratory space with the tools and ... like remote patient monitoring and chronic care management in their pulmonary practices. With a ...
ResPro Health is dedicated to providing our partners in the respiratory space with the tools and ... like remote patient monitoring and chronic care management in their pulmonary practices. With a ...
ResPro Health is dedicated to providing our partners in the respiratory space with the tools and ... like remote patient monitoring and chronic care management in their pulmonary practices. With a ...
Quick apply
ResPro Health is dedicated to providing our partners in the respiratory space with the tools and ... like remote patient monitoring and chronic care management in their pulmonary practices. With a ...
ResPro Health is dedicated to providing our partners in the respiratory space with the tools and ... like remote patient monitoring and chronic care management in their pulmonary practices. With a ...
ResPro Health is dedicated to providing our partners in the respiratory space with the tools and ... like remote patient monitoring and chronic care management in their pulmonary practices. With a ...
Senior Engineering Leader - Software Development (REMOTE)
Greenville, SC · Remote
$170K - $190K/yr
... in healthcare environments. The Five Most Important Qualifications · Software Engineering ... Proven success managing software engineers, technical leads, and engineering managers while ...
Senior Engineering Leader - Software Development (REMOTE)
Greenville, SC · Remote
$170K - $190K/yr
... in healthcare environments. The Five Most Important Qualifications · Software Engineering ... Proven success managing software engineers, technical leads, and engineering managers while ...
Medical Coding Coordinator (Hybrid Remote)
Spartanburg, SC · On-site +1
$21 - $26.75/hr
This position is primarily remote. Candidates located in South Carolina are preferred and must be ... Rural Health Clinic (RHC) reimbursement * Value-Based Care initiatives * Revenue Cycle Management
Medical Coding Coordinator (Hybrid Remote)
Spartanburg, SC · On-site +1
$21 - $26.75/hr
This position is primarily remote. Candidates located in South Carolina are preferred and must be ... Rural Health Clinic (RHC) reimbursement * Value-Based Care initiatives * Revenue Cycle Management
Ambulatory Coder III, FT, Days, - Remote
Greenville, SC · On-site +1
$17.75 - $22.25/hr
Communicates billing related issues to assigned supervisor/manager and participates in meetings in ... Our vision is simple: to transform healthcare for the benefits of the communities we serve. The ...
Ambulatory Coder III, FT, Days, - Remote
Greenville, SC · On-site +1
$17.75 - $22.25/hr
Communicates billing related issues to assigned supervisor/manager and participates in meetings in ... Our vision is simple: to transform healthcare for the benefits of the communities we serve. The ...
Ambulatory Coder III, FT, Days, - Remote
Greenville, SC · Remote
$17.75 - $22.25/hr
Communicates billing related issues to assigned supervisor/manager and participates in meetings in ... Our vision is simple: to transform healthcare for the benefits of the communities we serve. The ...
Ambulatory Coder III, FT, Days, - Remote
Greenville, SC · Remote
$17.75 - $22.25/hr
Communicates billing related issues to assigned supervisor/manager and participates in meetings in ... Our vision is simple: to transform healthcare for the benefits of the communities we serve. The ...
Nurse Advocate - South Carolina
Greenville, SC · On-site +1
$85K - $92K/yr
SYNERGY HEALTHCARE: Case Manager Nurse Advocate- SOUTH CAROLINA Job Summary: We are seeking an ... While this specific client is in South Carolina, this opportunity allows for remote work so can be ...
Nurse Advocate - South Carolina
Greenville, SC · On-site +1
$85K - $92K/yr
SYNERGY HEALTHCARE: Case Manager Nurse Advocate- SOUTH CAROLINA Job Summary: We are seeking an ... While this specific client is in South Carolina, this opportunity allows for remote work so can be ...
Ambulatory Coder III, ENT, FT, Days, - Remote
Greenville, SC · On-site +1
$17.75 - $22.25/hr
Communicates billing related issues to assigned supervisor/manager and participates in meetings in ... Our vision is simple: to transform healthcare for the benefits of the communities we serve. The ...
Ambulatory Coder III, ENT, FT, Days, - Remote
Greenville, SC · On-site +1
$17.75 - $22.25/hr
Communicates billing related issues to assigned supervisor/manager and participates in meetings in ... Our vision is simple: to transform healthcare for the benefits of the communities we serve. The ...
Ambulatory Coder III, ENT, FT, Days, - Remote
Greenville, SC · Remote
$17.75 - $22.25/hr
Communicates billing related issues to assigned supervisor/manager and participates in meetings in ... Our vision is simple: to transform healthcare for the benefits of the communities we serve. The ...
Ambulatory Coder III, ENT, FT, Days, - Remote
Greenville, SC · Remote
$17.75 - $22.25/hr
Communicates billing related issues to assigned supervisor/manager and participates in meetings in ... Our vision is simple: to transform healthcare for the benefits of the communities we serve. The ...
Regional Registered Dietitian - Remote
Spartanburg, SC · Remote
$27.75 - $37.50/hr
Experience in long-term care, skilled nursing, rehabilitation, or healthcare nutrition preferred ... Excellent organizational, communication, and time management skills * Proficient computer and ...
Regional Registered Dietitian - Remote
Spartanburg, SC · Remote
$27.75 - $37.50/hr
Experience in long-term care, skilled nursing, rehabilitation, or healthcare nutrition preferred ... Excellent organizational, communication, and time management skills * Proficient computer and ...
Remote Scorer - NY Region
Greenville, SC · On-site +1
$23 - $31.75/hr
Description PRN Remote RPSGT to Score for NY MUST HAVE NY LICENSURE Remote MedBridge Healthcare, a leader in sleep laboratory management services and sleep therapy, partners with hospitals and ...
Remote Scorer - NY Region
Greenville, SC · On-site +1
$23 - $31.75/hr
Description PRN Remote RPSGT to Score for NY MUST HAVE NY LICENSURE Remote MedBridge Healthcare, a leader in sleep laboratory management services and sleep therapy, partners with hospitals and ...
Remote Scorer - NY Region
Greenville, SC · Remote
$26 - $35.75/hr
PRN Remote RPSGT to Score for NY MUST HAVE NY LICENSURE Remote MedBridge Healthcare, a leader in sleep laboratory management services and sleep therapy, partners with hospitals and physician ...
Quick apply
Remote Scorer - NY Region
Greenville, SC · Remote
$26 - $35.75/hr
PRN Remote RPSGT to Score for NY MUST HAVE NY LICENSURE Remote MedBridge Healthcare, a leader in sleep laboratory management services and sleep therapy, partners with hospitals and physician ...
CLF Consultants LLC (CLFC Healthcare & Communications) is building its nationwide Video Remote Interpreting (VRI) pool of pre-certified ASL interpreters to support sign language interpreter services ...
Quick apply
CLF Consultants LLC (CLFC Healthcare & Communications) is building its nationwide Video Remote Interpreting (VRI) pool of pre-certified ASL interpreters to support sign language interpreter services ...
This position is 100% remote . Eligible applicants must reside in one of the following states: AL ... About Spartanburg Regional Healthcare System Spartanburg Regional Healthcare System is a community ...
This position is 100% remote . Eligible applicants must reside in one of the following states: AL ... About Spartanburg Regional Healthcare System Spartanburg Regional Healthcare System is a community ...
This position is 100% remote . Eligible applicants must reside in one of the following states: AL ... About Spartanburg Regional Healthcare System Spartanburg Regional Healthcare System is a community ...
This position is 100% remote . Eligible applicants must reside in one of the following states: AL ... About Spartanburg Regional Healthcare System Spartanburg Regional Healthcare System is a community ...
CLF Consultants LLC (CLFC Healthcare & Communications) is building its nationwide Video Remote Interpreting (VRI) pool of pre-certified ASL interpreters to support sign language interpreter services ...
CLF Consultants LLC (CLFC Healthcare & Communications) is building its nationwide Video Remote Interpreting (VRI) pool of pre-certified ASL interpreters to support sign language interpreter services ...
HR Technology Leader
Greenville, SC · On-site +1
Coordinate with Risk Management to review contracts and their terms & conditions and service level ... healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of ...
HR Technology Leader
Greenville, SC · On-site +1
Coordinate with Risk Management to review contracts and their terms & conditions and service level ... healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of ...
Remote Healthcare Risk Management information
See Greer, SC salary details
$49.5K - $59.9K
4% of jobs
$59.9K - $70.2K
6% of jobs
$70.2K - $80.6K
11% of jobs
$84.5K is the 25th percentile. Wages below this are outliers.
$80.6K - $90.9K
11% of jobs
The median wage is $99.2K / yr.
$90.9K - $101.3K
23% of jobs
$101.3K - $111.7K
13% of jobs
$118.5K is the 75th percentile. Wages above this are outliers.
$111.7K - $122K
12% of jobs
$122K - $132.4K
8% of jobs
$132.4K - $142.7K
6% of jobs
$142.7K - $153.1K
4% of jobs
$153.1K - $163.5K
2% of jobs
$49.5K
$107.3K
$163.5K
How much do remote healthcare risk management jobs pay per year?
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.

Full-time
Posted 25 days ago
Prisma Health rating
7.1
Based on 349 frontline employees who took The Breakroom Quiz
378th of 887 rated healthcare providers
Job description
Inspire health. Serve with compassion. Be the difference.
Job Summary
Performs operational and financial analysis to evaluate assigned projects in support of managed care operations, services, and initiatives. Performs proactive servicing of contracts and analysis of contract performance to include variance support and payor engagement. Resolves contracting and reimbursement issues. Prepares findings into summaries and documents suitable for leadership presentation. Provides managed care education and communication.Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
Supports the affiliate with resolution of issues related to managed care contracts for facilities, departments and employed physicians. Responsible for communicating with affiliate and monitoring contractual adjustments, communication of contract policies and procedures, and contract compliance issues.Escalates issues that impact company goals.
Works closely with Provider Enrollment to help resolve any payor issues and participates on monthly enrollment calls.
Schedules and participates in meetings with affiliate administrators, directors, and medical directors on issues related to managed care contracting strategies and provides ongoing education and communication of local and national managed care trends.
Works closely with facility and physician revenue cycle departments to remediate contractual issues and assist in facilitating reimbursement related issues as they arise. Participates in monthly revenue cycle payor calls.
Assists department leaders on managed care issues with outside organizations such as managed care organizations, the State Hospital Association and other health care providers. Represents the Affiliate when communicating or meeting with representatives from Managed Care Organizations (HMOs, PPOs, Insurance Networks). Supports management and interacts with Directors or Vice Presidents when conducting business with managed care organizations. Responsible for assisting in and maintaining and enhancing relationship with managed care organizations.
Supports and delivers educational programs and seminars for staff, provider personnel and clients. Assists as needed with projects of significant scope that have Affiliate implications. Works with department heads to obtain additional resources as needed.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
Education - Bachelor's degree
Experience - Five (5) years of managed care experience.
In Lieu Of
In lieu of the education and experience requirements noted above, the following combination of education, training and/or experience may be considered an equivalent substitution: Master's degree and two (2) years of managed care experience.
Required Certifications, Registrations, Licenses
NA
Knowledge, Skills and Abilities
NA
Work Shift
Day (United States of America)Location
Independence PointeFacility
7001 CorporateDepartment
70019069 Managed Care ContractingShare your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
What Prisma Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Prisma Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Greenville, SC, US
Year founded
2017