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Remote Healthcare Risk Management Jobs in Rancho Cucamonga, CA

The Hartford

Sr. Consultant Risk Engineering

Brea, CA · On-site +1

This role offers a remote or hybrid work arrangement, with the expectation of coming into an office ... Management, Environmental Health, or a related technical discipline OR equivalent combination of ...

Alignment Healthcare

Care Management Trainer

Orange, CA · On-site +1

$85K - $128K/yr

... health care demands, trends, identified learning needs, organizational and clinical goals, quality improvement measures, risk management, regulatory changes, and compliancy criteria. * Designs and ...

Ra

Health Care Analyst (Medicare)

Orange, CA · 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 ...

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All JobsRemote Healthcare Risk Management JobsRemote Healthcare Risk Management Jobs in Rancho Cucamonga, CA

Remote Healthcare Risk Management information

See Rancho Cucamonga, CA salary details

$52.6K

$114K

$173.7K

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

As of Jun 14, 2026, the average yearly pay for remote healthcare risk management in Rancho Cucamonga, CA is $114,001.00, according to ZipRecruiter salary data. Most workers in this role earn between $92,000.00 and $131,800.00 per year, depending on experience, location, and employer.

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 Rancho Cucamonga, CA? For Remote Healthcare Risk Management jobs in Rancho Cucamonga, CA, the most frequently searched job titles are:
What job categories do people searching Remote Healthcare Risk Management jobs in Rancho Cucamonga, CA look for? The top searched job categories for Remote Healthcare Risk Management jobs in Rancho Cucamonga, CA are:
What cities near Rancho Cucamonga, CA are hiring for Remote Healthcare Risk Management jobs? Cities near Rancho Cucamonga, CA 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 Rancho Cucamonga, CA as of June 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $114,001 per year, or $54.8 per hour.

Provider Quality Review Nurse, RN

Inland Empire Health Plan

Rancho Cucamonga, CA • On-site, Remote

$91K - $120K/yr

Full-time

Posted 17 days ago

Job description

Overview
This is a short-term assignment.
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience!
At Inland Empire Health Plan (IEHP), we believe the highest quality of care should be delivered to all in the Inland Empire. We are thinking beyond the way Quality is viewed today - we believe it should be holistic and transformative. IEHP's provider incentive programs serve an important role in achieving IEHP's quality goals.
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for:
  • Receive and research all PQI and QR cases as assigned, provide a summary and recommendations to the Medical Director of case assignments
  • Effectuate all action items as determined by the Medical Director to resolution of case assignments
  • Reviewing escalated issues
  • Discussing and reviewing cases with Medical Directors referred to the Quality Management (QM) department
  • Investigation of cases includes, but not limited to, the documentation of case summaries, follow up actions, outreach efforts, and communications in the QM database

Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Key Responsibilities
  1. Investigate and complete case summaries and make recommendations for any Potential Quality of Care Incidents (PQI) referred to the QM department.
  2. Maintain direct communication with IEHP departments, external facilities including hospitals, Skilled Nursing Facilities, and/or Providers to ensure all PQI issues are thoroughly investigated, and care is coordinated in a timely manner, as needed.
  3. Review requested medical records to ensure complete case documentation is received from all practitioners, providers, and entities/agencies to ensure thorough investigation of the issue.
  4. Review case findings and recommendations with Medical Director. Issue Corrective Action Plans (CAP), review CAP responses, draft Opportunity for Improvement letters, and coordinate other interventions as needed to ensure all issues were addressed and future occurrences of the same issue are mitigated.
  5. Complete data entry into database systems, maintain updated documentation and other tracking mechanisms for all cases.
  6. Review and execute ad hoc requests, quality reviews, and/or focused audits, as needed.
  7. Escalate issues of non-compliance to the Quality Systems Management team.
  8. Maintain working knowledge of regulatory requirements as they relate to QM operations and protocols.
  9. Complete other tasks and assignments based on department and business needs.
  10. Demonstrate a commitment to incorporate LEAN principles into daily work.

Qualifications
Education & Requirements
  • Three (3) or more years of any individual or combined healthcare experience in quality assurance, quality management, quality improvement, utilization management, discharge planning, and/or case management
  • Three (3) or more years of work experience in a managed care, hospital, provider practice, or other comparable healthcare experience
  • Experience preferably in a quality/performance improvement setting
  • Bachelor's degree in Nursing from an accredited institution required
    • In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position
    • This experience is in addition to the minimum years listed in the Experience Requirements above
  • Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Healthcare Risk Management (CPHRM), or Clinical certification in area specialty) preferred
  • Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required

Key Qualifications
  • Must have a valid California Driver's License
  • Excellent understanding of performance improvement, quality assurance, and utilization management
  • Knowledgeable in clinical analysis of health records, assessing or evaluating quality, and identifying problems or issues with care delivery
  • Microcomputer applications: spreadsheet, database, and word processing
  • Excellent written and verbal communication skills
  • Excellent coordination skills
  • Ability to communicate findings and form recommendations based on clinical case reviews
  • Ability to demonstrate critical thinking, strong problem-solving capability. Strong attention to detail
  • Ability to prioritize work to ensure adherence to project deadlines. Ability to effectively escalate issues as identified, following established protocols
  • Positive attitude and ability to work in a team setting
  • Self-direction and ability to work with minimal supervision
  • Word processing and data entry involving computer keyboard and screens, automobile travel within the Inland Empire
  • Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval

Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
Telecommute (All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP's main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership)
Pay Range
USD $91,249.60 - USD $120,910.40 /Yr.

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