Job Summary The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various departments and stakeholders within ...
Job Summary The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various departments and stakeholders within ...
Risk & Quality Performance Manager (Remote)
Long Beach, CA · Remote
$59.81K - $129.59K/yr
Job Summary The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various departments and stakeholders within ...
Risk & Quality Performance Manager (Remote)
Long Beach, CA · Remote
$59.81K - $129.59K/yr
Job Summary The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various departments and stakeholders within ...
Risk Adjustment Specialist
San Bernardino, CA · On-site +1
$30 - $34/hr
Work is performed in an office or remote environment supporting electronic medical record and Risk Adjustment systems. PAY RANGE $30.00 - $34.00 / hourly
Risk Adjustment Specialist
San Bernardino, CA · On-site +1
$30 - $34/hr
Work is performed in an office or remote environment supporting electronic medical record and Risk Adjustment systems. PAY RANGE $30.00 - $34.00 / hourly
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San Francisco, CA · On-site +1
$74.32K - $102.19K/yr
The Risk Solutions Specialist is a developmental technical position supporting loss control/risk engineering efforts through interaction with internal and external stakeholders. This position works ...
Risk Solutions Specialist
San Francisco, CA · On-site +1
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The Risk Solutions Specialist is a developmental technical position supporting loss control/risk engineering efforts through interaction with internal and external stakeholders. This position works ...
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Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
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Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
You will own Circle's fraud risk management program, oversee fraud analytics and detection ... Remote
You will own Circle's fraud risk management program, oversee fraud analytics and detection ... Remote
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Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
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Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Merced, CA · On-site +1
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
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Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Hollister, CA · On-site +1
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Hollister, CA · On-site +1
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Salinas, CA · On-site +1
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Salinas, CA · On-site +1
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Mariposa, CA · On-site +1
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Mariposa, CA · On-site +1
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Risk Management Engineer
Mountain View, CA · On-site +1
$204K - $259K/yr
Lead and execute end-to-end risk management, including issue intake, review, escalation, management ... remote, the specific salary range for your preferred location, during the hiring process. Waymo ...
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Lead and execute end-to-end risk management, including issue intake, review, escalation, management ... remote, the specific salary range for your preferred location, during the hiring process. Waymo ...
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Mountain View, CA · On-site +1
$204K - $259K/yr
Lead and execute end-to-end risk management, including issue intake, review, escalation, management ... remote, the specific salary range for your preferred location, during the hiring process. Waymo ...
Risk Management Engineer
Mountain View, CA · On-site +1
$204K - $259K/yr
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Walnut Creek, CA · On-site +1
$109.10K/yr
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Walnut Creek, CA · On-site +1
$109.10K/yr
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Quick apply
Conflicts Attorney (Remote)
Los Angeles, CA · Remote
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Leveraging Zurich's risk engineering tools and services to improve customer risk and general ... No Linkedin Recruiter Tag: #LI-AW1 #LI-ASSOCIATE #LI-REMOTE
Leveraging Zurich's risk engineering tools and services to improve customer risk and general ... No Linkedin Recruiter Tag: #LI-AW1 #LI-ASSOCIATE #LI-REMOTE
Leveraging Zurich's risk engineering tools and services to improve customer risk and general ... No Linkedin Recruiter Tag: #LI-AW1 #LI-ASSOCIATE #LI-REMOTE
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Remote Risk information
See California salary details
$19.04 is the 25th percentile. Wages below this are outliers.
$14.23 - $19.58
28% of jobs
The median wage is $22.78 / hr.
$19.58 - $24.93
37% of jobs
$24.93 - $30.28
6% of jobs
$33.62 is the 75th percentile. Wages above this are outliers.
$30.28 - $35.63
6% of jobs
$35.63 - $40.98
12% of jobs
$40.98 - $46.33
0% of jobs
$46.33 - $51.67
0% of jobs
$51.67 - $57.02
8% of jobs
$57.02 - $62.37
0% of jobs
$62.37 - $67.72
0% of jobs
$67.72 - $73.07
2% of jobs
$14
$29
$73
How much do remote risk jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Remote Risk Analyst, and why are they important?
How does a Remote Risk professional typically collaborate with cross-functional teams to address potential threats?
What are Remote Risk jobs?
What is the difference between Remote Risk vs Remote Underwriter?
| Aspect | Remote Risk |
|---|
| Required Credentials | Risk assessment certifications, insurance licenses |
|---|---|
| Work Environment | Remote, independent analysis of insurance risks |
| Employer & Industry Usage | Insurance companies, brokers, risk management firms |
| Common Search & Comparison | People compare Remote Risk with Remote Underwriter due to similar roles in insurance decision-making |
Remote Risk professionals evaluate potential insurance risks remotely, focusing on risk analysis and policy recommendations. Remote Underwriters also assess insurance applications but often have more direct authority to approve or deny coverage. While both roles require similar credentials and work environments, Remote Underwriters typically have more decision-making power. Understanding these differences helps job seekers find the right role aligned with their skills and career goals.

Full-time
Posted 10 days ago
Molina Healthcare rating
8.0
Based on 191 frontline employees who took The Breakroom Quiz
145th of 259 rated insurance
Job description
Job Description
Job Summary
The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various departments and stakeholders within Molina to plan, coordinate, and manage resources and execute performance improvement initiatives in alignment with RQS's strategic objectives.
Job Duties
Collaborate with Health Plan Risk and Quality leaders to improve outcomes by managing Risk/Quality data collection strategy, analytics, and reporting, including but not limited to: Risk/Quality rate trending and forecasting; provider Risk/Quality measure performance, CAHPS and survey analytics, health equity and SDOH, and engaging external vendors.
Monitor projects from inception through successful delivery.
Oversee Risk/Quality data ingestion activities and strategies to optimize completeness and accuracy of EHR/HIE and supplemental data.
Meet customer expectations and requirements, establish, and maintain effective relationships and gain their trust and respect.
Draw actionable conclusions, and make decisions as needed while collaborating with other teams.
Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success.
Partner with other teams to ensure data quality through sequential transformations and identify opportunities to close quality and risk care gaps.
Proactively communicate risks and issues to stakeholders and leadership.
Create, review, and approve program documentation, including plans, reports, and records.
Ensure documentation is updated and accessible to relevant parties.
Proactively communicate regular status reports to stakeholders, highlighting progress, risks, and issues.
Job Qualifications
REQUIRED EDUCATION:
Bachelor's degree or equivalent combination of education and experience
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
2+ years of program and/or project management experience in risk adjustment and/or quality
2+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems
2+ years of data analysis experience utilizing technical skillsets and resources to answer nuanced Risk and Quality questions posed from internal and external partners
Familiarity with running queries in Microsoft Azure or SQL server
Healthcare experience and functional risk adjustment and/or quality knowledge
Mastery of Microsoft Office Suite including Excel and Project
Experience partnering with various levels of leadership across complex organizations
Strong quantitative aptitude and problem solving skills
Intellectual agility and ability to simplify and clearly communicate complex concepts
Excellent verbal, written and presentation capabilities
Energetic and collaborative
PREFERRED EDUCATION:
Graduate degree or equivalent combination of education and experience
PREFERRED EXPERIENCE:
Knowledge of, and familiarity with, NCQA, CMS, and State regulatory submission requirements
Experience working in a cross-functional, highly matrixed organization
SQL proficiency
Knowledge of healthcare claim elements: CPT, CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs, etc.
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification, and/or comparable coursework desired
#PJCorp
#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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About Molina Healthcare
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980