Senior Risk Manager – Risk and Insurance

This is a fully remote position, open to applicants in United States.

📋 Description

• Deliver strategic leadership and accountability for loss prevention strategies and risk mitigation initiatives across designated facilities and service lines.

• Maintain a significant presence within assigned areas and collaborate with Senior Leadership on matters related to insurance, claims management, loss prevention, adverse events, and operational risk exposures.

• Work in partnership with Human Resources, Legal, Quality, Compliance, and Patient Safety stakeholders to identify, prioritize, and mitigate risk exposures effectively.

• Provide cross-coverage support for the Risk Director or other team members during their absences or temporary reassignments.

• Act as a subject matter expert and contribute to system-wide initiatives, committees, networks, task forces, and projects.

• Lead prompt initial event responses, assess facts and risks, and decide on subsequent actions.

• Serve as the primary point of contact for complex or high-risk event-related issues.

• Conduct comprehensive investigations with clinical, legal, and operational stakeholders; synthesize findings, perform risk assessments, and escalate significant issues as necessary.

• Provide risk guidance during grievance committees and enhance response communications when liability exposure is present.

• Drive the Apology & Disclosure strategy and Just-In-Time training, which includes the development of materials and coordination of logistics.

• Mentor clinicians and leaders on effective communication following adverse or unanticipated outcomes.

• Identify cases for Early Liability Review and assist in resolution strategies and outcomes.

• Collaborate with claims management on reporting and managing potentially compensable events.

• Partner with outside counsel for interviews, fact development, and case preparation.

• Oversee administrative claims regarding professional licensure and board investigations.

• Provide risk guidance during surveys and investigations conducted by CMS, Joint Commission, and the Department of Health.

• Analyze claims, incident data, and post-loss outcomes to detect trends, root causes, and emerging risks.

• Monitor risk mitigation action plans to ensure appropriate follow-up and escalation.

• Design and execute loss prevention and risk reduction strategies alongside operational leadership.

• Convert data insights, claim trends, and regulatory changes into initiatives at both facility and system levels.

• Provide education on risk management, claims, and insurance principles.

⛳️ Requirements

• CPHRM certification within 1 year of hire (Required).

• Bachelor’s Degree in Healthcare, Business, Legal, or a related field (Required).

• A minimum of 5 years in Healthcare Risk Management, Quality, or Safety (Required).

• Proven understanding of Risk Management principles.

• Exceptional written and oral communication and presentation skills.

• Highly organized, capable of managing multiple projects simultaneously, and able to swiftly adjust work focus.

• Comprehensive understanding of healthcare operations and medicine.

• Collaborative approach and responsive to associates across all levels.

• Healthcare, Law, or Insurance Licensure (Preferred).

• Master’s Degree in Healthcare, Business, Legal, Insurance, or a related field (Preferred).

• Adaptable and flexible to change (Preferred).

• Detail-oriented (Preferred).

• In-depth understanding of Claims/Litigation (Preferred).

• Basic knowledge of Insurance related to healthcare operations/employees (Preferred).

• Must be able to work and reside within the Continental US due to company VPN access requirements.

🏝️ Benefits

• Competitive salary.

• Incentives.

• Referral bonuses.

• 403(b) plan with employer contributions (when eligible).

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Prescription coverage.

• HSA/FSA options.

• Life insurance.

• Mental health resources and discounts.

• Paid time off.

• Parental leave.

• FMLA leave.

• Short-term disability.

• Long-term disability.

• Backup care for children and elders.

• Tuition assistance.

• Professional development opportunities.

• Support for continuing education.