Senior Risk Manager – Risk and Insurance

🔥 13 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🎲 Risk

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👻 Ghost score 10%

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Bon Secours Mercy Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2018

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Bon Secours Mercy Health is a leading health care organization committed to transforming health care delivery and services through strategic innovation and compassionate care. Operating hospitals and clinical sites in the U. S. and Ireland, the organization focuses on extending health care access, improving patient outcomes, and enhancing value through emerging technologies and strategic partnerships. With a commitment to service and stewardship, Bon Secours Mercy Health also prioritizes enhancing the quality of life for underserved communities while advocating for sustainability. The organization’s initiatives include digital innovation, diversified growth through investments and partnerships, and providing high-value care across its core clinical operations.

📋 Description

• Provide strategic leadership and accountability for loss prevention strategies and risk mitigation initiatives across assigned facilities and service lines • Lead timely initial event response and assess risks and next steps • Serve as a key contact for complex or high-risk events affecting patients, visitors, or workforce members • Lead investigations with clinical, legal, and operational stakeholders; synthesize findings, conduct risk assessments, and escalate significant issues • Provide risk guidance through grievance committees and review/refine response communications where liability exposure exists • Lead Apology & Disclosure strategy and Just-In-Time training, including materials, logistics, and coaching • Identify cases for Early Liability Review and support resolution strategies and outcomes • Partner with claims management on reporting and handling potentially compensable events; collaborate with outside counsel on interviews and case preparation • Manage administrative claims related to professional licensure and board investigations • Provide risk guidance during regulatory surveys and investigations, including CMS, Joint Commission, and Department of Health matters • Analyze claims, incident data, and post-loss outcomes to identify trends, root causes, and emerging risks • Monitor risk mitigation action plans and ensure follow-up and escalation • Design and implement targeted loss prevention and risk reduction strategies • Contribute to risk management strategy and translate data, claim trends, and regulatory changes into actionable initiatives • Serve as a subject matter expert and resource for complex risk issues • Deliver education on risk management, claims, and insurance principles • Provide cross-coverage support for the Risk Director or other team members as assigned • Contribute to system-wide initiatives, committees, networks, task forces, and projects

🎯 Requirements

• CPHRM required within 1 year of hire • Bachelor’s Degree in Healthcare, Business, Legal, or related field required • 5+ years in Healthcare Risk Management, Quality or Safety required • Demonstrable understanding of Risk Management principles • Outstanding written/oral communication and presentation skills • Highly organized with ability to manage multiple projects simultaneously and quickly transition/modify work focus • Thorough understanding of healthcare operations and medicine • Collaborative and responsive to associates at all levels • Healthcare, Law or Insurance Licensure preferred • Master’s Degree in Healthcare, Business, Legal, Insurance or related field preferred • Flexible/adaptable to change • Detail oriented • Thorough understanding of Claims/Litigation • Basic understanding of Insurance for healthcare operations/employees

🏖️ Benefits

• Competitive pay • Incentives • Referral bonuses • 403(b) with employer contributions (when eligible) • Medical, dental, vision, and prescription coverage • HSA/FSA options • Life insurance • Mental health resources and discounts • Paid time off • Parental and FMLA leave • Short- and long-term disability • Backup care for children and elders • Tuition assistance • Professional development and continuing education support