Senior Risk Manager – Risk and Insurance

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🎲 Risk

👻 Ghost score 10%

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Mercy Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

Mercy Health is a mission-driven healthcare organization that provides direct patient care, community health services and a range of support and administrative roles. The organization emphasizes the human side of health care, compassionate, values-based service tied to a ministry mission, workforce development for bedside and support staff, flexible benefits and community outreach. Mercy Health positions itself as both an employer and community health provider focused on dignity, unity and social service.

📋 Description

• Provide strategic leadership and accountability for loss prevention strategies and risk mitigation initiatives across assigned facilities and service lines • Maintain an influential presence within assigned areas and partner with Senior Leadership on insurance, claims management, loss prevention, adverse events, and operational risk exposures • Collaborate with Human Resources, Legal, Quality, Compliance, and Patient Safety stakeholders to identify, prioritize, and mitigate risk exposures • Provide cross-coverage support for the Risk Director or other team members during absences or temporary reassignments • Serve as a subject matter expert and contribute to system-wide initiatives, committees, networks, task forces, and projects • Lead timely initial event response, assess facts and risks, and determine next steps • Serve as key point of contact for complex or high-risk event-related concerns • Lead comprehensive investigations with clinical, legal, and operational stakeholders; synthesize findings, conduct risk assessments, and escalate significant issues • Provide risk guidance through grievance committees and refine response communications where liability exposure exists • Lead Apology & Disclosure strategy and Just-In-Time training, including materials development and logistics • Coach clinicians and leaders on communication following adverse or unanticipated outcomes • 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, fact development, and case preparation • Manage administrative claims related to professional licensure and board investigations • Provide risk guidance during CMS, Joint Commission, and Department of Health surveys and investigations • 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 loss prevention and risk reduction strategies with operational leadership • Translate data insights, claim trends, and regulatory changes into facility- and system-level initiatives • Deliver education on risk management, claims, and insurance principles

🎯 Requirements

• CPHRM within 1 year of hire (Required) • 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 (Preferred) • Detail oriented (Preferred) • Thorough understanding of Claims/Litigation (Preferred) • Basic understanding of Insurance for healthcare operations/employees (Preferred) • Must be able to work and live within the Continental US based on company VPN access

🏖️ Benefits

• Competitive pay • Incentives • Referral bonuses • 403(b) 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 • Continuing education support