Risk Manager

Risk Manager

Mosaic Life Care is seeking a Risk Manager to oversee the organization's risk management program and implement strategies to protect corporate assets from loss. This role is critical in developing and executing risk mitigation solutions, analyzing potential sources of loss, and advising leadership on measures to reduce or eliminate risk.

• Develop and implement a comprehensive insurance program, including risk identification, assessment of insurability, utilization of deductibles, reinsurance strategies, and adherence to corporate policies regarding risk.
• Maintain knowledge of risk management principles and practices, insurance processes, and professional liability claims management within a health care organization.
• Investigate and follow up on potentially compensable events; compile and analyze data to identify trends and support organization-wide initiatives to minimize risk.
• Represent the organization in all insurance related matters and participate in contract reviews to ensure appropriate risk considerations.
• Investigate and follow up on potentially compensable events; compile and analyze data to identify trends and support risk reduction techniques.
• Report claims to insurance carriers and manage all professional, general, and product liability claims in coordination with carriers, including legal defense activities.
• Monitor and assist with legal demands, preservation notices, legal holds, and collection of e-discovery, medical, and billing records as required.
• Draft and review litigation related documents, including discovery responses, motions, and filings; collaborate with internal and external counsel on discovery.
• Facilitate collaboration between leadership and clinicians to identify exposures and develop effective mitigation strategies; evaluate outcomes for continuous improvement.
• Serve as liaison between the organization, claimants, attorneys, insurance companies, and insured parties.

Requirements

• Bachelor’s degree in healthcare or health administration plus 5 years healthcare experience such as APRN/RN with experience in Risk, Patient Safety, Claims Management required. This is required if candidate does not have a Juris Doctor (J.D.).
• Masters in Nursing, health administration, or related healthcare field preferred. OR Juris Doctor (J.D.) with a minimum of 2 years legal-litigation practice experience (Litigation, Health Law, In-house experience preferred) is required.
• CPHRM - Certified Professional in Healthcare Risk Management Must obtain with the first year of employment within 1 year is required.
• Certified in Healthcare Compliance (CHC); or Certified in Healthcare Quality & Management (CHCQM) upon hire is preferred.