Risk Manager

Responsibilities

• Provides risk management services to UVA Community Health facilities, team members, and functions as assigned;
• Identifies risks proactively and conducts risk assessments and analyses, incident investigations, and other root cause analyses, while escalating identified risks appropriately;
• Uses incident, complaint, and claims-related information to identify trends and support risk mitigation efforts;
• Develops and provides education on various risk-related topics and trends to various stakeholders across UVA Community Health;
• Develops risk workflows and process standardization efforts across UVA Community Health;
• Collaborates and works with representatives from various departments to address identified risks and develop risk mitigation and management strategies;
• Supports claims reporting to ensure timely reporting of potential or pending claims to insurance carriers;
• Supports claims defense as assigned, including by interfacing with external and internal legal counsel and insurance claims representatives;
• Drafts and reviews policies, processes, and procedures that support risk mitigation and strategy;
• Maintains collaborative and cooperative relationships among UVA Community Health, UVA Health, and related entities;
• Participates in professional development activities and maintains professional affiliations;
• Completes other projects and tasks as assigned by the Director of Risk Management and Insurance Operations.

Qualifications

• Education: 4 Year/Bachelor’s Degree required - BSN or comparable clinical degree.
• Experience: Minimum of 5 years of clinical experience. Minimum of 3 years of experience in risk management, quality, clinical operations, or healthcare leadership preferred. Experience in acute care hospital setting and related service lines preferred.
• Licensure: RN or other clinical certification or licensure in applicable state required.
• Additional Skills/Requirements: Strong computer skills in Microsoft Office suite, including Outlook, Word, Excel, and Power Point. Epic experience preferred. Certified Professional in Healthcare Risk Management (CPHRM) or willingness to obtain certification preferred.