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ArchWell Health · 21 hours ago

Program Manager, Risk

Nashville, TN

Full-time

Onsite

Senior Level

5+ years exp

ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. The Program Manager, Risk will play a critical role in ensuring the safety, compliance, and risk management of our health care operations, overseeing the incident reporting process and managing the grievance process to enhance risk management strategies.

Health Care

Responsibilities

Coordinates the Clinical Risk Management Program to meet the needs of the organization

Manages the incident reporting process and reviews and analyzes all occurrences for risk management, quality of care, regulatory and insurance concerns

Conducts root cause analysis investigations, focused investigations, and other reviews and investigations

Manage professional and general liability carrier reporting and follow-up

Assist providers with managing licensing board letters of inquiry and investigations

Create quarterly reports reviewing incidents for trends and process improvement

Collaborate with relevant departments to analyze incident data, identify trends, and develop strategies to prevent recurrence

Work closely with compliance regarding regulatory matters

Conduct regular risk assessments across various aspects of the organization, including clinical practices

Collaborate with departments to identify potential risks and develop mitigation plans

Stay up to date with industry regulations and standards related to healthcare risk management

Provide training and educational programs to colleagues on risk management, incident reporting and grievance resolution

Promote a culture of safety and risk awareness throughout the organization

Maintain detailed records of incidents, health plan grievances, and risk assessment

Create update and maintain risk management policies and procedures that outline the organization’s approach to managing risks

Ensure the organization complies with relevant laws, regulations and industry standards related to risk management and safety

Performs other related duties

Qualification

Healthcare regulationsRisk management strategiesCrisis managementAnalytical skillsRisk assessmentData interpretationRoot cause analysisRisk mitigationCommunication skillsProblem solvingInterpersonal skillsCollaboration