Senior Director, Clinical Risk Management jobs in United States
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IEHP · 2 days ago

Senior Director, Clinical Risk Management

IEHP is dedicated to healing and inspiring the human spirit, and they are seeking a Senior Director of Risk Management to provide strategic leadership for their clinical risk management program. This role is responsible for identifying and mitigating risks, ensuring compliance with regulations, and fostering a culture of safety within the organization.

Health CareHealth DiagnosticsHospital
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Comp. & Benefits

Responsibilities

Driving a culture of member safety and accountability across the organization
Designing and implementing enterprise-wide risk management frameworks and protocols
Ensuring compliance with all applicable regulations and accreditation standards
Identifying emerging risks and leading proactive intervention strategies
Building strong stakeholder relationships and providing transparent reporting to leadership and governing bodies

Qualification

Clinical risk managementHealthcare regulationsLeadership experienceRisk management principlesHealthcare quality improvementData analysisInnovation mindsetStakeholder relationship buildingCommunication skillsInterpersonal skillsProblem-solving skills

Required

A minimum of ten (10) years of progressive experience in clinical risk management within a health plan or healthcare setting
A minimum of three (3) years of proven leadership experience managing enterprise risk programs
Bachelor's degree in nursing and/or related field from an accredited institution
Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issues by the California Board of Registered Nursing
Must have a valid California Driver's license
Advanced knowledge of risk management principles, practices and techniques
Knowledge of healthcare/health plan operations, regulations, and compliance requirements
Demonstrated knowledge of healthcare laws and regulations, safety science, and patient safety best practices
Knowledge of healthcare risk financing and health insurance principles
Knowledge of health plan accreditation standards, such as NCQA
Knowledge of healthcare quality improvement methodologies, such as Lean or Six Sigma
Strong knowledge of healthcare laws and regulations, such as HIPAA and HITECH
Strong problem-solving skills to address complex challenges
Strong communication and interpersonal skills, with the ability to interact with all levels of the organization
Mindset of innovation to continuously improve operations and processes while mitigating risks
Ability to assess and mitigate risks for the organization
Ability to effectively communicate risk management concepts to non-technical stakeholders
Ability to build and maintain positive relationships with internal and external stakeholders
Ability to analyze data to identify trends, make recommendations and drive decision-making
Ability to adapt to changing priorities, requirements, business environments and organizational needs

Preferred

A master's degree in nursing or related field from an accredited institution
Certified Professional in Patient Safety (CPPS) or other relevant certification preferred

Benefits

Competitive salary
State of the art fitness center on-site
Medical Insurance with Dental and Vision
Life, short-term, and long-term disability options
Career advancement opportunities and professional development
Wellness programs that promote a healthy work-life balance
Flexible Spending Account – Health Care/Childcare
CalPERS retirement
457(b) option with a contribution match
Paid life insurance for employees
Pet care insurance

Company

With a mission to heal and inspire the human spirit, Inland Empire Health Plan (IEHP) is one of the top 10 largest Medicaid health plans, the largest not-for-profit Medicare-Medicaid public health plan in the country, and for the fourth year in a row, certified as A Great Place To Work®.

Funding

Current Stage
Late Stage
Total Funding
$32.38M
2021-02-04Grant· $32.38M

Leadership Team

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Susie White
Chief Operating Officer
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Katherine A. Kang
Vice President, HR Strategic Initiatives and Business Partners
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Company data provided by crunchbase