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Senior Risk Manager – Risk and Insurance
Mercy Health. Provide strategic leadership and accountability for loss prevention strategies and risk mitigation initiatives across assigned facilities and service lines .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Healthcare Risk Management, including loss prevention strategies, claims management, and risk mitigation initiatives. Proven ability to collaborate with cross-functional teams and provide strategic leadership in high-risk environments.
Highest-signal resume keywords
CPHRM Certification5+ Years In Healthcare Risk ManagementRisk Management PrinciplesClaims/Litigation UnderstandingHealthcare Operations Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Risk AssessmentClaims ManagementLoss Prevention StrategiesIncident Data AnalysisEvent Response LeadershipGrievance Committee GuidanceEducation On Risk ManagementData Insights TranslationRegulatory ComplianceProject Management
Soft Skills
Outstanding Communication SkillsHighly OrganizedCollaborativeDetail OrientedFlexible/Adaptable
Certifications & Qualifications
CPHRMHealthcare LicensureLaw LicensureInsurance Licensure
Industry Keywords
HealthcareRisk ManagementQualityPatient SafetyClaimsInsuranceOperational RiskJoint CommissionCMSDepartment Of Health
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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