20 Best Risk Manager jobs (Hiring Now!)

Senior Risk Adjustment Program Manager $5000.00 sign on bonus
DFW Healthcare MSO —Phoenix, AZ
The candidate must have high comfort viewing, manipulating, and combining reports to ensure data-driven decision making and to ensure optimal application of all…
Estimated: $88.2K - $112K a year
Quick Apply
Chief Risk Officer
Lighthouse Commodities, LLC —Bismarck, ND
This role will lead the analysis, design and implementation of hedging activities for LHC and its clients; will focus on business development, will contribute…
$175,000 - $250,000 a year
Quick Apply
8d
Risk Management Specialist - (RN) - Skilled Nursing
Consulting Support Services —Bradenton, FL
Working knowledge state regulations as it applies to long-term care Excellent presentation skills. The ideal candidate must have the ability to positively…
Estimated: $69.1K - $87.5K a year
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11d
Risk Manager
AlphaBEST Education, Inc. —Winston-Salem, NC
Bachelor's degree in Risk Management, Safety Management, or related field. Safety compliance at federal, state and local levels.
$57,000 a year
Quick Apply
Program Compliance Manager
PLCCA, Inc. —Maywood, IL
Identify potential compliance risks and develop strategies to mitigate them. The ideal candidate would ensure our programs receiving federal, state, and private…
$52,000 - $56,000 a year
Quick Apply
13d
Risk Manager - East Meadow, NY
Nassau University Medical Center —Nassau County, NY
Possession of a current license to practice as a registered professional nurse in New York Statewith two years of satisfactory professional nursing experience.
$102,836 a year
Quick Apply
Deputy General Counsel- Litigation & Risk Mgmt.
Resume & Campaigns - Genesis HealthCare —Albuquerque, NM
The candidate must be licensed in New Mexico and reside (or willing to relocate) to New Mexico. Provide training to leadership and staff on litigation and risk…
$150,000 - $200,000 a year
Quick Apply
Risk Management
The Mahaffey Apartment Company —Tampa, FL
Travel is expected 75 – 80% of the time for field inspections and incident follow-ups. Exhibits proficiency in understanding insurance and risk regulations,…
Estimated: $61.7K - $78.2K a year
Quick Apply
Internal Audit Manager
Harborstone Credit Union —Lakewood, WA
Bachelor's degree in business management, finance, accounting and/or related work experience with knowledge of federal and state credit union regulations;
$88,500 - $118,000 a year
13d
ISO/QMS Compliance Manager
HYPERBARIC MODULAR SYSTEMS, INC. —San Diego, CA
The Quality /Regulatory Manager shall be responsible for “hands-on” oversight and continued implementation of the Company’s existing Quality Management System …
$75,000 - $90,000 a year
Quick Apply
Manager, Risk Intelligence
The Travelers Companies, Inc. —Hartford, CT
Provide research, analysis, coordination, publishing and briefs on security threats, non-technical risks, and geo-political issues in diverse geographical areas…
$100,300 - $165,500 a year
Manager of Risk Management (Healthcare)
The Vines Hospital —Ocala, FL
Bachelor’s Degree from an accredited college or university in nursing, social work or related behavioral health field required. Master’s degree is preferred.
Estimated: $80K - $101K a year
Quick Apply
5h
Regional Risk Manager (Registered Nurses)
LAMMICO —Lafayette, LA
If you are an experienced registered nurse with interest in risk management, or quality improvement, we’d like to hear from you.
$95,100 - $107,010 a year
Quick Apply
Risk - Quality Manager
Gulf Coast Treatment Center —Fort Walton Beach, FL
Bachelor’s degree in related field required; masters preferred. Has knowledge of Joint Commission, CMS, OSHA regulations, and all other relevant state and…
$70,000 - $90,000 a year
Facilities, Safety and Risk Management
Vermont School Boards Insurance Trust —Berlin, VT
The ideal candidate will have a bachelor's degree or equivalent experience in occupational health and safety, risk management, facilities management, or a…
From $52,000 a year
Quick Apply
11d
Third Party Compliance Risk Manager (Solventum)
Solventum —Texas
Assist in the design, implementation and evolution of compliance audit and monitoring activities applying to third-party compliance risk.
$160,284 - $195,903 a year
23h
Corporate Risk Manager, Insurance
Peraton —United States
Work closely with the Insurance Broker on design and implementation of cost-effective programs, based on corporate risk posture/tolerance, to transfer and fund…
$112,000 - $179,000 a year
Assistant Risk Manager
Community Action Partnership of Kern —Bakersfield, CA
Under the direct supervision of the Risk Manager, the Assistant Risk Manager will assist in coordinating and performing functions of the CAPK’s risk management…
$24.78 - $36.36 an hour
Quick Apply
Business Risk and Controls Manager
PayPal —San Jose, CA
Expertise and experience in inherent risk, control design and root cause analysis. Analytical thinker who can work comfortably on data analysis in Excel and…
$82,500 - $187,990 a year
1d
Risk Manager-RN License
Nebraska Methodist Health System —Omaha, NE
Current valid Registered Nurse (RN) License, valid compact multistate license, or a temporary permit while awaiting licensure required.
$61,048 - $97,656 a year
Quick Apply
8d

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Senior Risk Adjustment Program Manager $5000.00 sign on bonus

DFW Healthcare MSO - Phoenix, AZ

Quick Apply

Job Details

Estimated: $88.2K - $112K a year

Qualifications

Microsoft Powerpoint
Microsoft Word
Revenue cycle management
Microsoft Excel
Microsoft Outlook
Management
Medicare
Vendor management
Microsoft Office
Certified Professional Coder
Project management
Bachelor's degree
Organizational skills
Project leadership
Leadership
2 years
Time management
CRC

Full Job Description

Senior Risk Adjustment Program Manager - Medicare and Medicare Advantage risk adjustment experience is required

IntraCare Health Center (DFW Healthcare MSO) operates owned and affiliated Primary Care Clinics in the greater Dallas-Ft. Worth and Phoenix metropolitan areas. Led by an exceptional leadership team, the company has delivered over a decade of strong performance and service excellence in value-based care and clinic operations.

IntraCare is an exceptional place to work! The company has grown 300% in 2023 and poised to do the same in 2024, beyond that, the company is entering Medicare Advantage Risk with our owned providers and use our depth in Risk Management to drive performance. We are culturally driven to be inclusive and respectful of all opinions. We encourage diversity in thought and approach; and we welcome healthy debate. We hire partners who add to our IntraCare family, versus workers. We empower our employees and help them to achieve their personal best. This uncompromising dedication to team culture and individual development is key to our success.

Summary

Reporting to the Associate Vice President of Value-Based Care, the Senior Risk Adjustment Program Manager will identify improvement opportunities and provider performance trends, direct the implementation of new technologies, manage vendors, and deliver routine executive and board-facing reporting on the performance of Medicare risk adjustment programs. Ideally this candidate will have a proven track record of improving Medicare Advantage and Medicare Shared Savings Program contracts’ value through HCC coding accuracy and complete capture by developing, implementing, monitoring, and improving clinical and operational programs in an environment of both affiliate and employed primary care providers. Expertise with value-based care risk program concepts is a must. The candidate must have high comfort viewing, manipulating, and combining reports to ensure data-driven decision making and to ensure optimal application of all related technology investments; this includes a depth of independent, hands-on analysis meaningful to operating the program. The Senior Program Manager must routinely evaluate operational activities and their projected and proven contribution to medical loss ratios on risk programs as the owner for results of the risk adjustment programs.

This confident self-starter will be expected to demonstrate leadership and professionalism, especially while engaging with physicians, clinic leaders and corporate executives. Collaborative interpersonal skills and strong critical thinking capabilities will help the Senior Program Manager interact across various functions and align key internal and external players with the objectives for program success. This pathway may include but will not be limited to: provider and staff education planning; collaboration with finance and marketing to develop or modify incentive programs and associated materials; vendor procurement, deployment, and management; and direct management of coders and coding educators, depending on the direction of the program.

Key Responsibilities:

Medicare and Medicare Advantage risk adjustment experience is required

Oversee all risk adjustment programming and provide insightful reporting on trends, opportunities and progress across the organization’s Medicare contracts.

Develop programs to continuously improve the quality and comprehensiveness of HCC coding.
Measure and monitor, on a routine weekly and monthly basis, the activities of the department and its projected contributions both directly to risk adjustment and indirectly to medical expense savings.
Ensure optimal application of technologies available to support risk adjustment programs, collaborating closely with payors, vendors, IT, and other teams as necessary to achieve goals.
Develop professional plans and materials that support the educational and training needs of the organization by collaborating with internal departments and independent review.
Serve as subject matter expert for risk adjustment programs collaborating directly with health plans and ensure provider network and internal staff have access to health plan resources as appropriate for coding training and improvement.
Document Standard Operating Procedures and workflows for all department processes.
Collaborate with Compliance to ensure all risk adjustment programs meet the guidelines of the Centers for Medicare & Medicaid Services (CMS).
Familiarity with HCC coding related data exchange files and processes, including acquaintance with standards of revenue cycle management in Medicare.
Excellent organization and documentation skills with high detail orientation.
Excellent instincts for root cause analysis and problem solving.
Strong time management skills. Abilities to prioritize effectively and to work efficiently and independently to meet established deadlines.
Must possess a high degree of accuracy, efficiency, and dependability.
Experience with vendor management, offshore a plus.
Working knowledge of and the ability to use common project management tools such as SmartSheets.

Required Skills and Abilities:

Education and Experience:

Medicare and Medicare Advantage risk adjustment experience is required

Bachelor’s degree in related field or equivalent experience
5 – 7 years of program or project management experience with progressive responsibility
At least 2 years of experience in value-based healthcare and Medicare risk adjustment programs
At least 2 years of staff management experience or 5 years of cross-functional project leadership
Ten or more years of healthcare-related experience
Certified coder with CPC or CRC, preferred.

Quick Apply

Risk Manager jobs

Senior Risk Adjustment Program Manager $5000.00 sign on bonus

Chief Risk Officer

Risk Management Specialist - (RN) - Skilled Nursing

Risk Manager

Program Compliance Manager

Risk Manager - East Meadow, NY

Deputy General Counsel- Litigation & Risk Mgmt.

Risk Management

Internal Audit Manager

ISO/QMS Compliance Manager

Manager, Risk Intelligence

Manager of Risk Management (Healthcare)

Regional Risk Manager (Registered Nurses)

Risk - Quality Manager

Facilities, Safety and Risk Management

Third Party Compliance Risk Manager (Solventum)

Corporate Risk Manager, Insurance

Assistant Risk Manager

Business Risk and Controls Manager

Risk Manager-RN License

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