Risk/Claims Manager

At Mercy, we believe in providing compassionate and quality healthcare to our community. As a Risk/Claims Manager, you will play a crucial role in ensuring that our organization operates in a safe and ethical manner, while also protecting the interests of our patients and employees. We are seeking a highly skilled and detail-oriented individual who is passionate about risk management and claims handling. If you are looking for a challenging and rewarding opportunity in the healthcare industry, we invite you to join our team of dedicated professionals.

1. Develop and implement risk management strategies to minimize potential liabilities and ensure compliance with regulatory requirements.
2. Monitor and assess potential risks within the organization and provide recommendations for improvement.
3. Oversee the investigation and management of claims made against the organization, including coordination with legal counsel and insurance providers.
4. Maintain accurate and up-to-date records of all incidents and claims, ensuring confidentiality and compliance with HIPAA regulations.
5. Collaborate with various departments to identify and address potential risk areas and develop preventive measures.
6. Conduct regular audits and assessments to identify potential risk areas and ensure compliance with policies and procedures.
7. Provide training and education to staff on risk management and claims handling procedures.
8. Stay current on industry trends and regulations related to risk management and claims handling.
9. Serve as a liaison between the organization and insurance providers, negotiating settlements and managing policies.
10. Maintain strong relationships with external partners, such as legal counsel and insurance providers, to ensure efficient and effective handling of claims.
11. Develop and maintain policies and procedures related to risk management and claims handling.
12. Prepare reports and presentations to communicate risk management and claims data to senior leadership and stakeholders.
13. Collaborate with the Quality Improvement team to identify and address areas for improvement and develop strategies to mitigate risks.
14. Ensure compliance with all state and federal laws and regulations related to risk management and claims handling.
15. Uphold and promote the mission, vision, and values of the organization in all aspects of the role.

According to JobzMall, the average salary range for a Risk/Claims Manager in Oklahoma City, OK, USA is $93,000 - $120,000 per year. However, this can vary depending on factors such as experience, education, and the specific industry and company the individual is working for.

Mercy Health Foundation is a nonprofit organization dependent on the generosity of caring individuals to support Mercy’s mission of delivering compassionate care and exceptional service to the St. Louis community.