Risk Manager

Thank you for considering a career at Bon Secours Mercy Health!

Scheduled Weekly Hours:

40

Work Shift:

Days (United States of America)

SUMMARY

The Risk Manager supports the development, implementation, and ongoing management of loss prevention strategies and risk mitigation initiatives across assigned Facilities and Service Lines. This role maintains an active presence within assigned areas and collaborates with leadership and operational teams to address risk and safety priorities, including insurance, claims management, loss prevention, adverse events, and operational issues that may result in risk exposures impacting patients, associates, visitors, and the Ministry. The Risk Manager works in partnership with key departmental stakeholders, including Human Resources, Legal, Quality, Compliance, and Patient Safety, to support a comprehensive understanding of the organization’s risk profile and assist in the identification, evaluation, and mitigation of risk exposures. In addition, the Risk Manager contributes to System Risk Management and Loss Prevention activities through participation in committees, projects, and initiatives, and may serve as a resource in designated areas of expertise, as assigned.

ESSENTIAL JOB FUNCTIONS

• Participates in timely initial event response by participating in leadership discussions to assess facts, identify risks, and determine next steps.
• Serves as the primary point of contact for urgent event-related concerns impacting patients, visitors, or workforce members with potential safety, financial, or reputational risk.
• Conducts comprehensive investigations in collaboration with clinical, legal, and operational stakeholders; gathers and analyzes relevant documentation (e.g., medical records, policies, guidelines), documents findings, performs risk assessments, and escalates issues to Director and System Directors as appropriate• Participates in grievance committees, providing risk guidance and reviewing response communications where liability exposure exists.
• Collaborates with Director and System Directors to coordinate and deliver Apology & Disclosure Just‑In‑Time training, including development of materials and logistical support, and provides coaching and guidance to clinicians and leaders on effective communication following adverse or unanticipated outcomes.
• Identifies cases appropriate for Early Liability Review (ELR) and collaborates with Director, System Directors and claims management in the evaluation and resolution process for related cases.
• Partners with claims management to ensure timely reporting of potentially compensable events and supports case management and resolution strategies; collaborates with outside counsel by assisting with interviews, fact development, and case preparation.
• Manages and oversee administrative claims related to professional licensure and board investigations, in collaboration with providers and legal counsel.
• Provides risk management and loss prevention related guidance during regulatory surveys and investigations (e.g., CMS, Joint Commission, Department of Health) including supporting organizational responses to government and licensing board inquiries, complaints, and audits.
• Analyzes claims, incident data, and post-loss outcomes across assigned facilities/service lines to identify trends, root causes, and emerging risks.
• Monitors and evaluates risk mitigation action plans, ensuring effective follow-up, accountability, and escalation as needed.
• Partners with operational leaders to implement targeted loss prevention and risk reduction strategies based on data insights
• Delivers targeted risk management, claims, and insurance education to assigned facilities and service lines.
• Promotes adoption of risk mitigation strategies through focused training, communication, and performance monitoring within assigned areas including providing onboarding/ongoing risk education for employees, clinicians, and leaders across assigned facilities/service lines.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.

EMPLOYMENT QUALIFICATIONS

Education:

• Bachelor's Degree in Healthcare, Business, Legal, or related field (Required)
• Master's Degree in Healthcare, Business, Legal, Insurance or related field (Preferred)
• Combination of post-secondary education and experience in lieu of a degree.

Licensure/Certification:

• CPHRM (within 1 year of hire) (Required)
• Healthcare, Law or Insurance Licensure (Preferred)

Minimum Years and Type of Experience:

• 3+ years Healthcare Risk Management, Quality or Safety. (Required)

OTHER KNOWLEDGE, SKILLS AND ABILITIES

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

Preferred:

• Flexible/adaptable to change;
• Detail oriented;
• Thorough understanding of Claims/Litigation;
• Basic understanding of Insurance for healthcare operations/employees

FUNCTIONAL SKILLS REQUIRED

• Ability to analyze and assimilate data and information from various sources in order to identify and address risk issues and trends.
• Strong organizational skills utilized in project management, litigation discovery, loss prevention plan implementation, etc.
• Prepare and present reports for senior leaders which concisely demonstrate risk management, Claims and safety data utilizing Microsoft Excel.
• Develop and present risk management education for associates at all levels utilizing Microsoft PowerPoint or other similar applications.
• Timely and accurately analyze adverse events and report to BSMH Claims in accordance with policies and procedures via Claim Database system.
• Effectively manage safety events, run reports, ensure data protection and be highly proficient in use of incident reporting system.
• Utilize EMR effectively in order to review and investigate events and collaborate with witnesses and defense counsel
• Understand litigation management responsibilities, collaborate with Claims and Defense counsel and timely and accurately/completely obtain and transmit legal information and litigation holds.

INTERPERSONAL SKILLS REQUIRED

• Ability to work with diverse groups to effect necessary changes identified via Risk Assessments, Data Analysis and the Early Liability Review Program
• Ability to build relationships with other shared services leaders to support collaboration to meet Ministry needs
• Maintain positive relationships with all senior leaders through regular meetings and updates
• Ensure timely communication of critical events and risk issues to Market Director, and provide updated information on key endeavors and issues
• Demonstrate high level of versatility and flexibility with respect to workload, interruptions, coverage requirements, etc.
• Develop and maintain positive working relationships with Claims and Defense Counsel to ensure proper litigation management and event reporting.
• Works well in group settings and evaluates associated risks and suggests mitigation strategies.
• Ability to project professionalism at all times and utilize effective conflict resolution strategies when necessary.

Bon Secours Mercy Health is an equal opportunity employer.

As a Bon Secours Mercy Health associate, you’re part of a Mission that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)

• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts

• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders

• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

Department:

SS Risk & Insurance

It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health– Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com.

Who we are

We believe your best is yet to come. At Bon Secours Mercy Health, we celebrate the human side of health care, uniting individuals from all walks of life. We'll ask a lot of you, but we'll give a lot back, as well. Whether you’re called to bedside care, patient support, community service or operations and administration, there’s a place for you here. Because if there's one thing we know for certain, it's that good works start with great people. We’ll support and empower you to bring your best – in service of our patients and our Mission.