Business Risk Management Manager

University Health; San Antonio (TX); On-site; USD 110,000 - 160,000; Full time

Job summary

Community First Health Plans, Inc. in San Antonio seeks an Enterprise Risk Manager to develop and administer the ERM plan in collaboration with departmental and senior leadership.

You will lead remediation efforts and monitor objectives to minimize business risks and ensure regulatory compliance across the organization. The role requires a Bachelor’s in Health Care Administration, Business, Finance or related field; a Master’s is preferred.

Qualifications

• Bachelor’s degree in Health Care Administration, Business Administration, Finance or related field is required.
• Master’s degree in Health Care or Business Management is preferred.
• Must have a minimum of five years experience in contract compliance, preferably in a managed care setting.
• Knowledge of Texas Medicaid regulations and Texas DHHS and Department of Insurance regulations required.
• Knowledge regarding Medicare and Medicare Advantage preferred

Responsibilities

• Coordinates and administers the Enterprise Risk Management Plan in collaboration with departmental and senior leadership.
• Leads remediation plans and monitors objectives designed to minimize and address business risks.
• Ensures the organization remains compliant with legal, contractual, and governmental regulations.
• Identifies and monitors ongoing risk issues, investigates risk concerns, and supports procedures and governance improvements across the organization

Skills

Contract compliance

Education

Bachelor’s degree in Health Care Administration / Business Administration / Finance

Master’s degree in Health Care or Business Management (preferred)

Job description

Coordinates, develops and administers the Enterprise Risk Management Plan in collaboration with departmental and senior leadership. Leads and monitors remediation plans and objectives designed to minimize and address business risks, ensuring Community First Health Plans, Inc., (Community First) remain compliant with legal, contractual, and governmental regulations. Assists the organization in identifying and monitoring ongoing risk issues, investigates risk concerns, and supports the development of procedures, process improvements efforts, and effective risk governance across the organization

EDUCATION/EXPERIENCE

Bachelor’s degree in Health Care Administration, Business Administration, Finance or related field is required. Master’s degree in Health Care or Business Management is preferred. Must have a minimum of five years experience in in contract compliance, preferably in a managed care setting. Knowledge of Texas Medicaid regulations and Texas Department of Health and Human Services and Department of Insurance regulations required. Knowledge regarding Medicare and Medicare Advantage preferred