Healthcare Risk & Compliance Manager

Virginia.gov; Petersburg (AK); On-site; USD 60,000 - 82,000; Full time

Job summary

Virginia.gov seeks a Risk Manager (Health Care Compliance Spec I) at Hiram Davis Medical Center to lead the facility's risk management program. You will oversee investigations, data collection, and the implementation of risk reduction strategies to meet CMS and state requirements.

The role requires strong analysis, project management, and communication skills, with experience in healthcare quality and HIPAA compliance. Collaboration across departments and ongoing training are part of the duties.

Qualifications

• Knowledge of rules and regulations governing Risk Management programs, including Joint Commission and CMS standards.
• Strong analytical and problem solving skills with ability to interpret data and identify trends.
• Excellent project management and organizational abilities in fast-paced environments.
• Superior written and verbal communication with diverse audiences.
• Proficiency in quality improvement methodologies like Lean, Six Sigma, or PDCA.
• Experience with EHR systems and health information management.
• Knowledge of HIPAA regulations and healthcare privacy/security requirements.
• Advanced proficiency in data analysis and healthcare metrics.
• Experience in policy development and management.
• Ability to review clinical documentation for standards of care compliance.
• Experience reviewing Mortality and Morbidity cases.

Responsibilities

• Manage the facility-wide risk management program to identify, report, analyze, investigate and reduce risk.
• Coordinate event investigations, root-cause analysis and follow-up actions (FMEA when needed).
• Collect and evaluate data on injuries and risk management issues; report findings.
• Provide recommendations and monitor implementation of risk reduction strategies.
• Prepare documents/reports for CMS, DBHDS, OIG timelines.
• Review patient and staff events and recommend actions.
• Report findings to Quality and Safety Committee.
• Collaborate with stakeholders to ensure insurance coverage for exposures.
• Deliver monthly risk management training to staff.
• Lead cross-functional committees on safety and risk topics.

Skills

Risk management

Data analysis

Problem solving

Project management

Communication

Quality improvement

HIPAA knowledge

EHR systems

Education

Master's degree

CPHQ/CHC/CPHRM certification

Lean/Six Sigma training

Job description

Virginia.gov seeks a Risk Manager (Health Care Compliance Spec I) at Hiram Davis Medical Center to lead the facility's risk management program. You will oversee investigations, data collection, and the implementation of risk reduction strategies to meet CMS and state requirements.

The role requires strong analysis, project management, and communication skills, with experience in healthcare quality and HIPAA compliance. Collaboration across departments and ongoing training are part of the duties.