Medical Professional Liability Risk Manager

Foundation Risk Partners; Edison (NJ); On-site; USD 100,000 - 125,000; Full time

Benefits offered by this job

Health benefits

401(k) match

Life insurance

STD/LTD

PTO + holidays

Job summary

Foundation Risk Partners is seeking a Medical Professional Liability Risk Manager for the Cornell Insurance Services team in Edison, NJ. The role focuses on identifying and reducing clinical risk for healthcare providers within an insurance brokerage context.

The candidate will analyze claims, advise on risk reduction, and support underwriters while maintaining regulatory compliance and delivering training on risk management practices.

Qualifications

• Bachelor’s degree in Nursing or health-related science is required.
• Master’s degree preferred.
• 3–5 years Risk Management experience preferred.
• Skilled Nursing Facility experience preferred in geriatrics is a plus.
• RN, NP, PA, or allied health licensure is required.
• CPHRM preferred.

Responsibilities

• Identify, assess, and mitigate clinical risks for healthcare providers.
• Analyze claims data and medical records to identify risk exposure.
• Advise clients on best practices to reduce claims and improve safety.
• Collaborate with underwriters to inform coverage and premium calculations.
• Develop and deliver clinical risk management training programs.
• Stay updated on healthcare regulations and industry standards.

Skills

Clinical risk assessment

Trend analysis

Risk mitigation consulting

Claims review & analysis

Underwriting support

Education & training

Regulatory compliance

Data breach prevention

Education

Bachelor’s degree in Nursing or health-related science

Master’s degree preferred

Risk management experience 3–5 years

RN/NP/PA or allied health licensure

CPHRM preferred

Job description

Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Medical Professional Liability Risk Manager t to their Cornell Insurance Services team in the Edison, NJ office.

Job Summary

The Medical Professional Liability Risk Manager is focused on identifying, assessing, and mitigating clinical risks for healthcare providers within an insurance brokerage firm, utilizing their medical expertise to analyze potential claims, advise clients on risk reduction strategies, and work with underwriters to secure appropriate coverage based on clinical risk factors.

Essential Functions

• Clinical Risk Assessment:
  • Review medical records, incident reports, and claims data to identify potential clinical risks associated with patient care, including medication errors, standard of care compliance risks, and diagnostic errors.
  • Detect and manage risk exposure
  • Maintain and update an organization's policies
  • Improve documentation practices
  • Seek ways to reduce the legal exposure of the organization
  • Create and maintain risk audit databases
  • Identify for clients’ ways to take the steps needed to prevent data breaches
  • Investigate any events that result in death or injuries
• Trend Analysis:
  • Analyze clinical data to identify trends and patterns of risk within a healthcare provider's practice, allowing for proactive risk mitigation strategies.
• Risk Mitigation Consulting:
  • Advise clients on clinical best practices, quality improvement initiatives, and risk reduction strategies to minimize potential claims.
• Claims Review and Analysis:
  • Evaluate clinical aspects of claims, including medical necessity and appropriateness of treatment, to identify areas for improvement and potential cost savings.
• Underwriting Support:
  • Collaborate with underwriters to assess clinical risk profiles of healthcare providers, informing coverage recommendations and premium calculations.
• Education and Training:
  • Develop and deliver clinical risk management training programs for healthcare providers, including staff on topics like informed consent, documentation best practices, and patient safety.
• Regulatory Compliance:
  • Stay updated on relevant healthcare regulations and industry standards to ensure clients are adhering to appropriate clinical risk management practices.

Note: The specific responsibilities of an insurance broker clinical risk management role may vary depending on the size and focus of the brokerage firm, as well as the healthcare provider clientele they serve.

Education & Experience

• Bachelor’s degree in Nursing, or other health related science
• Master's preferred
• 3-5 years Risk Management experience preferred
• Skilled Nursing Facility experience preferred in the geriatric field
• RN, NP or P.A. or allied health professional licensure
• CPHRM preferred

This range represents the estimated low and high end of the salary range for this position. Actual salaries will vary and may be above or below the range based on factors including but not limited to performance, location, and experience. The range listed is just one component of FRP's total compensation package for employees.

Pay Transparency Range: $100,000 USD - $125,000 USD

Disclaimer

While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add, or remove duties from particular jobs and to assign other duties as necessary.

Equal Employment Opportunity (EEO)

FRP provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other classifications protected by law.

Benefits

• FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental.
• We offer a 401(k) with company match, company paid life insurance, STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays!