Remote Clinical Risk Lead - Primary Care

Humana Inc; Hartford (CT); À distance; USD 104 000 - 143 000; Plein temps

Avantages offerts par ce poste

Health benefits

401(k) retirement plan

Paid time off

Résumé du poste

Humana Inc. is seeking a Clinical Risk Management Lead to support clinical risk management across the Primary Care Organization, identifying, assessing, monitoring, and mitigating risks related to clinical practice, patient care, regulatory compliance, and operational processes.

The role partners with clinical and business leaders, reporting to the Associate VP, Risk Management. It collaborates with CenterWell Senior Primary Care, Conviva, and MaxHealth, along with Compliance, Legal, Privacy,

Qualifications

• Bachelor's degree or higher in Nursing, Physician Assistant Studies, or a related clinical discipline.
• Active and unrestricted clinical license.
• 5+ years of clinical healthcare experience.
• Experience collaborating with clinical leadership and interdisciplinary stakeholders.
• Strong analytical, communication, problem-solving, and risk assessment skills.
• Ability to evaluate clinical processes, identify risks, and recommend practical solutions.
• Experience presenting recommendations and findings to leadership audiences.

Responsabilités

• Identify, assess, monitor, and mitigate risks related to clinical practice and patient care.
• Develop and implement risk management plans and improvements.
• Collaborate with clinical leadership to evaluate risks and implement controls.
• Present findings and risk mitigation strategies to leadership.
• Coordinate with Compliance, Legal, Privacy, HR, and Enterprise Health & Safety on risk initiatives.
• Document and resolve business issues related to clinical practice and operations.
• Guide partners through risk mitigation and corrective action planning.
• Conduct research and interviews to support objective risk assessments.
• Monitor emerging risks and regulatory requirements affecting primary care and value-based care.

Connaissances

Clinical risk assessment

Analytical skills

Stakeholder collaboration

Regulatory compliance

Communication

Problem solving

Formation

Bachelor's degree or higher in Nursing, Physician Assistant Studies, or related clinical discipline

APRN or PA designation (Preferred)

Outils

Regulatory frameworks

Description du poste

Humana Inc. is seeking a Clinical Risk Management Lead to support clinical risk management across the Primary Care Organization, identifying, assessing, monitoring, and mitigating risks related to clinical practice, patient care, regulatory compliance, and operational processes.

The role partners with clinical and business leaders, reporting to the Associate VP, Risk Management. It collaborates with CenterWell Senior Primary Care, Conviva, and MaxHealth, along with Compliance, Legal, Privacy,