Remote Clinical Risk Lead – Primary Care

Humana Inc; Phoenix (AZ); Remote; USD 104.000 - 143.000; Vollzeit

Benefits dieser Stelle

Medical insurance

Dental and Vision

401(k) plan

Paid time off

Parental leave

Disability insurance

Life insurance

Language interpreter services

Zusammenfassung

Humana Inc. is seeking a Clinical Risk Management Lead to oversee risk identification, assessment, and mitigation across the Primary Care Organization. The role partners with clinical and business leaders to implement risk controls and drive governance aligned with organizational objectives.

You will report to the Associate VP, Risk Management and work with CenterWell Senior Primary Care, Conviva, and MaxHealth teams, with remote flexibility and travel as needed.

Qualifikationen

• 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.

Aufgaben

• Conduct clinical risk assessments to identify, evaluate, and prioritize risks related to clinical operations, patient care, and healthcare delivery.
• Develop and execute clinical risk management plans, including assessment of existing controls and recommendations for risk mitigation strategies.
• Partner with clinical leadership to evaluate risks and support the implementation of effective controls and corrective actions.
• Present findings, recommendations, and risk mitigation strategies to leadership and key stakeholders.
• Collaborate with Compliance, Legal, Privacy, Human Resources, Enterprise Health & Safety, and other internal teams on risk-related initiatives.
• Identify, document, and support resolution of business issues related to clinical practice and operational processes.
• Guide business and clinical partners through risk mitigation and corrective action planning.
• Conduct research, gather information, interview stakeholders, and evaluate clinical risk scenarios to support objective risk assessments.
• Monitor emerging risks, trends, and regulatory requirements affecting primary care and value-based care operations.
• Support continuous improvement efforts related to risk management frameworks, controls, and clinical governance processes.

Kenntnisse

Risk assessment

Analytics

Communication

Regulatory compliance

Stakeholder management

Clinical license

Ausbildung

Bachelor's degree in Nursing or related clinical discipline

Active and unrestricted clinical license

APRN/PA designation (preferred)

Jobbeschreibung

Humana Inc. is seeking a Clinical Risk Management Lead to oversee risk identification, assessment, and mitigation across the Primary Care Organization. The role partners with clinical and business leaders to implement risk controls and drive governance aligned with organizational objectives.

You will report to the Associate VP, Risk Management and work with CenterWell Senior Primary Care, Conviva, and MaxHealth teams, with remote flexibility and travel as needed.