Remote Clinical Risk Lead - Primary Care

CenterWell; United States; Remote; USD 104,000 - 143,000; Full time

Job summary

CenterWell seeks a Clinical Risk Management Lead to identify, assess, monitor, and mitigate risks across Primary Care operations, regulatory programs, and patient safety.

You will partner with clinical and business leaders, support risk-based decision making, and guide corrective actions while aligning with Humana's governance.

This remote role may involve travel to Humana offices as needed and offers full-time employment with competitive benefits.

Qualifications

• Bachelor’s degree or higher in Nursing, Physician Assistant Studies, or 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.

Responsibilities

• 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.

Skills

Analytical skills

Communication skills

Problem-solving

Risk assessment

Collaboration

Education

Bachelor’s degree or higher in Nursing/PA/related clinical discipline

Job description

CenterWell seeks a Clinical Risk Management Lead to identify, assess, monitor, and mitigate risks across Primary Care operations, regulatory programs, and patient safety.

You will partner with clinical and business leaders, support risk-based decision making, and guide corrective actions while aligning with Humana's governance.

This remote role may involve travel to Humana offices as needed and offers full-time employment with competitive benefits.