Remote Clinical Risk Leader in Healthcare

Humana Inc; Lansing (MI); Remote; USD 104,000 - 143,000; Full time

Job summary

Humana Inc. is seeking a Clinical Risk Management Lead to oversee risk assessment and mitigation across CenterWell Senior Primary Care.

You will collaborate with clinical and business leaders to identify risk exposures, evaluate controls, and implement risk management strategies aligned with organizational goals. The role requires a nursing/PA clinical background, an active license, and 5+ years in healthcare risk.

Qualifications

• Bachelor's degree or higher in nursing, PA 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.
• Develop and execute clinical risk management plans, including assessment of existing controls and recommendations for risk mitigation.
• Partner with clinical leadership to evaluate risks and support 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

Clinical risk management

Stakeholder collaboration

Risk assessment

Analytical thinking

Communication skills

Leadership presentation

Education

Bachelor's degree in Nursing/PA studies/related clinical discipline

Job description

Humana Inc. is seeking a Clinical Risk Management Lead to oversee risk assessment and mitigation across CenterWell Senior Primary Care.

You will collaborate with clinical and business leaders to identify risk exposures, evaluate controls, and implement risk management strategies aligned with organizational goals. The role requires a nursing/PA clinical background, an active license, and 5+ years in healthcare risk.