Remote Clinical Risk Management Lead

Humana Inc; Lincoln (NE); Remote; USD 104,000 - 143,000; Full time

Job summary

Humana Inc is seeking a Clinical Risk Management Lead to oversee risk initiatives across the Primary Care Organization. You will identify, assess, monitor, and mitigate risks tied to clinical practice, patient safety, and compliance, partnering with leaders to implement controls aligned to organizational goals.

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

Qualifications

• Bachelor's degree 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.

Responsibilities

• Conduct clinical risk assessments to identify, evaluate, and prioritize risks related to clinical operations and patient care.
• Develop and execute clinical risk management plans with controls and mitigation strategies.
• Partner with clinical leadership to evaluate risks and support remediation efforts.
• Present findings, recommendations, and risk mitigation plans to leadership.
• Collaborate with Compliance, Legal, Privacy, HR, and other teams on risk initiatives.
• Identify, document, and resolve business issues related to clinical practice and operations.
• Guide partners through risk mitigation and corrective action planning.
• Research, interview stakeholders, and evaluate risk scenarios to inform objective assessments.
• Monitor emerging risks and regulatory changes affecting primary care and value-based care.

Skills

Clinical risk mgmt

Risk assessment

Leadership collaboration

Analytical skills

Communication skills

Problem solving

Regulatory compliance

Education

Bachelor's degree in Nursing/clinical discipline

Job description

Humana Inc is seeking a Clinical Risk Management Lead to oversee risk initiatives across the Primary Care Organization. You will identify, assess, monitor, and mitigate risks tied to clinical practice, patient safety, and compliance, partnering with leaders to implement controls aligned to organizational goals.

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