Remote Quality & Risk Management Analyst

Hugh Chatham Health, Inc.; Milwaukee (WI); Remote; USD 53,000 - 79,000; Full time

Job summary

Advocate Health in Wisconsin seeks a Risk Management professional to manage claims, analyze risk, and support quality initiatives. The role emphasizes collaboration with leadership, physicians, and care teams to improve safety and outcomes.

The ideal candidate has a Bachelor's in Risk Management and about five years of healthcare quality/risk experience, with strong data analysis and regulatory knowledge. Remote work features a primarily home-based schedule with periodic onsite visits in WI or

Qualifications

• Bachelor's degree in Risk Management or related field.
• Typically requires 5 years of experience in healthcare quality and/or risk management.
• Knowledge of federal and state regulations and accreditation standards.

Responsibilities

• Collaborates with claims adjustors and defense counsel in managing claims and reserves.
• Generates risk management reports and analyzes trends to drive improvements.
• Investigates patient concerns and supports timely resolution of issues.
• Supports care management and quality improvement initiatives with leadership.

Skills

Regulatory knowledge

Process improvement

Data analysis

Microsoft Office

Communication skills

Team player

Negotiation skills

Root cause analysis

FMEA

Education

Bachelor's Degree in Risk Management

Tools

Excel

Word

PowerPoint

Access

Job description

Advocate Health in Wisconsin seeks a Risk Management professional to manage claims, analyze risk, and support quality initiatives. The role emphasizes collaboration with leadership, physicians, and care teams to improve safety and outcomes.

The ideal candidate has a Bachelor's in Risk Management and about five years of healthcare quality/risk experience, with strong data analysis and regulatory knowledge. Remote work features a primarily home-based schedule with periodic onsite visits in WI or