Risk & Claims Data Manager

Baptist; Memphis (TN); On-site; USD 70,000 - 105,000; Full time

Job summary

Baptist Health Memphis seeks a skilled professional to manage and develop the risk and claims management information systems, upload occurrence data to PSO, and deliver information management reporting to Corporate entities, the Board, and patient safety leadership.

The role ensures compliance with accrediting and licensure requirements, directs system training, analyzes data to identify trends, and prepares special reports for senior leadership and clinical teams.

Qualifications

• 3-4 years of experience with database management, statistics, analysis and evaluation of data.
• Healthcare-related experience.

Responsibilities

• Directs the daily management and operation of activities related to the risk management/claims information systems through maintaining effective relationships with individuals collecting or receiving data in order to ensure the accuracy, completeness, integrity and quality of the collected information. Uploads all appropriate data components to Baptist's PSO.
• Develops and maintains the integration of Risk Management and Claims data in order to provide information to guide area of focus for strategic plan for department.
• Provides periodic reports to Corporate Counsel, Risk Management, Claims Management, Legal Services and other clinical leaders reflecting relative trends, identifying potential risk management issues and trends involving the Corporation’s claims experience.
• Develops and provides periodic reports throughout the Corporation as appropriate.
• Responsible to participate in the loss prevention program of Baptist through performing data analysis of unusual occurrences and claims to develop trends for creating a tailored risk services plan and/or dashboard for each entity.
• Develops and implements the appropriate continuing education, training and inservice for all users of the risk management information system throughout the Corporation.
• Travels to Corporate entities as required by job responsibilities to effectively meet the needs of professional staff in the how to report events either on paper or electronically.
• Responsible to embrace the values of friendly, compassionate and responsive service, fairness and respect for individuals, teamwork and trust as well as a commitment to continuous improvement.
• Performs other accountabilities/reponsibilities as required or directed.

Skills

Data analysis

Pivot tables

Database management

Presentation skills

Statistics

Education

Bachelor's degree

Job description

Baptist Health Memphis seeks a skilled professional to manage and develop the risk and claims management information systems, upload occurrence data to PSO, and deliver information management reporting to Corporate entities, the Board, and patient safety leadership.

The role ensures compliance with accrediting and licensure requirements, directs system training, analyzes data to identify trends, and prepares special reports for senior leadership and clinical teams.