Risk Management Specialist

Swope Health; Kansas City (MO); On-site; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a Risk Management Specialist to lead risk management activities and ensure compliance within a healthcare setting. This role involves investigating incidents, developing policies, and managing data to minimize liability. The ideal candidate will possess strong communication skills, a background in healthcare, and a commitment to confidentiality. Join a dedicated team that serves over 45,000 patients annually, making a significant impact on community health and well-being. This position offers a unique opportunity to contribute to a mission-driven organization focused on delivering high-quality care and addressing health inequities.

Benefits

Medical benefits

Dental and vision insurance

401(k) retirement plan with company match

Company-paid life insurance

Short- and Long-Term Disability

Flexible Spending Account

Paid Days Off starting at 12 days annually

Eight annual company-paid holidays

One annual paid personal day

Qualifications

• Bachelor’s degree or 5 years relevant experience required.
• Knowledge of HIPAA and State privacy laws essential.

Responsibilities

• Investigate compliance incidents and quality of care concerns.
• Manage data on incidents and assist in policy development.
• Coordinate root-cause analysis and remediation plans.

Skills

Investigation of compliance incidents

Data management and tracking

Policy development

Communication skills

Problem-solving

Education

Bachelor’s degree in Business Administration

Relevant experience in healthcare

Tools

Database management systems

Job description

The Risk Management Specialist provides leadership, management, and coordination of risk management and mitigation activities, including compliance investigations and resolutions. The Risk Management Specialist coordinates and interacts with all departments and leadership to determine potential losses and develop strategies to minimize liability and asset losses by the health center. The Risk Management Specialist also investigates and coordinates Quality of Care reviews, customer complaints, and reported incidents. The Risk Management Specialist must conduct all activities while maintaining the strictest standard for confidentiality.

Successful Candidate will have:

1. Investigate and/or coordinate the investigation of all reported compliance incidents, quality of care concerns, HIPAA violations and/or customer complaints.
2. Manage, monitor, and track data on incidents, accidents or unusual occurrences, including patient or associate injury, privacy violations and emergency response.
3. Assist in the development of policies and procedures, as well as Standard Operating Procedures (SOPs) for activities related to the risk management program.
4. Design and maintain a database for collecting and analyzing incidents, accidents, and quality of care occurrences for reporting.
5. Coordinate, conduct, and document root-cause analysis and failure mode effect analysis activities for the health center.
6. Assist in the coordination of the development of remediation plans, performance improvement, monitoring, and reporting on progress.
7. Keep immediate supervisor fully and accurately informed concerning work progress including present and potential work problems, liability issues, and suggestions for improvement.
8. Interface with insurance companies as it relates to cases of risk to the organization.
9. Deliver technical support and assistance to managers and supervisors in the management and execution of risk management controls and health center policy and procedures.
10. Resolve conflicts and develop effective, efficient solutions to complex problems.
11. Perform other duties as assigned.

Education/Qualifications

1. A Bachelor’s degree in Business Administration, Health Administration, Human Resources, Organizational Behavior and/or five years relevant experience.
2. Prior experience in a healthcare setting.
3. Knowledge and understanding of HIPAA and State privacy laws.
4. Must have effective verbal and written communication skills: open friendly demeanor and high level of professionalism to represent the health center.

About Swope Health Services:

Each year, Swope Health serves over 45,000 patients, encompassing more than 200,000 visits in four counties on both sides of the state line. Our team members are proud of the work we do and the promise we've made – delivering coordinated care that values the needs of the whole person and championing better health in our community.

Swope Health is a special place that cares for the people who need it most, wherever they are in the community. As part of our promise to battle health inequities and provide high-quality, comprehensive care, we make care visible. That means we proudly deliver our promise through every action, every day.

Swope Health Services supports its team members with:

1. Medical benefits (including a Health Savings Account option), dental and vision
2. 401(k) retirement plan with company match
3. Company-paid benefits such as life insurance, Accidental Death & Dismemberment, and Short- and Long-Term Disability
4. Flexible Spending Account
5. Paid Days Off beginning at 12 days annually, effective the first day of employment
6. Eight annual company-paid holidays; One annual paid personal day

Swope Health is an affirmative-action, equal-opportunity employer. We consider all qualified applicants without regard to race, color, creed, religion, gender, national origin, age, marital status, veteran status or disability.