Risk Manager

Duke PF; Durham (NC); On-site; USD 70,000 - 90,000; Full time

Job summary

Duke PF in Durham, North Carolina, is seeking a Risk Manager to oversee investigational and liability activities. The candidate must have a Bachelor’s degree in a related field and at least four years of relevant experience.

The role includes investigating claims, providing risk management education, and engaging with clinical staff. This position requires strong interviewing and investigation skills, as well as familiarity with medical terminology.

Qualifications

• Minimum of four years experience in patient care, public policy, or health care administration.
• Experience in legal support or insurance claims investigation is a plus.

Responsibilities

• Investigate and analyze potential liability exposures.
• Negotiate resolutions for claims and occurrences.
• Provide in-service education on risk management.

Skills

Interviewing Skills

Investigation Skills

Medical Terminology

Analyze Data

Analyze Trends

Education

Bachelor's degree in business administration or related field

Clinical field degree with additional courses in business

Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

General Description of the Job Class

Occupational Summary

Initiate, coordinate, and manage all investigational and evaluation activities associated with professional and general liability occurrences and claim pre-ligation files. Negotiate resolution with the authority from the Director. Provide basic and complex preventive risk management assessment of processes, procedures, and programs, including in-service education, consultation, liaison activities, and on-call emergency assistance to providers.

Duties and Responsibilities

• Investigate and analyze potential and actual professional liability and general liability exposures in the Health System; evaluate the extent and elements of exposure and recommend appropriate actions for risk mitigation.
• Investigate, evaluate and document pre-ligation occurrences and claims. Recommend resolution, and complete negotiation of resolution within authority granted by Director. Complete notifications and financial recommendations needed for compliance with tracking and insurer requirements, including insurance carrier notifications, reserve recommendations, and any federal, state, or entity reporting requirements (including SMDA, DataBank, etc.) as necessary.
• Review, code and investigate occurrence reports; recommend corrective actions based on individual reports or trends. Provide quality assurance and peer review referrals as appropriate.
• Provide in-service education on risk management topics, both standard basic education and complex focused topics as needed and/or requested.
• Provide on-call assistance for emergent/urgent risk management issues to all DUHS staff as needed. On-call duties are assigned on a rotation basis when possible.
• Prepare reports and analyses setting forth progress, adverse trends and appropriate recommendations or conclusions.
• Represent the Department of Clinical Risk Management on various DUHS and entity committees as required. Perform other related duties incidental to the work described herein.

Education

Work requires a Bachelor's degree in business administration, public policy, hospital administration or a related field to acquire appropriate analytical, communicative and organizational skills. A Bachelor's degree in a clinical field (e.g., nursing, physician's associate) may be substituted if supplemented by additional courses or training in business or a related field (at least one year).

Experience

Work requires a minimum of four years experience in one or more of the following fields: patient care, public policy, health care administration, business administration, legal support or insurance/claims investigation and settlement.

Graduate education beyond the bachelor's degree in hospital administration, business administration, public policy or a related field may be substituted for the required experience on a 1:1 basis.

Degrees, Licensure, and/or Certification

An Associate in Risk Management or Certified Professional in Healthcare Risk Management is desirable.

Knowledge, Skills, and Abilities

• Interviewing Skills
• Investigation Skills
• Medical Terminology
• Analyze Data
• Analyze Trends

Equal Employment Opportunity Statement

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Nearest Major Market

Durham

Nearest Secondary Market

Raleigh

Read more about Duke’s commitment to affirmative action and nondiscrimination at hr.duke.edu/eeo.