Risk Manager

University Health; San Antonio (TX); On-site; USD 90,000 - 120,000; Full time

Job summary

University Health seeks an experienced risk management professional to oversee risk activities in both inpatient and ambulatory settings. The role involves coordinating incident investigations, root cause analyses, FMEA, and regulatory reporting while acting as the subject-matter expert on risk management policies and applicable state and CMS regulations.

Candidates should have a Bachelor’s degree in healthcare or related field with five years of healthcare risk management experience; a Master’s

Qualifications

• Bachelor’s degree in healthcare, risk management, or related field required.
• Five years' recent healthcare or healthcare risk management experience required.
• Knowledge of regulatory reporting standards, healthcare regulations, policy formulation, risk management, quality management, and process improvement.
• Excellent communication skills required.

Responsibilities

• Manage risk in inpatient and ambulatory settings to improve patient care quality and regulatory reporting.
• Lead root cause analyses, incident investigations, FMEA, and peer review activities.
• Serve as SME on risk management policies, procedures, and relevant regulations (State and Federal).

Skills

Healthcare risk mgmt

Regulatory knowledge

Data analysis

Investigation techniques

Communication skills

Education

Bachelor’s degree in healthcare or related field

Master’s degree preferred

CPHRM certification preferred

Job description

POSITION SUMMARY RESPONSIBILITIES

Responsible for the management of risk in both the inpatient and ambulatory settings to improve quality of patient care, meet regulatory reporting requirements, and coordinate results of risk management activities to include but not limited to; event reports, event significance assignment, root cause analyzes, incident investigations, failure mode effects analysis (FMEA), peer review investigation/activities, regulatory surveys, and common cause analyzes. Acts as the subject-matter expert regarding risk management as it relates to University Health's policies and procedures, Texas state regulations, and CMS federal regulations.

EDUCATION/EXPERIENCE

A Bachelor’s degree in a healthcare, risk management, or related field and five (5) years' recent experience in a healthcare or healthcare risk management setting is required. A Master's degree is preferred. Clinical experience such as Physician's Assistant (PA) or Registered Nurse (RN) is preferred. Knowledge of various regulatory reporting standards, healthcare regulations, policy formulation, risk management, quality management, and process improvement is required. Knowledge of analytical and investigative techniques sufficient to identify current methodologies and conduct evaluations of the effectiveness of the results is required. Candidates must have an understanding of risk management regulatory (State and Federal) requirements. Excellent communication skills are required. Significant experience in healthcare risk management/quality improvement is preferred. Knowledge and experience in data analysis is preferred. Completion of Certified Professional in Healthcare Risk Management (CPHRM) is preferred or must be obtained within six (6) months of meeting eligibility requirements.