Risk Manager

Tower Health; West Reading (Berks County); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Generous time off

Tuition assistance

Comprehensive benefits

Job summary

Tower Health is seeking a Risk Manager to oversee risk management activities for Reading Hospital and related entities, reporting to the System Director, Risk Management.

The role includes insurance coverage management, claims coordination with legal counsel and carriers, and development of loss prevention programs to protect financial health. A CP HRM certification is preferred and experience in healthcare risk management is essential.

Qualifications

• Bachelor's Degree required; combination of education & experience may be considered.
• Experience in Healthcare Risk Management, Insurance, MCARE Fund Insurance, Claims Management, and Contract Review.
• Certification: CPHRM at hire or within 24 months of hire.

Responsibilities

• Participates in management of insurance coverage and renewals.
• Interacts with legal counsel, third-party administrator, and carriers on claims management.
• Assists with risk management activities and claims data analysis.
• Develops loss prevention programs to minimize financial impact.
• Manages malpractice insurance including reports to MCARE and Certificates of Coverage.

Skills

Analytical Skills

Change Management

Collaboration

Communication

Leadership

Multitasking

Problem Solving

Strategic Thinking

Organizational Skills

Presentations

Education

Bachelor's Degree

Job description

Job Summary

The Risk Manager is responsible for risk management activities for Reading Hospital and Tower Health's associated entities reporting to the System Director, Risk Management.

The Risk Manager:

• Participates in the management of various lines of insurance coverage and related activities, including preparation of materials and completion of applications for insurance renewals


• Takes part in claims management activities, including significant interaction and confidential communication with legal counsel, third-party administrator, insurance carriers, and brokerage firms


• Assists with managing and analyzing risk management activities and claims data, and providing risk management educational programs


• Develops loss prevention programs to control company losses and minimize the adverse financial impact to the organization


• Manages the malpractice insurance program including reporting to the Medical Care Availability and Reduction of Error Fund ("Mcare"), new/renewal submissions, malpractice Certificates of Coverage, maintenance of provider database


• Assists in processing subpoenas, summons, and complaints served on employees, Tower Health and Tower Health entities


• Acts as a consultant to internal and external parties to assist with assessing risk and identifying risk reduction strategies, providing guidance and education for reducing risk related to regulations, and helping to create and refine policies and procedures.

Benefits

• Generous time off, tuition assistance, and comprehensive benefits


• Instant access throughout the pay period with Tower Advance Pay, ensuring financial flexibility and convenience


• Employee Assistance Program, Retirement Savings Program, Life Insurance, and more!

#READ

Qualifications

Education Requirements

• 4 year Bachelor's Degree - OR - combination of relevant education & experience may be considered in lieu of Bachelor's Degree

Experience

• Experience in Healthcare Risk Management, Insurance, MCARE Fund Insurance, Claims Management, and Contract Review


• Paralegal background helpful but not required

Certification and Licensure

• Certified Professional in Healthcare Risk Management (CPHRM) at hire or within 24 months of hire

Required Skills

• Analytical Skills


• Change Management


• Collaborative Skills


• Computer Skills to include use and navigation


• Customer Service Skills


• Delegation Skills


• Detail Oriented


• Epic Proficiency


• Excellent Communications Skills


• Excellent Interpersonal Skills


• General Clerical Skills


• Good Reasoning Skills


• Leadership Skills


• Listening Skills


• Medical Terminology


• Microsoft Office Applications


• Multitasking


• Negotiation Skills


• Organizational Skills


• Prepare & Give Presentations


• Problem Solving Skills


• Service Orientation


• Strategic Thinking


• Strong Team Player

Overview

Tower Health, a regional healthcare system, serves communities across multiple counties in Pennsylvania. Its network includes Reading Hospital, Phoenixville Hospital, Pottstown Hospital, and St. Christopher's Hospital for Children (in partnership with Drexel University). Committed to academic medicine and training, Tower Health offers various programs, including residency and fellowship programs, the Drexel University College of Medicine at Tower Health, and the Reading Hospital School of Health Sciences. Additionally, the system provides a wide range of healthcare services, such as Reading Hospital Rehabilitation at Wyomissing, home healthcare via Tower Health at Home, TowerDirect ambulance and emergency response, Tower Health Medical Group, Tower Health Providers (a clinically integrated network), and Tower Health Urgent Care facilities across its service area.