Strategic Clinical Risk Lead

humana; United States; On-site; USD 110,000 - 150,000; Full time

Job summary

Humana seeks a Clinical Risk Management Lead to oversee risk activities across our Primary Care Organization, identifying, assessing, and mitigating risks in clinical practice, patient care, and operations. This role partners with clinical and business leaders to implement risk controls and improvements and reports to the Associate VP, Risk Management.

The position collaborates with CenterWell Senior Primary Care, Conviva, and MaxHealth, engaging Compliance, Legal, Privacy, HR, and Enterprise

Qualifications

• Bachelor's degree or higher in Nursing, Physician Assistant Studies, or a related clinical discipline.
• Active and unrestricted clinical license.
• 5+ years of clinical healthcare experience.
• Experience collaborating with clinical leadership and interdisciplinary stakeholders.
• Strong analytical, communication, problem-solving, and risk assessment skills.
• Ability to evaluate clinical processes, identify risks, and recommend practical solutions.
• Experience presenting recommendations and findings to leadership audiences.

Responsibilities

• Conduct clinical risk assessments to identify, evaluate, and prioritize risks in clinical operations.
• Develop and execute clinical risk management plans with control assessments and mitigation strategies.
• Partner with clinical leadership to implement effective controls and corrective actions.
• Present findings and risk mitigation recommendations to leadership and stakeholders.
• Collaborate with Compliance, Legal, Privacy, HR, and Safety teams on risk initiatives.
• Identify and resolve business issues related to clinical practice and operations.
• Guide partners through risk mitigation and corrective action planning.
• Conduct research and stakeholder interviews to support objective risk assessments.

Skills

Risk assessment

Analytical

Communication

Leadership

Interdisciplinary collaboration

Education

Bachelor's degree or higher in Nursing/PA or related clinical field

Job description

Humana seeks a Clinical Risk Management Lead to oversee risk activities across our Primary Care Organization, identifying, assessing, and mitigating risks in clinical practice, patient care, and operations. This role partners with clinical and business leaders to implement risk controls and improvements and reports to the Associate VP, Risk Management.

The position collaborates with CenterWell Senior Primary Care, Conviva, and MaxHealth, engaging Compliance, Legal, Privacy, HR, and Enterprise