Risk Manager

Tower HealthWest Reading, PA

About The Position

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. They take part in claims management activities, including significant interaction and confidential communication with legal counsel, third-party administrator, insurance carriers, and brokerage firms. The role assists with managing and analyzing risk management activities and claims data, and providing risk management educational programs. The Risk Manager develops loss prevention programs to control company losses and minimize the adverse financial impact to the organization. They manage the malpractice insurance program including reporting to the Medical Care Availability and Reduction of Error Fund ("Mcare"), new/renewal submissions, malpractice Certificates of Coverage, and maintenance of the provider database. The role assists in processing subpoenas, summons, and complaints served on employees, Tower Health and Tower Health entities. The Risk Manager 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.

Requirements

  • 4 year Bachelor's Degree - OR - combination of relevant education & experience may be considered in lieu of Bachelor's Degree
  • Experience in Healthcare Risk Management, Insurance, MCARE Fund Insurance, Claims Management, and Contract Review
  • Paralegal background helpful but not required
  • Certified Professional in Healthcare Risk Management (CPHRM) at hire or within 24 months of hire
  • 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

Responsibilities

  • 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
  • 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
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