Senior Risk Manager - Risk and Insurance Team

Bon Secours Mercy Health • Richmond, VA

2d • Remote

About The Position

The Senior Risk Manager provides strategic leadership and accountability for developing, implementing, and overseeing loss prevention strategies and risk mitigation initiatives across assigned facilities and service lines. The role partners with senior leadership and departments including Human Resources, Legal, Quality, Compliance, and Patient Safety to address insurance, claims management, loss prevention, adverse events, and operational issues that may expose patients, associates, visitors, or the organization to risk.

The Senior Risk Manager serves as a subject matter expert for complex risk issues and supports system-wide Risk Management and Loss Prevention initiatives, committees, networks, task forces, and projects. The position may provide cross-coverage for the Risk Director or other team members to maintain leadership continuity. It reports to the Risk Director and is remote/work from home, with a 40-hour scheduled workweek on the day shift.

The role requires a bachelor’s degree in Healthcare, Business, Legal, or a related field and at least five years of experience in Healthcare Risk Management, Quality, or Safety. CPHRM certification is required within one year of hire. A master’s degree and healthcare, law, or insurance licensure are preferred.

Requirements

• Bachelor’s degree in Healthcare, Business, Legal, or a related field.
• CPHRM certification within one year of hire.
• At least five years of experience in Healthcare Risk Management, Quality, or Safety.
• Demonstrable understanding of risk management principles.
• Outstanding written and oral communication and presentation skills.
• Strong organizational skills, including the ability to manage multiple projects and quickly transition or modify work focus.
• Thorough understanding of healthcare operations and medicine.
• Collaborative and responsive approach when working with associates at all levels.

Nice To Haves

• Master’s degree in Healthcare, Business, Legal, Insurance, or a related field.
• Healthcare, law, or insurance licensure.
• Flexibility and adaptability to change.
• Attention to detail.
• Thorough understanding of claims and litigation.
• Basic understanding of insurance for healthcare operations and employees.

Responsibilities

• Lead timely initial event response by engaging leaders to assess facts, identify risks, and determine next steps.
• Serve as a key contact for complex or high-risk event-related concerns involving potential safety, financial, or reputational implications for patients, visitors, or workforce members.
• Lead investigations with clinical, legal, and operational stakeholders; synthesize findings, conduct risk assessments, and escalate significant issues as appropriate.
• Provide risk guidance in grievance committees, including reviewing and refining response communications where liability exposure exists.
• Partner with the Director and System Directors on Apology & Disclosure strategy and Just-In-Time training, including developing materials and coordinating logistics; coach clinicians and leaders on communicating after adverse or unanticipated outcomes.
• Identify cases appropriate for Early Liability Review and collaborate with leadership and claims management on resolution strategies and outcomes.
• Partner with claims management on timely reporting and strategic handling of potentially compensable events; collaborate with outside counsel on interviews, fact development, and case preparation.
• Manage administrative claims related to professional licensure and board investigations in collaboration with providers and legal counsel.
• Provide senior-level risk guidance during regulatory surveys and investigations, including those involving CMS, the Joint Commission, and Departments of Health; support responses to regulatory and licensing inquiries, complaints, and audits.
• Analyze claims, incident data, and post-loss outcomes across assigned facilities and service lines to identify trends, root causes, and emerging risks.
• Monitor and evaluate risk mitigation action plans, drive accountability and continuous improvement, and ensure effective follow-up and escalation.
• Partner with operational leadership to design and implement targeted loss prevention and risk reduction strategies aligned with department and ministry priorities.
• Contribute to risk management strategy by translating data insights, claim trends, and regulatory changes into actionable facility- and system-level initiatives.
• Serve as a subject matter expert and resource for complex risk issues, promoting consistency and best practices across assigned areas.
• Deliver targeted education on risk management, claims, and insurance principles for assigned facilities and service lines.
• Provide cross-coverage for the Risk Director or other team members as needed and contribute to system-wide initiatives, committees, networks, task forces, and projects as assigned.

Benefits

• Competitive pay, incentives, referral bonuses, and a 403(b) with employer contributions when eligible.
• Medical, dental, vision, and prescription coverage; HSA/FSA options; life insurance; mental health resources; and discounts.
• Paid time off, parental and FMLA leave, short- and long-term disability, and backup care for children and elders.
• Tuition assistance, professional development, and continuing education support. Benefits may vary based on market and employment status.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior