Senior Risk Manager - Risk and Insurance Team

Mercy Health BSMH•Richmond, VA
•Remote

About The Position

The Senior Risk Manager provides strategic leadership and accountability for 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 assess the organization’s risk profile and identify, prioritize, and mitigate exposures affecting patients, associates, visitors, and the Ministry. The Senior Risk Manager reports to the Risk Director and may provide cross-coverage for the Risk Director or other team members. The role also contributes subject-matter expertise to system-wide risk management and loss prevention initiatives, committees, networks, task forces, and projects. The position leads responses to significant events, investigations, risk assessments, claims-related work, and regulatory inquiries. It supports apology and disclosure strategies, early liability review, loss prevention planning, and implementation of risk mitigation action plans. The Senior Risk Manager analyzes claims and incident data to identify trends and emerging risks, advises leaders on complex issues, and delivers education tailored to assigned facilities and service lines. This is a remote/work-from-home position.

Requirements

  • Bachelor’s degree in Healthcare, Business, Legal, or a related field.
  • CPHRM certification within one year of hire.
  • At least 5 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 and ability to manage multiple projects and quickly change or modify work focus.
  • Thorough understanding of healthcare operations and medicine.
  • Collaborative and responsive to associates at all levels.

Nice To Haves

  • Master’s degree in Healthcare, Business, Legal, Insurance, or a related field.
  • Healthcare, law, or insurance licensure.
  • Adaptability and flexibility in response to change.
  • Detail-oriented approach.
  • Thorough understanding of claims and litigation.
  • Basic understanding of insurance for healthcare operations and employees.

Responsibilities

  • Lead timely initial event response, assess facts and risks with leadership, and determine appropriate next steps.
  • Serve as a key contact for complex or high-risk event-related concerns involving potential safety, financial, or reputational implications.
  • Lead comprehensive 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 to lead Apology & Disclosure strategy and Just-In-Time training, develop materials and logistics, and coach clinicians and leaders on communication following 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, and 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, and 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, ensuring follow-up and escalation to drive accountability and continuous improvement.
  • Partner with operational leadership to design and implement targeted loss prevention and risk reduction strategies.
  • 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 on complex risk issues, promoting consistency and best practices.
  • Deliver targeted education on risk management, claims, and insurance principles to assigned facilities and service lines.
  • Provide cross-coverage support for the Risk Director or other team members when needed.
  • Contribute to system-wide risk management and loss prevention initiatives, committees, networks, task forces, and projects as assigned.

Benefits

  • Competitive pay, incentives, referral bonuses, and 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.
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