Director, Risk Management
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Job Description
Director of Risk Management for Home Health overseeing risk and compliance strategies in healthcare. Leading a team to minimize risk and improve organizational processes.
Responsibilities:
- Focus on risk and compliance strategies for home health, telehealth, data privacy, and payor agnostic experiences.
- Payor contract compliance
- Oversees specialized proactive risk assessments for large financially impactful or business critical projects, business integrations as well as other risk tools such as lessons learned reviews.
- Partnerships across Integrated Health, Reporting, Marketing, and operational partners to ensure compliance with: Privacy, Security, and data sharing policies, Federal & State Laws, CHAPs certification requirements, and CMS regulations as applicable
- Establish an annual oversight workplan for areas of oversight (CenterWell Home Health & OneHome)
- Monitor teams progression to the workplan and ensure the quality of workplan items conducted by the team.
- Issues management & resolution for areas of oversight, drive solutions to resolve issues.
- Facilitation of discussions related to risk with AVP/VP level individuals.
- Drive clear and open communication across the Home Health organization and key partners.
- Continuously improve the Risk Management processes to enhance efficiency and effectiveness and reduce overall volume of issues.
- Stay abreast of risk management trends and best practices within Humana and externally to incorporate better practices.
- Partner with leaders across CenterWell to ensure consideration of regulatory guidance, patient, financial, and associate risks in key initiatives and decisions.
- Facilitate conversations across Home Health leaders to drive resolution of issues and improvement of Quality.
- Train team on risk management processes to enable them to be successful.
Requirements:
- Bachelor's Degree
- 8 or more years of technical experience in the Home Health space
- 5 or more years of management experience
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
Benefits:
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
- many other opportunities
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