Risk Manager

4 days ago

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Solaris Health

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Solaris Health is a leading national healthcare platform committed to enhancing access to specialty healthcare and continually improving patient outcomes. With over 1 million unique patients annually and 730+ providers across the country, Solaris Health operates 236+ patient offices in 14 states, focusing on innovative delivery of high-quality, value-driven care.

1001 - 5000 employees

Founded 2020

⚕️ Healthcare Insurance

🧬 Biotechnology

📋 Description

• The Risk Manager plays a crucial role in ensuring patient and employee safety, minimizing liability, and maintaining operational efficiency. • The Risk Manager is responsible for insurance company reporting and oversight, loss prevention, and claims management, amongst other duties as assigned. • Develop Enterprise loss prevention and control policies. • Design and implement comprehensive risk management plans and safety protocols. • Analyze and identify potential risks within Enterprise to ensure patient safety and minimize liability. • Negotiate, approve and manage Property and Casualty Insurance for the Enterprise. • Oversee and approve settlements and negotiate claims resolution with carriers. • Manage relationships with insurance brokers, Property and Casualty underwriting community, and other third-party administrators. • Maintain a database of all insurance policies, certificates of insurance, claims history, and ensure timely renewal. • Chair the Enterprise Claims Committee. • Oversee the finances over the Captive Insurance Company including forecasting, development and ongoing management of invest plan, dividends, an inter-company loan programs. • Create and maintain the Captive’s Business Plan and provide updates to regulatory authorities on changes as needed. • Perform regular audits of Enterprise and procedures to identify areas for improvement. • Conduct annual carrier exposure true up s and confirm additional premiums due. • Train staff on risk management and safety procedures to ensure compliance with all healthcare regulations, laws, and standards. • Coordinate and oversee investigations into incidents that could result in exposure to liability. • Prepare reports and statistical data for Enterprise leadership on risk management issues and strategies, monthly claims reporting, and annual regulatory filings. • Work closely with legal, compliance, procurement, insurance professionals, on risk-related matters; provide ongoing risk management support and assistance as needed. • Serve as the primary point of contact for brokers, facilitating communication and addressing inquiries related to Workers' Compensation. • Manage binders for caption policies and ensure proof of coverage is provided as needed. • Oversee and manage all legal matters related to Workers' Compensation, including handling lawsuits and coordinating with legal teams to ensure proper resolution. • Address and respond to Workers' Compensation-related requests, providing necessary guidance and resolution in a timely manner. • Oversee the Workers' Compensation annual audit and assist in situational audits, ensuring compliance with regulatory standards and best practices in collaboration with Human Resources (HR). • Provide guidance on ensuring proper coding of Workers' Compensation codes in payroll, ensuring compliance with state regulations. • Assist with the day-to-day operations of Workers' Compensation, collaborating with HR to address any issues that arise, ensuring smooth management of claims and compliance. • Assist Human Resources with the communication and coordination of contact information for new affiliates joining the Workers' Compensation program. • Collaborate with Human Resources to facilitate and monitor Treo portal access for claims and reporting, ensuring accurate and timely updates are available for all relevant stakeholders. • Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training.

🎯 Requirements

• Insurance Producer License and ARM, CRM, or CPCU. • Strong leadership, interpersonal, analytical, and technical skills. • Proficiency in RMIS systems. • Thorough understanding of healthcare regulations, standards, risk management principles, insurance and reporting requirements. • Knowledge of commercial insurance programs, self-insured funding, retention structures. • Excellent verbal and written communication skills. • Excellent organizational skills and attention to detail. • Ability to work independently and manage deadlines. • A demonstrated understanding of compliance programmatic elements and best practices. • Skill in using computer programs and applications including Microsoft Office.