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Risk Analyst

2 months ago

Philadelphia, United States Community Behavioral Health Full time
Position Overview:

The Internal Risk Analyst will support the execution of the Risk Management framework and strategy throughout the organization. Working with the department leadership to drive internal risk management activities including, identification and mitigation of risk, development of internal audit plans, conducting audits and working with department on remediation plans.

Essential Functions:
  • This position will strengthen CBH's Risk Management program by supporting the agency's risk assessment and risk management activities including:
  • Maintain awareness of the current regulatory/industry trends impacting risk management principles, policies, and procedures.
  • Perform analysis of risk trends and data discrepancies, while effectively communicating analysis output
  • Design audit objectives and procedures for scheduled and unscheduled internal audits, reviews and special projects as assigned.
  • Communicate audit findings to audited departments and senior leadership to ensure the audited entity's understanding of the matters identified.
  • When necessary, assist in the development of corrective action plans to ensure compliance with regulatory bodies.
  • Monitor risk management processes including risk registers.
  • Assist in the compilation of Risk Management materials and dashboards to report to leadership.
  • Evolve the risk culture across the organization.
  • Assist in conducting risk management general education and customized training
Position Requirements:
  • Education: Master's degree preferred. Bachelors degree required.
  • Certification in Risk Management and/or Certified Internal Auditor highly desirable
  • 3+ years' experience with Managed Care organization or health plans or 3+ years' experience in health care risk management. compliance auditing and monitoring.
  • Skills:
    1. Requires good analytical skills in order to filter, prioritize and validate potentially complex and dynamic material from multiple sources.
    2. Strong attention to detail
    3. High level proficiency with Microsoft Office applications
    4. Excellent written and verbal communication skills
    5. High comfort level with public speaking and training
    6. Knowledge of Medicaid regulations and requirements
    7. Strong analytical skills, ability to see the "big picture" and linkages between risk programs and data
    8. Detail-oriented and highly organized
    9. Ability to work effectively with all levels of staff
    10. Ability to manage ongoing projects and prioritize appropriately to meet deadlines.
Philadelphia Residency Requirement:
  • The successful candidate must be a current Philadelphia resident or become a resident within six months of hire.
U.S. Authorization Requirement:
  • CBH does not provide sponsorship for applicants requiring future work authorization. All candidates must be legally authorized to work in the United States without requiring sponsorship now or in the future.
Equal Employment Opportunity:
  • We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.
Requesting An Accommodation:
  • CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.
  • If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at CBH.Recruitment[redacted]