Risk Management Analyst

3 weeks ago

Colts Neck, United States Hackensack Meridian Health Full time
Description:

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. Its also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Risk Management Analyst (RMA) is responsible for investigating risk management events, reviewing and analyzing events in the ONElink event reporting system, assisting with proactive risk management educational initiatives, working on various insurance matters, as well as assisting with claims and litigation matters on a day-to-day basis for the various lines of coverage for multiple sites within the Hackensack Meridian Health Care System. The RMA shall be responsible for legal research, discovery requests, and maintenance of files and statistical reports. The RMA shall work closely with internal and external counsel, the medical claims TPA, and insurance broker representatives. This position interacts with all levels in the organization along with the Enterprise Risk Management team toward the goal of improving safe and trusted healthcare. This position reports to the Director, Enterprise Risk Management.

Responsibilties:

A day in the life of a Risk Management Analyst (RMA) at Hackensack Meridian Health includes:

  • Investigates risks involving actual or potential injury to patients, visitors and team members.
  • Assists with the review, investigation, follow up and closure of ONElink event reports.
  • Prepares and provides statistical data, graphs and various other reports from the ONElink system/other systems for Enterprise Risk Management and other ad hoc requests; presents and explains relevant trends, data, and outcomes to a variety of audiences.
  • Makes appropriate referrals to Managers, Internal Quality Improvement teams, Peer Review Committees for appropriate follow-up to reduce risk of recurrence.
  • Responsible for additions and deletions of team member access and updates in the ONElink system.
  • Assists in the process of accepting Subpoenas, and Summonses and Complaints.
  • Investigates and analyzes claims/litigation and potential claims upon receipt.
  • Obtains and sequesters evidence.
  • Obtains visit history and pertinent medical records.
  • Notifies the liability insurance carrier of actual and potential claims.
  • Obtains insurance information and partners with insurance team to determine coverage analysis.
  • Processes claims with the appropriate carrier(s) and broker within policy period.
  • Obtains coverage determinations, and partners with the risk leader to resolve unfavorable determinations.
  • Coordinates day-to day discovery (document production, interrogatories, scheduling interviews and depositions).
  • Maintaining a positive working relationship with the hospital's professional and general liability insurance carrier and general counsel.
  • Working in coordination with the Director of Risk Management reply to requests from the hospital's legal counsel.
  • Obtains reimbursement from carriers as appropriate on first party claims(eg., auto and property).
  • Maintains current knowledge of status of all claims and litigation matters and keeps Risk Management leaders/team apprised of changes.
  • Performs legal research as needed.
  • Keeps abreast of healthcare risk management issues, assisting with implementation of new or revised guidelines and practices.
  • Maintains the confidentiality and integrity of all information encountered during work activities.
  • Audits expenses and processes payments as needed.
  • Maintains up-to-date claims run at all times and updates relevant parties on a quarterly basis and as neede.
  • Maintains appropriately organized litigation files; including electronic and paper claim files.
  • Prepares materials for quarter claim and steering committee meetings.
  • Acts as a liaison with insurance brokers for requests from various departments.
  • Assists the Corporate Insurance Department with the professional liability insurance coverage process which includes collaboration with the Medical Staff Office, Human Resources and our insurance broker.
  • Assists Corporate Insurance Department with the Due Diligence process and works with Physician Enterprise to assure appropriate documentation is received and reviewed.
  • Notifies insurance broker of terminations/resignations of healthcare providers.
  • Investigates all incidents related to vehicle and property claims in conjunction with insurance manager.
  • Receives and investigates recall reports of medical device and product problems in collaboration with the Purchasing Dept.
  • Represents the Enterprise Risk Management Department on various medical center committees as assigned.
  • Participates in training of team members and in-services provided by the Enterprise Risk Management team.
  • Adheres to HMH Organizational competencies and standards of behavior.
  • Must work independently with general guidance on a wide variety of special projects.
  • All other duties and projects as assigned to assist the Enterprise Risk Management Department to maintain daily activities of the departments.

Qualifications:

Education, Knowledge, Skills and Abilities Required:

  • Minimum of Associates degree in Business, Insurance or related field or at least 5 years of related work experience in Risk, Paralegal, Insurance, or other related field.
  • Proficient in Google Suite.
  • Strong analytical and communication skills.
  • Knowledge of legal and medical terminology.
  • Excellent technological skills and organizational skills.

Education, Knowledge, Skills and Abilities Preferred:

  • A minimum of 1 to 3 years of experience in risk management, claims, and/or insurance experience is preferred.
  • Experience working with Insurance Brokers and representatives preferred.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today

Required Preferred Job Industries
  • Other

  • Manager, Risk Management

    3 weeks ago

    Great Neck, United States Northwell Health Full time

    Job Description Manages, plans, organizes, and evaluates the staff and activities of the Risk Management group. Collaborates with the leadership in various projects and programs to ensure goals and objectives are accomplished within prescribed time-frame and funding parameters. Job Responsibility Provides leadership to Risk Management team members and...

  • Manager, Risk Management

    3 weeks ago

    Great Neck, United States Northwell Health Full time

    Job DescriptionJob Description Manages, plans, organizes, and evaluates the staff and activities of the Risk Management group. Collaborates with the leadership in various projects and programs to ensure goals and objectives are accomplished within prescribed time-frame and funding parameters.Job Responsibility Provides leadership to Risk Management team...

  • Project Engineer

    7 hours ago

    Colts Neck, United States The Axel Group, LLC Full time

    We are seeking a motivated and detail-oriented Project Engineer to join our client’s team in the Monmouth County, NJ area!Our client is a reputable construction and development firm specializing in the development of mid-rise complexes, apartment buildings, townhomes, and various land deals throughout Monmouth County, NJ. Our client's commitment to...

  • Project Engineer

    44 minutes ago

    Colts Neck, United States The Axel Group, LLC Full time

    We are seeking a motivated and detail-oriented Project Engineer to join our client’s team in the Monmouth County, NJ area!Our client is a reputable construction and development firm specializing in the development of mid-rise complexes, apartment buildings, townhomes, and various land deals throughout Monmouth County, NJ. Our client's commitment to...

  • Occupational Therapy Assistant

    1 month ago

    Colts Neck, United States Powerback Rehabilitation Part time

    Powerback is a new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an empowered approach to achieving your full potential by providing integrated and individualized solutions. Our reimagined approach to rehabilitation connects directly to the patient experience, which is centered on...

  • Security Guard

    3 months ago

    Colts Neck, United States Unified Strategic Resources Full time

    Job DescriptionJob DescriptionDUTIES You will serve as a member of the entry/control vehicle inspection team which conducts private and commercial vehicle inspections.You will have the ability to retain all persons found to be unauthorized to enter the installation and immediately contact the Security Forces to turn over persons suspected of issues that...

  • Security Operations Center Analyst Tier 2

    2 months ago

    Great Neck, United States First Quality Full time

    About Us: At First Quality, our core business philosophy is built on a proud culture driven by safety and quality, respect, integrity, customer focus, and teamwork. With leading-edge manufacturing technologies and visionary leadership, we are poised to continue significant growth in the coming years.Position Overview: We are actively seeking an experienced...

  • Security Operations Center Analyst Tier 2

    2 months ago

    Great Neck, United States First Quality Full time

    About Us: At First Quality, our core business philosophy is built on a proud culture driven by safety and quality, respect, integrity, customer focus, and teamwork. With leading-edge manufacturing technologies and visionary leadership, we are poised to continue significant growth in the coming years.Position Overview: We are actively seeking an experienced...

  • Senior Risk Management Specialist

    5 days ago

    Great Neck, United States Northwell Health Full time

    Job Description Serves as primary contact and project lead in the administration of non-clinical commercial insurance programs. Job Responsibility Coordinates new insurance and insurance renewal processes including, but not limited to scheduling renewal strategy meeting in advance. Coordinates process with insurance brokers; develops schedule of...

  • Senior Payroll Analyst

    1 month ago

    Great Neck, United States The Bachrach Group Full time

    Job DescriptionJob DescriptionConsumer Products Manufacturer based in Nassau/Queens Border is seeking a Hybrid Senior Payroll Analyst to join their growing team.The ideal candidate has 5+ years of processing payroll for a large organization. This person plays a pivotal role within the Payroll team of this dynamic and expanding organization. This position...

  • Operations Manager

    2 weeks ago

    Great Neck, United States Craft Recruiting Full time

    We are innovators and problem-solvers committed to reshaping the small business finance industry. Founded on the belief in honest and impactful partnership. We provide crucial support to small businesses during challenging times. With a constantly evolving risk infrastructure and a keen ability to thrive in market turbulence, we offer unique solutions that...

  • Operations Manager

    2 weeks ago

    Great Neck, United States Craft Recruiting Full time

    We are innovators and problem-solvers committed to reshaping the small business finance industry. Founded on the belief in honest and impactful partnership. We provide crucial support to small businesses during challenging times. With a constantly evolving risk infrastructure and a keen ability to thrive in market turbulence, we offer unique solutions that...

  • Care Management Coordinator

    3 months ago

    Great Neck, United States Northwell Health Full time

    Job Description Job Description Coordinates and participates in activities related to Care Management services to family members and caregivers. Job Responsibility Utilizes patient-centered motivational interviewing techniques to build rapport and help patients improve their health. Supports the primary care team by providing panel management to decrease...

  • Care Management Coordinator

    3 months ago

    Great Neck, United States Northwell Health Full time

    Job Description Coordinates and participates in activities related to Care Management services to family members and caregivers. Job Responsibility Utilizes patient-centered motivational interviewing techniques to build rapport and help patients improve their health. Supports the primary care team by providing panel management to decrease the number of...

  • Cybersecurity Incident Management Specialist

    1 week ago

    Great Neck, New York, United States First Quality Full time

    Become a Key Player in Cyber Defense: First Quality is on the lookout for a talented Cybersecurity Incident Management Specialist to enhance our Security Operations Center. This position allows for a hybrid work arrangement, providing flexibility while contributing to our cybersecurity initiatives.Evaluate security data from diverse sources to support...

  • Controller for NYC Multifamily Real Estate Owner/Manager

    3 weeks ago

    Great Neck Gardens, United States Long Island based Real Estate Management firm Full time $140,000 - $150,000

    Job DescriptionJob DescriptionOur organization is currently seeking an enthusiastic and proactive Controller to support all aspects of our accounting operations. The Controller will work primarily with our CEO to ensure complete and accurate reporting. Familiarity with NYC multifamily real estate a must.Responsibilities:Manage and maintain the day-to-day...

  • Controller for NYC Multifamily Real Estate Owner/Manager

    2 weeks ago

    Great Neck Gardens, United States Long Island based Real Estate Management firm Full time $140,000 - $150,000

    Job DescriptionJob DescriptionOur organization is currently seeking an enthusiastic and proactive Controller to support all aspects of our accounting operations. The Controller will work primarily with our CEO to ensure complete and accurate reporting. Familiarity with NYC multifamily real estate a must.Responsibilities:Manage and maintain the day-to-day...

  • Accounts Payable Manager

    1 week ago

    Great Neck, United States Wego Chemical Group, LP Full time $140 - $170

    Job DescriptionJob DescriptionWego Chemical Group is a global distributor and sourcing partner of chemicals and ingredients. We are an established player in the global specialty chemical markets, providing end-use manufacturers across industries in North America, LATAM, & EMEA with end-to-end supply chain solutions from across the globe. Our team has been...

  • Cost Management Specialist

    1 week ago

    Great Neck, New York, United States J-Track, LLC Full time

    Compensation Overview:· Relevant industry experience· Educational background· Scale of projects handled· Geographic project scope· Required hours of operation· Candidate's expertise and specialization· Approval capability by relevant agencies/owners· *Salary is negotiable based on qualifications* At J-Track, we pride ourselves on our exceptional...

  • Senior Financial Manager

    1 week ago

    Great Neck, New York, United States Upward On Inc Full time

    About the Role: We are seeking a seasoned Financial Manager to join Upward On Inc, a prominent player in the real estate investment and management sector. This pivotal role involves providing comprehensive financial and operational insights while guiding best practices and leading the accounting team. The ideal candidate will possess a robust background in...