Claims Risk Management Jobs in Towson, MD (NOW HIRING)

What to expect.

The Director of Risk Management is responsible for leading and coordinating the organization's risk management program, ensuring the identification, assessment, monitoring, and mitigation of risks affecting patients, employees, visitors, property, and organizational operations. This position oversees risk management processes, supports litigation and claims management activities, facilitates regulatory and accreditation readiness, administers the Enterprise Risk Management (ERM) platform, provides risk-related education and reporting, and serves as a key resource to the General Counsel on legal and compliance-related matters. The Director collaborates with operational leaders, committees, and external stakeholders to promote a proactive approach to risk reduction and organizational resilience.

Specific responsibilities include:

1. General Risk Management

• Direct and administer the organization's risk management program, including the identification, assessment, documentation, monitoring, and mitigation of risks affecting patients, employees, visitors, property, and organizational operations.
• Maintain risk management policies, procedures, and risk assessment tools, including the Risk Matrix, ensuring compliance with regulatory, accreditation, and organizational requirements.
• Conduct investigations of incidents, claims, and adverse events; preserve evidence and witness statements; analyze risk data and trends; and collaborate with operational leaders to develop and implement corrective actions, peer review activities, and risk mitigation strategies.
• Support Root Cause Analyses (RCA), patient safety initiatives, accreditation readiness efforts, regulatory surveys, and performance improvement activities designed to reduce organizational risk and improve outcomes.
• Review and evaluate vendor agreements and contracts to identify, minimize, and appropriately manage organizational risk exposures.

 2. Litigation Management Assistance

• Support litigation and claims management activities by preparing employees subpoenaed as witnesses, maintaining legally appropriate claim files, assisting with discovery requests, and reviewing external counsel pleadings, motions, and other legal documents for accuracy, professionalism, and consistency with organizational interests.

3. Committee Obligations

• Facilitate Risk Management Committee activities, including meeting coordination, monitoring higher-risk events, presenting risk-related data and trends, evaluating root causes, and developing recommendations to reduce recurring risks and improve organizational performance.

4. Enterprise Risk Management (ERM) Platform Administration

• Administer and maintain the Enterprise Risk Management (ERM) platform, including documenting organizational risk priorities, monitoring action plans, tracking mitigation efforts, and reporting on key enterprise risk objectives and initiatives.

5. Education and Reporting

• Develop and deliver risk management education and training programs for providers, nursing staff, and other stakeholders, and prepare periodic reports and presentations for executive leadership and the Board regarding high-risk events, claims activity, risk trends, and ongoing litigation matters.

6. Legal Support

• Provide support to the General Counsel by responding to legal inquiries, conducting legal and regulatory research, reviewing and editing contracts, representing organizational interests in guardianship proceedings, and assisting with other legal, compliance, and risk-related matters as assigned.

What you'll get from us. 

At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:

• A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation

• Comprehensive medical, dental and vision benefits for benefit eligible positions

• 403b retirement match

• Generous paid-time-off for benefit eligible positions

• Complimentary Employee Assistance Program (EAP)

• Generous mileage reimbursement program

This position has a pay range of This position has a pay range of $106,455.86 to $175,419.71 USD.

What we need from you.

1. Bachelor’s degree in Business, Legal, Finance, Accounting, Risk Management or similar field required. Juris Doctorate highly preferred. 
2. Minimum of 5 years’ experience in risk management is required. Experience in health care industry is preferred.
3. Comprehensive knowledge of healthcare risk management principles, enterprise risk management methodologies, claims administration, loss prevention strategies, patient safety practices, accreditation standards, HIPAA requirements, and applicable regulatory obligations.
4. Knowledge of litigation support processes, legal documentation, discovery procedures, evidence preservation requirements, contract review practices, and healthcare-related legal and compliance considerations.
5. Demonstrated ability to investigate complex incidents, analyze data and trends, assess organizational risk exposures, identify root causes, and develop practical recommendations to reduce risk and improve operational performance.
6. Strong analytical, problem-solving, organizational, and project management skills, with the ability to manage multiple priorities, deadlines, and sensitive matters while maintaining accuracy and attention to detail.
7. Excellent written, verbal, presentation, and interpersonal communication skills, including the ability to prepare reports, policies, educational materials, and executive-level presentations and effectively interact with internal and external stakeholders.
8. Proficiency in risk management software, Enterprise Risk Management (ERM) platforms, Microsoft Office applications, and reporting tools, with the ability to maintain confidential information and exercise sound independent judgment in sensitive situations.

WHY SHEPPARD PRATT?
At Sheppard Pratt, we are more than just a workplace. We are a community of healthcare professionals who are dedicated to providing hope and healing to individual’s facing life’s challenges. Join us and be a part of a mission that changes lives!

#LI-HD1