Claims Risk Manager Jobs in Texas (NOW HIRING)

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Mission and Vision. Methodist Health System (MHS) is a $2 billion health system in the Dallas-Fort Worth Metropolitan area with 6 general acute care hospitals and 1 general acute care hospital under construction. Our mission is to improve and save lives through compassionate, quality healthcare. We strive to be the trusted choice for health and wellness. Our mission will inspire your day-to-day work.

Join our Team. We've been named among the Best Places to Work for 15 consecutive years by theDallas Business Journal. But, most importantly, we have created the kind of culture where employees are valued by leadership, are part of process initiatives, and truly support each other as a team. The Office of Legal Affairs is dynamic and growing; collaborative and creative in our approach; and we like to have fun. We support remote work and the positive impact it can have on team members' productivity and well-being.

Summary. The Corporate Risk Manager will directly report to the AVP, Corporate Risk Management, will work in a collaborative and aligned manner with the Claims Manager and the attorneys in the Office of Legal Affairs, and will ultimately function under the direction and supervision of the Chief Legal Officer.
The Corporate Risk Manager role directly supports the Corporate Risk Management, claims and insurance functions for the enterprise and assists in the overall operations of the Office of Legal Affairs. The Corporate Risk Manager will be responsible to attend internal and external meetings, depositions and trials within the Dallas-Fort Worth Metropolitan area as well as at MHS's owned and/or operated facilities. The Corporate Risk Manager also supports the risk finance function at the request of the AVP, Corporate Risk Management. Under the supervision of the AVP, Corporate Risk Management, the Corporate Risk Manager will collaborate with the patient safety arm of the organization.

The Corporate Risk Manager will be expected to have a strong foundation in Risk Management principles. Insurance and claims management experience in a healthcare setting is preferred, along with a strong desire to acquire new knowledge. An in-depth knowledge of medico-legal terminology is preferred. A strong desire to expand their knowledge base to positively contribute to a strong, expert, and cohesive group is important. The Corporate Risk Manager will be required to use the Claims Management Systems, expense/billing and contract management systems, and their Microsoft Office skills to elevate the level of service the Office of Legal Affairs provides to the enterprise. Exceptional oral and written communication skills are required to support the department's mission and goals along with being detail oriented, logical, and an ability to methodically approach problem solving.

Job Specific and Unique Knowledge, Skills and Abilities:

Obtains (e.g., from Verge reports), organizes and evaluates potential claims events, including medical professional liability, employment liability, and general liability
At the request of hospital and medical group risk managers, assists with patient complaints and grievances
Responsible for effective and efficient hospital and medical group Bordereaus, including analyzing information obtained and strategizing as to risk management
Responsible for the logging and the completeness of potential claims event files in RiskConnect
Required to be a super user of the RiskConnect application and adept at generating reports, such as monthly loss runs
Supports the Claims Manager as needed in:
o Investigating and evaluating complex medical professional liability, general liability, auto, property, and other liability claims while keeping the department leader apprised
o Interviewing medical providers, staff, witnesses, and other parties to obtain information used to assess liability exposure
o Participating in enterprise-wide organizational committees as requested by the AVP, Corporate Risk Management, including RCAs and performance improvement initiatives
o Conducting post-claim and post-settlement debriefing with department leaders and preparing after action reports to the Clinical Effectiveness & Patient Safety and medical group leaders
At the request of hospital risk managers, and in collaboration with the Assistant General Counsel, Hospital Operations, provides support in certain governmental investigations and responses
With attorneys in the Office of Legal Affairs, coordinates with external stakeholders, i.e. Prosecutor's Office, law enforcement agencies, Texas Medical Board actions, etc. in non-litigation requests for staff interviews and/or testimony
Assists in responding to 3rd party non-litigation subpoenas, requests for information and or production of documents
Has primary responsibility for analyzing, submitting to insurance carriers, administrating, and obtaining reimbursement for first party claims and losses, e.g., property losses
Conducts non-litigation post-claim and post-settlement debriefing with department leaders and prepares after action reports regarding first party claims and losses
Under the supervision of the Assistant General Counsel, Hospital Operations, leads policy development and review in accordance with MHS policy, especially Corporate Risk Management policies
Monitors external stakeholder performance, i.e. defense counsel, insurance coordinators, agent/brokers and reports performance issues to department leaders
Assists in problem-solving discussions with administrators, physicians, managers and clinical risk managers throughout the enterprise
Explores, identifies, and leads Corporate Risk Management strategic improvements and initiatives

Minimum Job Qualifications:

• Bachelor's Degree in Nursing preferred. Healthcare related field will be considered when paired with experience. Master's degree highly desirable

• 5 years clinical experience (Required)

• Minimum 3 years Risk Management experience or 2 - 3 years healthcare administration-hospital operations (preferred)

• Certified Professional in Healthcare Risk Management (CPHRM), Associate in Risk Management (ARM) preferred. Alternatively, must be willing to obtain certification within 6 months of eligibility

• Minimum 4 years of claims experience (medical malpractice preferred), insurance, or health care risk management insurance experience (preferred)

• Knowledge of medical, legal, and insurance terminology required

• Excellent assessment, communication, organization and teaching skills

Methodist Health System is a highly revered, leading nonprofit healthcare organization in Dallas, Texas. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist includes 13 hospitals, either through ownership or affiliation. Our wholly owned and full-service hospitals include Methodist Dallas, Methodist Charlton, Methodist Mansfield, Methodist Midlothian, Methodist Richardson, and Methodist Southlake Medical Centers.Our affiliated physician organization is Methodist Medical Group, which includes more than 50 healthcare clinics, two concierge medicine clinics, an urgent care clinic, and a virtual care platform known as MethodistNOW. At Methodist, we strive to have a diverse workforce that reflects the communities we serve - one that is welcoming of the skills and talents of all groups. Our reputation as an award-winning employer shows in the honors we've earned:

• Magnet designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson

• 150 Top Places to Work in Healthcare by Becker's Hospital Review

• Named on Forbes' list of America's Best Employers for Diversity, 2022

• Military Friendly Employer, Gold Designation

• One of three Top Healthcare Diversity Organizations in the U.S., 2019

• Ranked No. 2 on DiversityInc's List of Top Hospitals and Health Systems in America, 2018

• Newsweek named Methodist America's Greatest Workplaces for Women in 2023

Our Care Commitments

• Take Care of Patients

• Take Care of Each Other

• Take Care of Ourselves

• Take Care of Methodist

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned:

• Great Place to Work Certified2026-2027

• Glassdoor's Best Places to Work 2025 & 2026

• Glassdoor's Best Places to Work in Healthcare, Biotech & Pharma2026

• TIME's Best Companies for Future Leaders 2025 & 2026

• Newsweek's America's Most Admired Workplaces 2026

• Glassdoor's Best-Led Companies 2025

• Fortune Best Workplaces in Health Care 2025

• Military Friendly Gold Employer 2025

• Becker's Hospital Review 150 Top Places to Work in Healthcare 2025

• Newsweek's Americas Greatest Workplaces 2025