Claims Risk Manager Jobs in Spring Hill, FL (NOW HIRING)

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At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages.

Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.

Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols. In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval.

Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients.

Come join us today!

The Risk Management Risk Manager supports the Enterprise Risk Management function for Florida Cancer Specialists by assisting with insurance-related activities, including the management of claims, review of policies, coverage terms, onboarding of new providers and locations, and compliance with binders and contracts. The role also coordinates with internal stakeholders, legal counsel, brokers, and external partners to help mitigate organizational risk, support compliance, and protect organizational assets through insurance and risk initiatives.

Primary Tasks and Responsibilities

Provide operational support related to legal matters, including depositions, document requests, and translations as it relates to the enterprise risk function or insurance needs.

Assist with management of insurance programs by reviewing policies, coverage terms, and compliance with binders and contracts.

Support claims management activities, including coordination with risk management, insurance carriers, and legal counsel.

Review contracts and vendor agreements for insurance and indemnification requirements and escalate issues as appropriate.

Maintain risk management files, reports, schedules of insurance, and related documentation.

Assist with preparation of insurance-related reports, renewal data, and requests for proposal (RFPs).

Collaborate with internal departments to identify risk exposures and opportunities for risk mitigation.

Perform other duties and projects as assigned in support of Enterprise Risk Management objectives.

Education, Certifications & Licenses

Associate or Bachelor's degree in healthcare, legal, risk management, business, finance, or related field required or preferred depending on experience.

Professional risk or insurance certifications (e.g., ARM, CPCU, CPHRM) preferred.

Experience

Minimum of 7-10 years of experience in healthcare risk management, insurance, legal support, or claims management. Experience working with insurance policies, contracts, or healthcare operations is preferred.

Core Competencies, Knowledge, Skills & Abilities

Strong analytical and critical-thinking skills

Effective verbal and written communication skills

Ability to manage multiple priorities and meet deadlines

Attention to detail with sound judgment and discretion

Ability to collaborate across departments and levels of leadership

Working knowledge of risk management, insurance concepts, and healthcare operations

Proficiency with standard business software (Word, Excel, PowerPoint)

Values & Expectations

All employees are expected to conduct themselves professionally, comply with organizational policies and regulatory requirements, and support a culture of accountability, teamwork, and patient-centered care.

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Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. All offers of employment at Florida Cancer Specialists & Research Institute are contingent upon clear results of a thorough background screening. Additionally, as a condition of employment, FCS requires all new hires to receive various vaccinations, including the influenza vaccine, barring an approved exemption. In addition, FCS is a drug-free workplace, and all new hires will be subject to drug/ nicotine testing. Medical Marijuana cards are not recognized.

Florida Cancer Specialists & Research Institute (FCS) is committed to helping individuals with disabilities to participate in the workforce and ensure equal opportunity to compete for jobs. If you require an accommodation to submit a resume for positions at FCS, please email FCS Recruitment (Recruiter@FLCancer.com) for further assistance. Please note this email address is intended to request an accommodation as part of the application process. Any other correspondence will not receive a response.

FCS is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status.