Support client audit activities and broader contractual-guarantee visibility (e.g., clinical and program guarantees) as part of the overall risk management framework. Required Qualifications
Support client audit activities and broader contractual-guarantee visibility (e.g., clinical and program guarantees) as part of the overall risk management framework. Required Qualifications
Support client audit activities and broader contractual-guarantee visibility (e.g., clinical and program guarantees) as part of the overall risk management framework. Required Qualifications
Support client audit activities and broader contractual-guarantee visibility (e.g., clinical and program guarantees) as part of the overall risk management framework. Required Qualifications
Ensure compliance with clinical quality standards, patient safety protocols, and behavioral health ... Risk Management & Incident Investigation * Lead and manage the organization's risk management ...
Ensure compliance with clinical quality standards, patient safety protocols, and behavioral health ... Risk Management & Incident Investigation * Lead and manage the organization's risk management ...
Permanent | Nurse Practitioner Risk Management Director Opportunity | Durham, North Carolina
Durham, NC · On-site
$125 - $150/hr
Order and oversee clinical supplies and equipment while coordinating maintenance and staff training ... Previous experience in Risk Management, Infection Control, Quality, or Healthcare Leadership ...
Permanent | Nurse Practitioner Risk Management Director Opportunity | Durham, North Carolina
Durham, NC · On-site
$125 - $150/hr
Order and oversee clinical supplies and equipment while coordinating maintenance and staff training ... Previous experience in Risk Management, Infection Control, Quality, or Healthcare Leadership ...
Ensure compliance with clinical quality standards, patient safety protocols, and behavioral health ... Risk Management & Incident Investigation * Lead and manage the organization'srisk management ...
Ensure compliance with clinical quality standards, patient safety protocols, and behavioral health ... Risk Management & Incident Investigation * Lead and manage the organization'srisk management ...
Risk Manager
Charlotte, NC · On-site
$51.05 - $76.60/hr
... Risk Management Program at the assigned site(s) with the overall objective of improving clinical outcomes, team member safety, and reducing risk and financial loss. Major Responsibilities:
Risk Manager
Charlotte, NC · On-site
$51.05 - $76.60/hr
... Risk Management Program at the assigned site(s) with the overall objective of improving clinical outcomes, team member safety, and reducing risk and financial loss. Major Responsibilities:
Credit Risk Manager
Durham, NC · On-site
$70K - $176K/yr
Strong knowledge of credit risk management, financial statement analysis, customer creditworthiness ... IQVIA is a leading global provider of clinical research services, commercial insights and health ...
Credit Risk Manager
Durham, NC · On-site
$70K - $176K/yr
Strong knowledge of credit risk management, financial statement analysis, customer creditworthiness ... IQVIA is a leading global provider of clinical research services, commercial insights and health ...
Credit Risk Manager
Durham, NC · On-site
$100 - $125/hr
Strong knowledge of credit risk management, financial statement analysis, customer creditworthiness ... IQVIA is a leading global provider of clinical research services, commercial insights and health ...
Credit Risk Manager
Durham, NC · On-site
$100 - $125/hr
Strong knowledge of credit risk management, financial statement analysis, customer creditworthiness ... IQVIA is a leading global provider of clinical research services, commercial insights and health ...
Credit Risk Manager
Durham, NC · On-site
$70K - $176K/yr
Strong knowledge of credit risk management, financial statement analysis, customer creditworthiness ... IQVIA is a leading global provider of clinical research services, commercial insights and health ...
Credit Risk Manager
Durham, NC · On-site
$70K - $176K/yr
Strong knowledge of credit risk management, financial statement analysis, customer creditworthiness ... IQVIA is a leading global provider of clinical research services, commercial insights and health ...
Credit Risk Manager
Durham, NC · On-site
$70K - $176K/yr
Strong knowledge of credit risk management, financial statement analysis, customer creditworthiness ... IQVIA is a leading global provider of clinical research services, commercial insights and health ...
Credit Risk Manager
Durham, NC · On-site
$70K - $176K/yr
Strong knowledge of credit risk management, financial statement analysis, customer creditworthiness ... IQVIA is a leading global provider of clinical research services, commercial insights and health ...
Central Risk Manager (RBQM & Central Monitoring) - Remote: United States or Canada
Concord, NC · On-site +1
Central Risk Manager (RBQM & Central Monitoring) - Remote: United States or Canada Syneos Health is ... Collaborate with Clinical Operations, Data Management, Medical Monitoring, Safety, Quality, and ...
Central Risk Manager (RBQM & Central Monitoring) - Remote: United States or Canada
Concord, NC · On-site +1
Central Risk Manager (RBQM & Central Monitoring) - Remote: United States or Canada Syneos Health is ... Collaborate with Clinical Operations, Data Management, Medical Monitoring, Safety, Quality, and ...
Executive Director, Global Safety Strategy & Benefit Risk Management
Chapel Hill, NC · On-site
$250/hr
MD * 10+ years leading Safety Risk Management in pharma/biopharma * 3+ years managing other MDs or sub-investigators * 5+ years clinical trial support (PI/sub-I/development team) * 3+ years matrix ...
Executive Director, Global Safety Strategy & Benefit Risk Management
Chapel Hill, NC · On-site
$250/hr
MD * 10+ years leading Safety Risk Management in pharma/biopharma * 3+ years managing other MDs or sub-investigators * 5+ years clinical trial support (PI/sub-I/development team) * 3+ years matrix ...
NC · On-site
$77K - $105K/yr
... risk areas. * Conduct in-depth audits of medical records including, but not limited to ... Weight management system * Fall prevention programs and systems * Review and maintain monthly ...
Quick apply
NC · On-site
$77K - $105K/yr
... risk areas. * Conduct in-depth audits of medical records including, but not limited to ... Weight management system * Fall prevention programs and systems * Review and maintain monthly ...
NC · On-site
$77K - $105K/yr
... risk areas. * Conduct in-depth audits of medical records including, but not limited to ... Weight management system * Fall prevention programs and systems * Review and maintain monthly ...
NC · On-site
$77K - $105K/yr
... risk areas. * Conduct in-depth audits of medical records including, but not limited to ... Weight management system * Fall prevention programs and systems * Review and maintain monthly ...
Regional Clinical Coordinator (RN)
Wilson, NC · On-site
... risk areas. * Conduct in-depth audits of medical records including, but not limited to ... Weight management system * Fall prevention programs and systems * Review and maintain monthly ...
Quick apply
Regional Clinical Coordinator (RN)
Wilson, NC · On-site
... risk areas. * Conduct in-depth audits of medical records including, but not limited to ... Weight management system * Fall prevention programs and systems * Review and maintain monthly ...
Regional Clinical Coordinator (RN)
Wilson, NC · On-site
... risk areas. * Conduct in-depth audits of medical records including, but not limited to ... Weight management system * Fall prevention programs and systems * Review and maintain monthly ...
Regional Clinical Coordinator (RN)
Wilson, NC · On-site
... risk areas. * Conduct in-depth audits of medical records including, but not limited to ... Weight management system * Fall prevention programs and systems * Review and maintain monthly ...
Administrator, Clinical Education and Services (CEAS)
Fayetteville, NC · On-site
$60 - $80/hr
Assists in management of clinical risk and use of EHR to facilitate medical residency and clinical function. * Collaborates with other management team to optimize patient services and health ...
Administrator, Clinical Education and Services (CEAS)
Fayetteville, NC · On-site
$60 - $80/hr
Assists in management of clinical risk and use of EHR to facilitate medical residency and clinical function. * Collaborates with other management team to optimize patient services and health ...
... risk management of GSK assets in clinical development and/or the post-marketing setting ... You will contribute to clinical safety and pharmacovigilance strategy for assets within Global ...
... risk management of GSK assets in clinical development and/or the post-marketing setting ... You will contribute to clinical safety and pharmacovigilance strategy for assets within Global ...
Associate Medical Director, Safety Evaluation and Risk Management (SERM)
Durham, NC · On-site
$200 - $250/hr
... risk management of GSK assets in clinical development and/or the post‑marketing setting ... You will contribute to clinical safety and pharmacovigilance strategy for assets within Global ...
Associate Medical Director, Safety Evaluation and Risk Management (SERM)
Durham, NC · On-site
$200 - $250/hr
... risk management of GSK assets in clinical development and/or the post‑marketing setting ... You will contribute to clinical safety and pharmacovigilance strategy for assets within Global ...
Our Phase I team is seeking a Clinical Project Manager II to join our growing team. This role ... Appropriately utilize data sources, dashboards, and risk management strategies to drive innovation ...
Our Phase I team is seeking a Clinical Project Manager II to join our growing team. This role ... Appropriately utilize data sources, dashboards, and risk management strategies to drive innovation ...
Clinical Risk Management information
What are common challenges faced by professionals working in clinical risk management, and how can they be addressed?
Professionals in Clinical Risk Management often encounter challenges such as staying current with complex healthcare regulations, effectively communicating risks to diverse clinical teams, and managing competing priorities under tight deadlines. Navigating these challenges requires strong analytical skills, continuous education on regulatory updates, and fostering a culture of open communication within the organization. Collaborating closely with clinicians, administrators, and legal teams ensures that risk mitigation strategies are practical and effectively implemented.
What are the key skills and qualifications needed to thrive as a clinical risk manager, and why are they important?
To thrive as a Clinical Risk Manager, you need expertise in healthcare regulations, risk assessment, patient safety, and a relevant degree such as nursing, healthcare administration, or risk management. Familiarity with incident reporting systems, data analysis tools, and certification such as CPHRM (Certified Professional in Healthcare Risk Management) are commonly required. Excellent problem-solving, communication, and negotiation skills help facilitate effective collaboration across multidisciplinary teams. These skills are vital for identifying potential risks, implementing preventive strategies, and ensuring regulatory compliance to enhance patient safety and organizational performance.
What is the difference between Clinical Risk Management vs Clinical Risk Coordinator?
| Aspect | Clinical Risk Management | Clinical Risk Coordinator |
|---|---|---|
| Certifications | Certifications in risk management, healthcare compliance | Often similar certifications, focus on coordination |
| Work Environment | Strategic, policy development, oversight roles | Operational, day-to-day risk monitoring and reporting |
| Employer & Industry Usage | Hospitals, healthcare organizations, insurance companies | Hospitals, clinics, healthcare facilities |
Clinical Risk Management involves developing policies and strategies to minimize risks across healthcare settings, focusing on compliance and overall risk reduction. In contrast, a Clinical Risk Coordinator handles the implementation of risk mitigation plans, monitors incidents, and reports on risk issues. Both roles require healthcare knowledge and risk-related certifications but differ in scope and strategic versus operational focus.
Is healthcare risk management a good career?
Healthcare risk management is a growing field that involves identifying and reducing risks to improve patient safety and compliance. It typically requires knowledge of healthcare regulations, strong analytical skills, and certifications such as Certified Professional in Healthcare Risk Management (CPHRM). The role offers stability and opportunities for advancement in healthcare organizations.
What do clinical risk managers do?
Clinical risk managers identify, assess, and develop strategies to reduce risks related to patient safety and healthcare quality. They analyze incident reports, implement safety protocols, and ensure compliance with healthcare regulations, often using data analysis tools. Their role helps prevent medical errors and improve overall patient care outcomes.
What does clinical risk management mean?
Clinical risk management is a key responsibility for professionals in healthcare roles, including clinical risk managers. It involves identifying, assessing, and mitigating risks to patient safety and care quality through policies, procedures, and data analysis. This process helps prevent adverse events and ensures compliance with healthcare regulations.
What cities in North Carolina are hiring for Clinical Risk Management jobs?
Cities in North Carolina with the most Clinical Risk Management job openings:
Full-time
Posted 26 days ago
Job description
About Judi Health
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processingâ„¢ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.
Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)
Position Summary:
The Senior Analyst, Risk Management (PGs) supports the Risk Management function by maintaining the day-to-day governance, tracking, and reporting of client performance guarantees (PGs) and related contractual commitments across the client book of business. Operating within the Client Services, Account Advocacy & Risk Management team, the Analyst maintains the centralized PG database, produces performance and risk reporting, and partners cross-functionally with Legal, Finance, Analytics, and Client Services to improve data quality, clarify ownership, and mature the end-to-end PG process. The role blends risk and process-improvement work, managing risk-based initiatives from intake through execution, and operational analytics-identifying gaps and risk patterns and supporting initiatives that reduce the organization's contractual risk exposure.
Position Responsibilities:
Required Qualifications:
Preferred Qualifications:
Charlotte, NC Salary Range
$82,000-$102,500 USD
All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processingâ„¢ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.
Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)
Position Summary:
The Senior Analyst, Risk Management (PGs) supports the Risk Management function by maintaining the day-to-day governance, tracking, and reporting of client performance guarantees (PGs) and related contractual commitments across the client book of business. Operating within the Client Services, Account Advocacy & Risk Management team, the Analyst maintains the centralized PG database, produces performance and risk reporting, and partners cross-functionally with Legal, Finance, Analytics, and Client Services to improve data quality, clarify ownership, and mature the end-to-end PG process. The role blends risk and process-improvement work, managing risk-based initiatives from intake through execution, and operational analytics-identifying gaps and risk patterns and supporting initiatives that reduce the organization's contractual risk exposure.
Position Responsibilities:
- Maintain the centralized PG database (Jira Assets), entering and updating awarded PGs, contract amendments, and new client implementations, and reducing the ongoing data backlog.
- Reconcile and feed PG data into downstream reporting environments (e.g., Snowflake and Tableau) to support accurate dashboards and visibility into dollars at risk, contract counts, and PG counts.
- Design, build, and maintain operational dashboards, KPI reporting, and recurring trend analysis covering PG performance, contractual compliance, and risk exposure, translating data into insights for stakeholders.
- Analyze PG performance trends, contractual compliance metrics, and underlying data relationships to identify root causes, assess operational risk, support forecasting and variance analysis, and recommend process or reporting improvements
- Support client scorecard generation by centralizing and standardizing PG data sources, reducing reliance on manual, decentralized stakeholder requests.
- Help document and improve the end-to-end PG lifecycle (establishment, negotiation, approval, award, tracking, measurement, and reporting), assessing impacts, clarifying ownership, and recommending standardized practices.
- Maintain the PG data source inventory, ownership mapping, and methodology-review flags to capture risk signals and support governance decisions.
- Support governance of risk events through a structured identify-assign-track-close workflow, logging items, confirming owners, and following up to closure.
- Support automation of manual reporting and tracking processes and partner with stakeholders to improve data quality and reporting accuracy.
- Plan and execute risk-based initiatives end to end - structuring project plans, coordinating cross-functional workstreams, and tracking progress, dependencies, and action items to closure across Legal, Finance, Analytics, and Client Services partners.
- Support client audit activities and broader contractual-guarantee visibility (e.g., clinical and program guarantees) as part of the overall risk management framework.
Required Qualifications:
- Bachelor's degree or equivalent experience
- 3-5 years of experience in operations, contract support, healthcare or PBM administration, risk management, or process improvement
- Strong documentation, data-tracking, and organizational skills with high attention to detail and accuracy
- Strong problem-solving skills and a process-improvement mindset, with the ability to identify gaps, risks, and improvement opportunities
- Ability to collaborate and coordinate across cross-functional teams, including Legal, Finance, Analytics, and Client Services
- Proficiency with Excel and comfort working with data in reporting and dashboarding tools
- Experience coordinating or executing cross-functional projects or initiatives, including planning, tracking, and driving work to closure
- Experience analyzing data and building reporting or dashboards to translate information into actionable insights
Preferred Qualifications:
- Experience in a PBM, healthcare, or healthtech environment.
- Familiarity with performance guarantees, contractual compliance, or client audit processes.
- SQL and/or Python.
- Power BI or Tableau, and Excel Power Query.
- Business process mapping and workflow automation tools.
- Formal project management methodology, tools, or certification (e.g., Agile/Scrum, PMP).
- Experience with Jira / Jira Assets or comparable database and dashboarding tools.
Charlotte, NC Salary Range
$82,000-$102,500 USD
All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.