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Clinical Risk Manager Jobs in Providence, RI (NOW HIRING)

thundermist

Executive Director

West Warwick, RI

The Site Medical Director owns clinical quality, provider performance, and clinical risk for ... Oversee nursing and MA workforce management, including hiring, onboarding, scheduling, and ...

thundermist

Executive Director

West Warwick, RI

The Site Medical Director owns clinical quality, provider performance, and clinical risk for ... Oversee nursing and MA workforce management, including hiring, onboarding, scheduling, and ...

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All JobsClinical Risk JobsClinical Risk Manager JobsClinical Risk Manager Jobs in Providence, RI

Clinical Risk Manager information

See Providence, RI salary details

$79.3K

$106.1K

$139.3K

How much do clinical risk manager jobs pay per year?

As of Jul 27, 2026, the average yearly pay for clinical risk manager in Providence, RI is $106,080.00, according to ZipRecruiter salary data. Most workers in this role earn between $89,698.00 and $128,848.00 per year, depending on experience, location, and employer.

How does a Clinical Risk Manager collaborate with clinical staff to improve patient safety?

Clinical Risk Managers work closely with nurses, physicians, and other healthcare professionals to identify potential risks and prevent adverse events. They often conduct root cause analyses after incidents, facilitate safety training sessions, and lead multidisciplinary meetings to discuss risk mitigation strategies. By fostering open communication and encouraging reporting of near-misses, they help create a culture of safety and continuous improvement within the healthcare facility.

What is the highest salary for a risk manager?

The highest salary for a clinical risk manager can exceed $120,000 annually, especially for those with extensive experience, advanced certifications, or working in large healthcare organizations. Senior risk managers or those in leadership roles may earn higher compensation, often supplemented with bonuses and benefits.

How to become a clinical risk manager?

To become a clinical risk manager, individuals typically need a bachelor's degree in healthcare, nursing, or a related field, followed by relevant experience in healthcare settings. Many pursue certifications such as the Certified Professional in Healthcare Risk Management (CPHRM) to enhance their qualifications. Strong knowledge of healthcare regulations, risk assessment skills, and the ability to analyze clinical data are essential for this role.

How much does a risk manager get paid?

A clinical risk manager typically earns between $70,000 and $120,000 annually, depending on experience, location, and the size of the healthcare organization. Advanced certifications and expertise in healthcare compliance can lead to higher salaries.

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 a solid background in healthcare, risk management, and regulatory compliance, typically supported by a clinical degree and certifications such as CPHRM (Certified Professional in Healthcare Risk Management). Familiarity with incident reporting systems, electronic health records, and risk analysis tools is essential. Strong analytical thinking, communication, and problem-solving skills enable effective collaboration with healthcare teams and leadership. These competencies are vital for identifying, mitigating, and preventing risks to ensure patient safety and regulatory compliance in healthcare organizations.

What is the difference between Clinical Risk Manager vs Clinical Risk Coordinator?

AspectClinical Risk ManagerClinical Risk Coordinator
CertificationsCPHRM, RACCPHRM, RAC (sometimes)
Work EnvironmentHospitals, healthcare organizations, risk management departmentsClinics, healthcare facilities, risk management teams
ResponsibilitiesOversees risk management programs, develops policies, analyzes risksAssists in risk assessments, supports risk mitigation efforts, data collection

The Clinical Risk Manager typically holds more advanced certifications and has broader responsibilities in developing and overseeing risk management strategies. The Clinical Risk Coordinator supports these efforts through data collection and risk assessment assistance. Both roles are essential in healthcare risk management but differ in scope and seniority.

What does a clinical risk manager do?

A clinical risk manager oversees patient safety and quality of care within healthcare organizations by identifying, assessing, and mitigating clinical risks. They analyze incident reports, develop safety protocols, and ensure compliance with healthcare regulations, often using data analysis tools and requiring relevant certifications such as Certified Professional in Healthcare Quality (CPHQ).
What are popular job titles related to Clinical Risk Manager jobs in Providence, RI? For Clinical Risk Manager jobs in Providence, RI, the most frequently searched job titles are:
What job categories do people searching Clinical Risk Manager jobs in Providence, RI look for? The top searched job categories for Clinical Risk Manager jobs in Providence, RI are:
What cities near Providence, RI are hiring for Clinical Risk Manager jobs? Cities near Providence, RI with the most Clinical Risk Manager job openings:
Clinical Risk Manager jobs near you
Infographic showing various Clinical Risk Manager job openings in Providence, RI as of July 2026, with employment types broken down into 2% As Needed, 73% Full Time, 18% Part Time, and 7% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $106,080 per year, or $51 per hour.
Senior Manager, Corporate Compliance - Risk Adjustment

Senior Manager, Corporate Compliance - Risk Adjustment

CVS Health

Woonsocket, RI

$75K - $165K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,317 frontline employees who took The Breakroom Quiz

88th of 109 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

As a Senior Manager, Medicare Compliance - Risk Adjustment, you are responsible for overseeing and maintaining compliance with CMS regulations related to Medicare Advantage Risk Adjustment, Hierarchical Condition Categories (HCCs), encounter data submission, documentation and coding compliance, and related regulatory requirements. This position serves as a key compliance leader and subject matter expert, partnering with Risk Adjustment Operations, Coding, Provider Education, Clinical Documentation Improvement (CDI), Internal Audit, Legal, and Government Affairs teams to ensure organizational adherence to CMS requirements.

The ideal candidate possesses extensive experience in Medicare Advantage compliance and a deep understanding of CMS Risk Adjustment methodologies, diagnosis coding requirements, medical record documentation standards, RADV audits, and evolving regulatory guidance.

Key Responsibilities

  • Lead the Medicare Advantage Risk Adjustment compliance program.

  • Monitor and interpret CMS regulations, HPMS memoranda, Final Rules, Medicare Managed Care Manual guidance, RADV requirements, and OIG enforcement activities.

  • Assess operational processes for compliance risks related to risk adjustment activities.

  • Develop and implement corrective action plans for identified compliance issues.

  • Conduct compliance risk assessments related to coding, documentation, and encounter data submissions.


Required Qualifications

  • Minimum 7 years of experience in Medicare Advantage, Risk Adjustment, Coding Compliance, Audit, or Regulatory Compliance

  • Minimum 5 years in a leadership role

  • One or more of the following certifications: CPMA (Certified Professional Medical Auditor), CRC (Certified Risk Adjustment Coder), CPC (Certified Professional Coder), CCS (Certified Coding Specialist)

  • Willingness to travel up to 10% (including by plane)


Preferred Qualifications

  • Health Information Management (RHIA/RHIT)

  • Nursing - Strong understanding of clinical documentation and medical record review

  • Certified Risk Adjustment Coder (CRC) with compliance experience

  • Provider coding audit/compliance leadership experience

  • Medicare Advantage compliance leadership experience supporting RADV, HCC validation, and CMS audits


Education

Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, Public Health, Business Administration, Healthcare Compliance, or a related healthcare field required; equivalent years of work experience may substitue.

Pay Range

The typical pay range for this role is:

$75,400.00 - $165,954.00


This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/12/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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