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Clinical Risk Manager Jobs in Union, NJ (NOW HIRING)

Medlead Careers

Chief Medical Officer

Brooklyn, NY · On-site

$275K - $350K/yr

Oversee clinical risk management and quality assurance programs * Collaborate with administrative leadership on policies and operational compliance Operational & Strategic Responsibilities * Partner ...

Oscar Health

Senior Data Scientist

Manhattan, NY · On-site

$163K - $215K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... clinical risk and power our risk adjustment submissions-work that directly impacts Oscar ... You will report to the Senior Manager, Data Science on the Risk Adjustment team. Work Location:

Oscar Health

Senior Data Scientist

New York, NY · Hybrid

$163K - $215K/yr

... clinical risk and power our risk adjustment submissions--work that directly impacts Oscar ... You will report to the Senior Manager, Data Science on the Risk Adjustment team. Work Location:

Oscar Health

Senior Data Scientist

New York, NY · On-site

$163K - $215K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... clinical risk and power our risk adjustment submissions-work that directly impacts Oscar ... You will report to the Senior Manager, Data Science on the Risk Adjustment team. Work Location:

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Clinical Risk Manager information

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.

How to become a clinical risk manager?

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

What do clinical risk managers do?

Clinical risk managers are responsible for identifying, assessing, and reducing risks related to patient safety and healthcare quality within medical facilities. They analyze incident reports, develop safety protocols, and ensure compliance with healthcare regulations, often using data analysis tools and requiring relevant certifications. Their goal is to minimize adverse events and improve overall clinical outcomes.

What are the key skills and qualifications needed to thrive as a clinical risk manager?

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 job categories do people searching Clinical Risk Manager jobs in Union, NJ look for?

The top searched job categories for Clinical Risk Manager jobs in Union, NJ are:

What cities near Union, NJ are hiring for Clinical Risk Manager jobs?

Cities near Union, NJ with the most Clinical Risk Manager job openings:

Clinical Risk Manager jobs near you
Infographic showing various Clinical Risk Manager job openings in Union, NJ as of August 2026, with employment types broken down into 86% Full Time, 7% Part Time, and 7% Contract. Highlights an 80% In-person, and 20% Remote job distribution.

Senior Analyst, Risk Management, PG

Judi Health

New York, NY • On-site

Full-time

Posted 2 days ago

New

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 Processing™ 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.

New York, NY Salary Range
$98,400-$123,000 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.

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