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Healthcare Risk Manager Jobs in Tennessee (NOW HIRING)

VMG Health

Director, Managed Care

Nashville, TN · On-site

... Health, DaVita, Fresenius, etc.). * Preferred: Knowledge of value-based care, risk-based ... Deep expertise in managed care contracting, payer operations, and healthcare reimbursement ...

VMG Health

Director, Managed Care

Nashville, TN · On-site

... Health, DaVita, Fresenius, etc.). * Preferred: Knowledge of value-based care, risk-based ... Deep expertise in managed care contracting, payer operations, and healthcare reimbursement ...

HCA Healthcare

Insurance Manager

Nashville, TN · On-site

Job Summary and Qualifications This is an integral position within HCA Healthcare's Risk ... Manage the ongoing data integrity efforts including the audits of various insurance database ...

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Healthcare Risk Manager information

See Tennessee salary details

$46.7K

$101.3K

$154.3K

How much do healthcare risk manager jobs pay per year?

As of Jul 10, 2026, the average yearly pay for healthcare risk manager in Tennessee is $101,250.00, according to ZipRecruiter salary data. Most workers in this role earn between $81,700.00 and $117,100.00 per year, depending on experience, location, and employer.

What is the difference between Healthcare Risk Manager vs Healthcare Compliance Officer?

AspectHealthcare Risk ManagerHealthcare Compliance Officer
CertificationsRisk Management Certification, CRCMCHC, CHC-F, or similar compliance certifications
Work EnvironmentHospitals, clinics, insurance companiesHealthcare facilities, regulatory agencies
Primary FocusIdentifying and mitigating risks, patient safetyEnsuring adherence to laws, policies, and regulations
Employer & Industry UsageHealthcare providers, insurance firmsHealthcare organizations, government agencies

While both roles aim to improve healthcare quality and safety, Healthcare Risk Managers focus on risk assessment and mitigation strategies, whereas Healthcare Compliance Officers concentrate on regulatory adherence and policy enforcement. Both positions often collaborate to ensure a safe, compliant healthcare environment.

What are popular job titles related to Healthcare Risk Manager jobs in Tennessee? For Healthcare Risk Manager jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Healthcare Risk Manager jobs in Tennessee look for? The top searched job categories for Healthcare Risk Manager jobs in Tennessee are:
Healthcare Risk Manager jobs near you
Infographic showing various Healthcare Risk Manager job openings in Tennessee as of July 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 70% Full Time, 13% Part Time, 1% Temporary, and 13% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $101,250 per year, or $48.7 per hour.
Senior Risk Manager / Claims Manager - Hybrid

Senior Risk Manager / Claims Manager - Hybrid

Surgery Partners

Brentwood, TN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Surgery Partners rating

7.6

Company rating: 7.6 out of 10

Based on 80 frontline employees who took The Breakroom Quiz

190th of 880 rated healthcare providers

Job description

This is a hybrid position based at our beautiful corporate office located in Brentwood, TN, with on-site work required Monday through Wednesday.
RESPONSIBILITIES:
  1. Claims Management & Documentation

The Senior Claims Manager ensures disciplined, timely, and consistent handling of every claim by:
  • Serving as the centralized point of contact for all malpractice matters-from intake through closure.
  • Managing all insurer communications, including first notice reporting, large-loss notifications, and reserve recommendations.
  • Updating each claim every 30 days with:

    • Status summaries
    • Legal counsel reports
    • Next steps and expected timelines

  • Ensuring complete and accurate documentation to support both defense efforts and insurance carrier expectations.

  1. Required Claim Evaluation Checklist

For every claim, the Senior Claims Manager completes and maintains an evaluation that addresses:
  • Settlement value range and reserve adequacy
  • Jury verdict research for comparable cases
  • Likelihood of defense success at trial
  • Relationship and employment status of co-defendants
  • Deductible and annual retention remaining
  • Exposure to excess layers and carrier involvement

This allows us to maintain predictable financial control and to communicate clear, data-driven positions to insurers and counsel.
  1. Investigation & Strategic Oversight

The Senior Claims Manager oversees the strategic trajectory of each claim, including:
  • Collecting and analyzing medical records, treatment details, statements, and internal documents.

  • Sequestering medical equipment and records as needed.

  • Monitoring and challenging litigation strategies to ensure alignment with corporate risk and financial objectives.
  • Documenting all investigatory steps, coverage analysis, settlement positions, and final resolutions.

This ensures that our cases move proactively-not reactively, resulting in better outcomes and reduced expense burn.
  1. Supporting Our Centers & the Enterprise

SVPs and RVPs rely on this role for high-level claims handling expertise, real-time analysis of risk trends, and informed recommendations that support both local operations and enterprise-wide initiatives.
This includes:
  • Guiding Centers through the claims process and required documentation.
  • Providing insight into how each claim affects exposure, reserves, and future premiums.
  • Educating leadership teams on emerging litigation trends and best practices.
  • Serving as a resource for clinical, HR, and legal leaders when adverse events arise.

  1. Analytics, Reporting & Cost Reduction Initiatives

One of the most critical functions of the role is generating analytical reporting and trend evaluation so we can proactively reduce future losses and insurance costs.
This includes:
  • Identifying systemic patterns in claims (procedure type, provider involvement, documentation gaps, etc.).
  • Providing actionable recommendations to reduce future claims exposure and improve clinical processes.
  • Developing strategies to reduce ALAE (Allocated Loss Adjustment Expenses) through early intervention, negotiation positioning, mediation strategy, and creative settlement approaches.
  • Supporting the insurance renewal process by demonstrating strong internal controls and documented oversight.

These analytics help us tell a clear story to carriers: We understand our risks, we manage them tightly, and we continuously improve.
  1. Post-Mortem Analysis & Continuous Improvement

For every significant claim that is settled, the Senior Claims Manager conducts a post-mortem review to assess:
  • What went wrong clinically, operationally, or procedurally
  • Whether documentation or communication issues contributed
  • Whether early resolution would have reduced cost
  • What corrective actions can prevent recurrence

Findings are shared with SVPs, RVPs, and Center leadership to support informed decision-making and long-term risk reduction.
KNOWLEDGE AND SKILLS:
  • Detail Oriented - Capable of carrying out a given task with all necessary details to get the task done well
  • Team Player - Works well as a member of a group
  • Self-Starter - Inspired to perform without outside help
  • Excellent communication skills and ability to take a global approach to resolving difficult situations.
  • Understanding of financial implications to a company for losses and claims

  • Partnering with carriers and/or third-party claims administrator, counsel, and operators for loss prevention and claims management

EDUCATION/REQUIREMENTS:
  • 5-10 years of experience in medical malpractice claims (with either healthcare risk management or insurance carrier), or self-insured public health care company
  • Bachelor's degree in nursing, business, finance and/or economics preferred or equivalent work experience
  • Proficiency in insurance claims management software and systems

  • Familiarity with Microsoft Office Suite (Excel, Word, Outlook) and other productivity tools.

Benefits:
  • Comprehensive health, dental, and vision insurance
  • Health Savings Account with an employer contribution
  • Life Insurance
  • PTO
  • 401(k) retirement plan with a company match
  • And more!

ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
*If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.
*No Recruiters Please
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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