Insurance Risk Analyst Jobs in Orlando, FL (NOW HIRING)

At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida’s east to west coasts and beyond.

ORLANDO HEALTH - BENEFITS & PERKS:

All Inclusive Benefits (start day one)

• Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.

Forbes Recognizes Orlando Health as a Best-In-State Employer

• Forbes has named Orlando Health as one of America's Best-In-State Employers for 2024. Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list. "We are proud to be named once again as a best place to work," said Karen Frenier, VP (HR). "This achievement reflects our positive culture and efforts to ensure that all team members feel respected, supported and valued.

Employee-centric

• Orlando Health has been selected as one of the “Best Places to Work in Healthcare” by Modern Healthcare

A Brief Overview
The Risk Manager I supports the implementation of risk management programs, conducts data analysis, and collaborates with clinical and operational teams to promote a culture of safety and compliance.

What you will do

• Supports the daily administration of the risk management plan for assigned areas, ensuring investigative support and swift resolution of incidents.
• Leverages data analytics to identify systemic risks and drive continuous improvement across the organization.
• Delivers educational programs to raise awareness of risk prevention and basic compliance practices.
• Complies with the risk management related standards set by the Joint Commission and other accrediting and regulatory agencies directly enhancing patient safety, promoting quality care, and minimizing organizational liability.
• Advises physicians, nurses, and staff by delivering guidance and timely solutions to professional liability and facility-related inquiries.
• Leads investigations into product-related issues, ensuring appropriate responses to federal, state, and manufacturer requirements.
• Participates in transparent disclosure processes for medical errors, promoting a culture of accountability and continuous learning.
• Leads comprehensive root cause analyses and ensures prompt, thorough reporting of adverse events to all relevant stakeholders.
• Represents Orlando Health in high-level interactions with regulatory agencies, industry groups, and external stakeholders, advocating for organizational interests and compliance.
• Complies with various codes, laws, and regulations concerning patient care, including those mandated by state and federal agencies and incident reporting requirements, which include investigation activities of federal, state, and local enforcement authorities.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains regular, punctual attendance consistent with Orlando Health policies, as well as federal, state, and local standards.
• Develops, coordinates, and administers facility or assigned area-wide systems for risk identification, investigation, and reduction; maintains a network of informational sources and experts; performs risk surveys and inspects patient care areas; and reviews the facility or assigned area for loss potential.
• Conducts proactive analysis of patient safety and medical errors processes.
• Serves in committees directed towards promoting patient safety issues.
• Maintains awareness of and communication of legislative and regulatory updates related to health care risk management.
• Collects, evaluates, and distributes relevant data concerning patient injuries, aggregate data summaries, and monthly trend analyses of incidents and trends; provides aggregate analysis of risk data; and maintains statistical trending and results of risk management data.
• Informs administrators and department managers regarding occurrences, issues, findings, and risk management recommendations; provides feedback to all administrators to support the elimination of risks; and assists clinical chiefs and department managers in designing risk management programs within their departments.
• Delivers in-service training to hospital personnel to enhance awareness of their role in reducing facility or assigned areas liability exposure.
• Demonstrates all competencies required by Florida Statute.
• Participates in on-call responsibilities.
• Performs other duties as assigned.

Qualifications

• Bachelor degree in healthcare or closely related field Required
• 2 Years of clinical or medical legal experience Required and
• Advanced PC literacy required.

Qualifications

• Bachelor degree in healthcare or closely related field Required
• 2 Years of clinical or medical legal experience Required and
• Advanced PC literacy required.