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

Position Summary
Orlando Health Medical Group is a comprehensive physician group serving patients from across the southeastern United States. With more than 200 practices and 1,200 physicians, Orlando Health Medical Group has a strong representation in over 55 specialties, including cardiology, vascular medicine, orthopedics, oncology, digestive health, neurology, neurosurgery, bariatric surgery, general surgery, bone marrow transplant and critical care medicine, as well as more than 30 pediatric subspecialties, women's health, primary care and the largest hospitalist program in Florida.
Orlando Health Medical Group is part of the Orlando Health system of care, which includes award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities that span Florida's east to west coasts and beyond. Collectively, our 27,000+ team members honor our over 100-year legacy by providing professional and compassionate care to the patients, families and communities we serve.
Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions. "Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you.
Position Summary:
Risk Manager II leads risk management activities for assigned areas, mentors team members, and drives process improvement
initiatives that support organizational risk reduction and compliance
Responsibilities
Essential Functions:
• Leads the administration of the risk management plan for assigned areas, driving strategic initiatives that reduce organizational risk and enhance patient safety.
• Coordinates and leads complex risk management projects with cross-departmental impact, ensuring effective collaboration and measurable outcomes.
• Conducts advanced data analytics to identify emerging risk trends, inform decision-making, and recommend targeted interventions.
• Designs, delivers, and evaluates educational programs that empower staff to proactively mitigate risk and reduce liability exposure.
• Develops and refines risk management policies and procedures, ensuring alignment with evolving regulatory standards and best practices.
• Represents Orlando Health in high-level interactions with regulatory agencies, industry groups, and external stakeholders, advocating for organizational interests and compliance.
• Ensures compliance with risk management related standards by the Joint Commission and other accrediting agencies, directly influencing patient safety, quality of care, and minimizing organizational liability.
• Serves as a trusted advisor to physicians, nurses, and staff, providing expert guidance and timely solutions to complex professional liability and facility-related matters.
• Receives and investigates reports of product problems, ensuring appropriate responses to federal, state, and manufacturer reporting requirements.
• Champions transparent disclosure processes for medical errors, driving organizational accountability and fostering a culture of continuous improvement.
• Facilitates and oversees root cause analysis investigations and reporting of adverse events, ensuring timely resolution and organizational learning.
• Ensures compliance with various codes, laws, and regulations concerning patient care, including those mandated by state and federal agencies and incident reporting requirements; includes investigation activities of federal, state, and local enforcement authorities.
• Works collaboratively with the executive team to implement risk and safety initiatives.
• 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.
Other Related Functions:
• Implements facility- or area-wide systems for risk identification, investigation, and reduction, utilizing a network of informational sources and subject matter experts.
• Conducts proactive risk surveys and inspections of patient care areas, providing actionable recommendations to minimize loss potential and enhance safety.
• Analyzes operational and clinical processes to identify opportunities for risk mitigation and process improvement.
• Mentors and develops new risk management staff, fostering a culture of continuous learning, professional growth, and knowledge sharing.
• Participates in committees and task forces that are focused on patient safety, risk reduction, and compliance, contributing insights and leadership.
• Monitors legislative and regulatory developments related to healthcare risk management, communicating relevant updates to stakeholders and adopting practices as needed.
• Aggregates and analyzes data on patient injuries, incident trends, and sentinel events, maintaining statistical records to support organizational learning and improvement.
• Advises administrators and department managers on risk management findings and recommendations, supporting the design and implementation of department-specific risk management programs.
• Provides expert support during on-call responsibilities, offering guidance and escalation for clinical risk management services.
• Cross-trained in multiple areas of risk management to provide coverage and support for other risk manager roles as needed.
• Leads and participates in organizational projects to drive innovation and continuous improvement in risk management practices.
• 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
• Performs other duties as assigned.
Qualifications
Education/Training:
Bachelor's degree in healthcare or a closely related field.
Education/Training
• Five (5) years of clinical or medical legal experience, to include three (3) years' experience in a supervisory capacity and two (2) years of Risk Management experience.
• Advanced PC literacy required.