Insurance Risk Manager Jobs in San Diego, CA (NOW HIRING)

About Temecula Valley Hospital

Temecula Valley Hospital (TVH), part of Southwest Healthcare, brings advanced technology, innovative programs, patient-centered and family sensitive care to area residents. The hospital features 140 private patient rooms; emergency care; advanced cardiac and stroke care; orthopedics; general and surgical specialties. TVH is nationally recognized for Patient Safety designated by The Leapfrog Group as a Top Hospital in both 2017 and 2020 and has received 10 “A” Leapfrog Hospital Safety Grades, most recently in Spring 2023. The hospital was recently recognized by U.S. News & World Report’s Best Hospitals 2023-2024 for Heart Attack, Heart Failure and Stroke, Pneumonia and COPD, as well as the Healthgrades 2022 Cardiac Surgery Excellence Award.  TVH is a DNV Certified Comprehensive Stroke Center and has received eight Women’s Choice Award Achievements as One of America’s Best Hospitals for Stroke Care and One of America’s Best Hospitals for Patient Safety. Other accolades include: the American Heart Association/American Stroke Association’s Get With The Guidelines® - Stroke GOLD PLUS with Target: Stroke Honor Roll Elite and Target: Type 2 Diabetes Honor Roll, Mission Lifeline® - STEMI Receiving Center – GOLD PLUS, Mission Lifeline® - NSTEMI – GOLD, Blue Distinction® Center Designation for Quality in Knee and Hip Replacement Surgeries, The Joint Commission’s Gold Seal of Approval for Certification for Hip and Knee Replacement, first hospital in the state of California to achieve certification as a Gluten-Free Food Service facility, 3 Star Medicare Hospital Compare Rating, the American College of Cardiology Chest Pain Center with Primary PCI and Resuscitation Accreditation, the honor of the Inland Empire’s Top Workplaces 2017 and 2018, has been designated an Aetna Institute of Quality Cardiac Care Facility for comprehensive heart and vascular treatment-including Cardiac Medical Intervention, Cardiac Rhythm Programs and Cardiac Surgery.  For more information, please visit www.SWHtemeculavalley.com.

Director - Risk Management

The Director of Risk Management is responsible for the ongoing, effective operation of various patient safety and risk management activities. Such responsibilities include but are not limited to: performance and oversight of the claim management functions including investigation and analysis, performance of risk assessments including new services, performance of root cause analysis for the system including action plan tracking and facilitation, and management of the Patient Safety Council with incorporation of the corporate TERM program into the overall risk management program. Works collaboratively with department directors and the executive team to implement Corporate and Facility risk reduction strategies. Provides expertise to regulatory and compliance standards and processes. Position entails data analysis, reporting, educating, providing leadership and being accountable for related activities.

EDUCATION/TRAINING/ EXPERIENCE:

• Bachelor's degree from an accredited College or University in related field required
• Master's degree from an accredited College or University in related field preferred
• Five (5) to Seven (7) years of experience in Risk Management required
• Minimum 3 years leadership experience in related field required, acute care experience preferred

CERTIFICATIONS/LICENSES:

• Certified Professional in Healthcare Risk Management (CPHRM) preferred.

This opportunity offers the following:

• Challenging and rewarding work environment
• Growth and development opportunities within UHS and its subsidiaries
• Competitive compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401k plan with company match

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

EDUCATION/TRAINING/ EXPERIENCE:

• Bachelor's degree from an accredited College or University in related field required
• Master's degree from an accredited College or University in related field preferred
• Five (5) to Seven (7) years of experience in Risk Management required
• Minimum 3 years leadership experience in related field required, acute care experience preferred

CERTIFICATIONS/LICENSES:

• Certified Professional in Healthcare Risk Management (CPHRM) preferred.

This opportunity offers the following:

• Challenging and rewarding work environment
• Growth and development opportunities within UHS and its subsidiaries
• Competitive compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401k plan with company match

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.