Insurance Risk Surveyor Jobs in Los Angeles, CA (NOW HIRING)

About QueensCare

Founded more than a century ago by the Franciscan Sisters of the Sacred Heart, QueensCare continues the legacy of compassionate care through grants, scholarships, and support for inpatient healthcare.

In addition to the strategic philanthropy, QueensCare Health Alliance (QHA), an affiliate of QueensCare, delivers direct medical, dental, vision, mental, and spiritual care through mobile and community-based programs at schools, social service organizations, and places of worship, all at no cost to patients.

 By partnering with local nonprofits, healthcare providers, and community organizations through grantmaking and collaborative programs, QueensCare serves as a connector in the healthcare ecosystem, strengthening access to care and improving health outcomes across Los Angeles County.

As a faith-based organization, QueensCare provides, directly and in collaboration with others, accessible quality healthcare for low-income individuals and families residing in Los Angeles County.

QueensCare is a 501 (c)(3) nonprofit organization originally founded by the Franciscan Sisters of Sacred Heart, whose mission of compassion and accessible healthcare continues today. QueensCare provides screening, treatment, education, and preventive and direct care to Los Angeles area residents in need. Beyond that, we also give charitable grants to other non-profits making a difference in the City of Angels and fund scholarships for those entering medical fields with an interest in working in underserved communities.

About the role

The Risk & Quality Manager coordinates the organization's Quality Assurance and Performance

Improvement (QA/QI) program, risk management activities, policy administration, and regulatory compliance efforts. Working collaboratively with leadership and cross-functional teams, this position promotes continuous quality improvement, organizational compliance, and effective governance through quality reporting, policy management, committee coordination, and risk assessment. The Risk & Quality Manager conducts compliance and quality audits, supports licensure and regulatory requirements, coordinates insurance administration and liability renewals, assesses insurance needs for community events and organizational activities, and collaborates with internal stakeholders to identify, mitigate, and manage organizational risk while ensuring compliance with applicable laws, regulations, and organizational standards.

What you'll do

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:

Quality Assurance & Performance Improvement

• Coordinates the organization's QA/QI program and supports continuous quality improvement initiatives.
• Coordinates Committee meetings and collaborative efforts with service providers and partners.
• Monitors quality metrics, prepares reports and dashboards, and presents findings to leadership and committees.
• Supports departments in developing, implementing, and monitoring quality improvement plans.
• Assists with regulatory surveys, audits, and accreditation readiness.
• Collaborates with the Data Analytics function to leverage data across EHR, Salesforce, and other organizational systems to monitor performance, communicate organizational impact, and support quality improvement initiatives.

Risk Management & Compliance

• Coordinates incident reporting, investigation, trend analysis, and corrective action follow-up.
• Supports organizational compliance activities by maintaining documentation and assisting with regulatory reviews.
• Coordinates Certificates of Insurance (COIs) and maintains insurance documentation.
• Supports the annual liability insurance renewal process by coordinating information requests with brokers, carriers, and internal stakeholders.

Policies & Performance

• Collaborates with the QA/QI Committee and other cross-functional committees to coordinate the organization's policy review and renewal process.
• Educates policy owners on policy standards, review requirements, and governance processes.
• Coordinates policy revisions, approvals, distribution, and version control.
• Collaborates with the Director, Executive Office, to facilitate Board policy submissions and approvals.
• Understands, adheres to and enforces QueensCare’s policies and procedures in the performance of work duties and supervision of staff.
• Reviews, develops and recommends policies for approval to the Board of Directors. 
• Uses discretion and good judgment in handling sensitive or confidential information.
• Performs in an ethical, professional and courteous manner, using discretion and exercising good judgement.
• Expected to uphold organizational standards of professionalism, accountability, ethics, and integrity, while fostering a respectful and high-performing work environment.
• Responsibilities include providing ongoing coaching and performance feedback, addressing performance or conduct concerns in a timely manner, and utilizing progressive counseling, when appropriate, to support employee accountability and development.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION:

Bachelor's degree in Healthcare Administration, Public Health, Business Administration, or a related field required. Master's degree preferred.

EXPERIENCE:

• Three to five years of progressively responsible experience in healthcare quality, compliance, risk management, or healthcare administration.
• Experience coordinating quality improvement, policy management, or accreditation activities preferred.

KNOWLEDGE:

• Quality Assurance and Performance Improvement (QA/QI)
• Risk management and regulatory compliance
• Policy administration and governance
• Healthcare quality reporting

SKILLS:

• Leadership to build, retain, and motivate an effective team.
• Excellent oral and written communications.  
• Proficient in technology, including contract management platforms, Microsoft Office Suite, including Outlook.
• Management, negotiation and organizational skills.
• Flexibility to adapt to changes or unforeseen circumstances.
• Thinks critically to navigate business issues.
• Exercises independent judgment to analyze all relevant factual and objective information to make informed decisions.
• Self-directed mature, disciplined and tactful approach to fulfilling job duties.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle or feel and reach with hands and arms.  The employee frequently is required to stand, walk, and sit.  The employee is occasionally required to climb or balance, stoop, kneel, crouch or sit.  The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 30 pounds.  The employee is occasionally required to ascend and descend one flight of stairs.  Specific vision abilities required by the job include close vision, color vision, and ability to adjust focus.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is often low.  However, there are many times when there is a high ambient background noise of phones and multiple conversations.  Must be able to screen out the background noise to concentrate on the work at hand.

The pay range for this role is:

94,000-117,000 USD per year (US)

PI286330656