Summary:

The Risk Manager, directly reporting to the Chief Compliance and Government Relations Officer (CCO) plays a critical role in identifying, assessing, and mitigating risks across the organization. This position maintains, improves, and implements a comprehensive enterprise risk management framework approved by the organization’s Board of Directors, enabling proactive risk identification and strategic decision-making, oversight and monitoring of mitigation and remediation actions, and tracking of these efforts. The Enterprise Risk Manager will collaborate with various departments to ensure risk management through risk assessment processes, interviewing, and documentation that supports the organization’s mission, goals, and compliance requirements and aligns with the organization’s risk appetite and tolerance. The risk manager will also assist with developing and maintaining a procurement process to identify risks related to vendor contracting, and establishing processes related to vendor contracting requests, approval, and risk surveillance procedures.

About Maryland Care Management, Inc. (MCMI):

Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care’s (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD’s largest Medicaid-managed care organizations.

Why join us?

MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans.

Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members’ lives.

What You’ll Do: 

• Oversee MPC’s Enterprise Risk Management Program at the direction of the MPC, CCO, and CFO.
• Maintain MPC’s ERM plan and work plan.
• Perform MPC/MCMIs annual ERM risk assessment and report findings to CCO and Sr. Leadership.
• Conduct risk assessments, collecting and analyzing documentation, statistics, reports, and market trends.
• Establish or review policies and procedures to identify and address risks in the organization’s services and departments.
• Review and assess risk management policies and protocols; make recommendations and implement modifications and improvements.
• Draft and present risk reports and proposals to executive leadership and senior staff.
• Review vendors and delegate contracting requests to meet MPC procurement requirements.
• Perform risk mitigation regarding MPC’s Vendor and Delegate entity contracting and inventory management.

Required Skills/Abilities: 

• Thorough understanding of policies and best practices of risk management.
• Strong supervisory and leadership skills.
• Proficient with Microsoft Office Suite or related software to prepare reports and policies.

Education and Experience:

• Bachelor’s degree in risk management, finance, or related field required.
• 3-5 years of related experience.
• Medicaid/Medicare or Managed Care Health Plan experience preferred.

EEOC Statement: 

Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment.

As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive.

We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population.