Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Risk Management Analyst (RMA) is responsible for investigating risk management events, reviewing and analyzing events in the ONElink event reporting system, assisting with proactive risk management educational initiatives, working on various insurance matters, as well as assisting with claims and litigation matters on a day-to-day basis for the various lines of coverage for multiple sites within the Hackensack Meridian Health Care System. The RMA shall be responsible for legal research, discovery requests, and maintenance of files and statistical reports. The RMA shall work closely with internal and external counsel, the medical claims TPA, and insurance broker representatives. This position interacts with all levels in the organization along with the Enterprise Risk Management team toward the goal of improving safe and trusted healthcare. This position reports to the Director, Enterprise Risk Management. Responsibilties: A day in the life of a Risk Management Analyst at Hackensack Meridian Health includes: Investigates risks involving actual or potential injury to patients, visitors and team members Assists with the review, investigation, follow up and closure of ONElink event reports Prepares and provides statistical data, graphs and various other reports from the ONElink system/other systems for Enterprise Risk Management and other ad hoc requests; presents and explains relevant trends, data, and outcomes to a variety of audiences. Makes appropriate referrals to Managers, Internal Quality Improvement teams, Peer Review Committees for appropriate follow-up to reduce risk of recurrence. Responsible for additions and deletions of team member access and updates in the ONElink system Assists in the process of accepting Subpoenas, and Summonses and Complaints Investigates and analyzes claims/litigation and potential claims upon receipt. Obtains and sequesters evidence Obtains visit history and pertinent medical records Notifies the liability insurance carrier of actual and potential claims Obtains insurance information and partners with insurance team to determine coverage analysis Processes claims with the appropriate carrier(s) and broker within policy period Obtains coverage determinations, and partners with the risk leader to resolve unfavorable determinations Coordinates day-to day discovery (document production, interrogatories, scheduling interviews and depositions) Maintaining a positive working relationship with the hospital's professional and general liability insurance carrier and general counsel. Working in coordination with the Director of Risk Management reply to requests from the hospital's legal counsel. Obtains reimbursement from carriers as appropriate on first party claims (eg., auto and property) Maintains current knowledge of status of all claims and litigation matters and keeps Risk Management leaders/team apprised of changes Performs legal research as needed Keeps abreast of healthcare risk management issues, assisting with implementation of new or revised guidelines and practices 21. Maintains the confidentiality and integrity of all information encountered during work activities. Audits expenses and processes payments as needed Maintains up-to-date claims run at all times and updates relevant parties on a quarterly basis and as needed Maintains appropriately organized litigation files; including electronic and paper claim files; Prepares materials for quarter claim and steering committee meetings Acts as a liaison with insurance brokers for requests from various department Assists the Corporate Insurance Department with the professional liability insurance coverage process which includes collaboration with the Medical Staff Office, Human Resources and our insurance broker Assists Corporate Insurance Department with the Due Diligence process and works with Physician Enterprise to assure appropriate documentation is received and reviewed Notifies insurance broker of terminations/resignations of healthcare providers Investigates all incidents related to vehicle and property claims in conjunction with insurance manager Receives and investigates recall reports of medical device and product problems in collaboration with the Purchasing Dept Represents the Enterprise Risk Management Department on various medical center committees as assigned Participates in training of team members and in-services provided by the Enterprise Risk Management team Adheres to HMH Organizational competencies and standards of behavior Must work independently with general guidance on a wide variety of special projects All other duties and projects as assigned to assist the Enterprise Risk Management Department to maintain daily activities of the departments. Qualifications: Education, Knowledge, Skills and Abilities Required: Minimum of Associates degree in Business, Insurance or related field or at least 5 years of related work experience in Risk, Paralegal, Insurance, or other related field Proficient in Google Suite Strong analytical and communication skills Knowledge of legal and medical terminology Excellent technological skills and organizational skills Education, Knowledge, Skills and Abilities Preferred: A minimum of 1 to 3 years of experience in risk management, claims, and/or insurance experience is preferred. Experience working with Insurance Brokers and representatives preferred. If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
03/16/2026
Full time
Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Risk Management Analyst (RMA) is responsible for investigating risk management events, reviewing and analyzing events in the ONElink event reporting system, assisting with proactive risk management educational initiatives, working on various insurance matters, as well as assisting with claims and litigation matters on a day-to-day basis for the various lines of coverage for multiple sites within the Hackensack Meridian Health Care System. The RMA shall be responsible for legal research, discovery requests, and maintenance of files and statistical reports. The RMA shall work closely with internal and external counsel, the medical claims TPA, and insurance broker representatives. This position interacts with all levels in the organization along with the Enterprise Risk Management team toward the goal of improving safe and trusted healthcare. This position reports to the Director, Enterprise Risk Management. Responsibilties: A day in the life of a Risk Management Analyst at Hackensack Meridian Health includes: Investigates risks involving actual or potential injury to patients, visitors and team members Assists with the review, investigation, follow up and closure of ONElink event reports Prepares and provides statistical data, graphs and various other reports from the ONElink system/other systems for Enterprise Risk Management and other ad hoc requests; presents and explains relevant trends, data, and outcomes to a variety of audiences. Makes appropriate referrals to Managers, Internal Quality Improvement teams, Peer Review Committees for appropriate follow-up to reduce risk of recurrence. Responsible for additions and deletions of team member access and updates in the ONElink system Assists in the process of accepting Subpoenas, and Summonses and Complaints Investigates and analyzes claims/litigation and potential claims upon receipt. Obtains and sequesters evidence Obtains visit history and pertinent medical records Notifies the liability insurance carrier of actual and potential claims Obtains insurance information and partners with insurance team to determine coverage analysis Processes claims with the appropriate carrier(s) and broker within policy period Obtains coverage determinations, and partners with the risk leader to resolve unfavorable determinations Coordinates day-to day discovery (document production, interrogatories, scheduling interviews and depositions) Maintaining a positive working relationship with the hospital's professional and general liability insurance carrier and general counsel. Working in coordination with the Director of Risk Management reply to requests from the hospital's legal counsel. Obtains reimbursement from carriers as appropriate on first party claims (eg., auto and property) Maintains current knowledge of status of all claims and litigation matters and keeps Risk Management leaders/team apprised of changes Performs legal research as needed Keeps abreast of healthcare risk management issues, assisting with implementation of new or revised guidelines and practices 21. Maintains the confidentiality and integrity of all information encountered during work activities. Audits expenses and processes payments as needed Maintains up-to-date claims run at all times and updates relevant parties on a quarterly basis and as needed Maintains appropriately organized litigation files; including electronic and paper claim files; Prepares materials for quarter claim and steering committee meetings Acts as a liaison with insurance brokers for requests from various department Assists the Corporate Insurance Department with the professional liability insurance coverage process which includes collaboration with the Medical Staff Office, Human Resources and our insurance broker Assists Corporate Insurance Department with the Due Diligence process and works with Physician Enterprise to assure appropriate documentation is received and reviewed Notifies insurance broker of terminations/resignations of healthcare providers Investigates all incidents related to vehicle and property claims in conjunction with insurance manager Receives and investigates recall reports of medical device and product problems in collaboration with the Purchasing Dept Represents the Enterprise Risk Management Department on various medical center committees as assigned Participates in training of team members and in-services provided by the Enterprise Risk Management team Adheres to HMH Organizational competencies and standards of behavior Must work independently with general guidance on a wide variety of special projects All other duties and projects as assigned to assist the Enterprise Risk Management Department to maintain daily activities of the departments. Qualifications: Education, Knowledge, Skills and Abilities Required: Minimum of Associates degree in Business, Insurance or related field or at least 5 years of related work experience in Risk, Paralegal, Insurance, or other related field Proficient in Google Suite Strong analytical and communication skills Knowledge of legal and medical terminology Excellent technological skills and organizational skills Education, Knowledge, Skills and Abilities Preferred: A minimum of 1 to 3 years of experience in risk management, claims, and/or insurance experience is preferred. Experience working with Insurance Brokers and representatives preferred. If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Database Administrator IV provides database administration for Microsoft SQL Server/ Epic Cache/ Oracle, including but not limited to administration, replication, backup/restore procedures, and related components such as Reporting Services, Analysis Services, and Integration Services, in addition to providing support for databases outside of SQL. Usually assigned the larger, more complex jobs than the lower-levels, and demonstrates extensive knowledge of all aspects of Database Administration. The Database Administrator IV provides database administration for Epic Clarity, Cogito, and Caboodle databases including administration, replication, backup/restore procedures, query assessment, performance tuning, troubleshooting and related DBA activities. They will work closely with the Data and Analytics and BI teams to ensure platform availability and stability. This fourth level position is usually assigned larger more complex jobs than the level I, II and III jobs. This is a hybrid position, there is a mix of onsite and remote work with a flexible schedule, once a month, typically a Wednesday, and as needed for events. Candidates must have Epic experience and certifications in Epic Clarity/ Cogito ETL Caboodle Administration. Epic Iris experience is preferred. They should also have experience in either SQL Server or Oracle. Responsibilties: A day in the life of a Database Administrator IV at Hackensack Meridian Health includes: Take ownership of problems through to resolution over a wide variety of systems and technologies. Ensure internal database systems are managed to the highest standard by following industry best practice. Performs work with a high degree of latitude. Handles the most complex issues. Demonstrate problem management, ownership, and prevention of downtime. Provides mentoring, guidance, and general oversight to less experienced staff in a variety of database design, administration, and/or modeling activities. Consults with and advises senior management and multiple clients on high-impact data or database management issues, influencing strategic direction. Handles and leads various large-scale or highly complex data/database management activities including one or more of the following: designing highly complex logical and/or physical databases; leading highly complex data modeling, mapping, integration, and capacity planning efforts; developing management policies, procedures and standards; and business requirements identification, analysis and development. Actively contribute to the development of existing and new IT processes and procedures to enhance service transition and service operation lifecycle stages. Demonstrate self-starter capabilities, identifying areas of improvement and taking action in order to address service-impacting issues. Provide operational support for the Epic Cache/ Oracle/ Windows/SQL Server database environment. Database backup/restores, daily checks, maintenance tasks, and building new database instances and applying service packs. Manage and escalate problems as appropriate, and investigate defects or problems, work with infrastructure and external vendors to identify solutions, and support any fixes that are required as part of service improvement. Follow the Change Management procedure and other standard practices in installing, configuring, and supporting databases and related items in Test and Production environments. Ensure service uptime is prioritized and all faults, incidents, and problems are responded to in an efficient manner without negatively impacting SLAs and reporting metrics in place. Upgrade or maintain software at a time when the impact on the business is minimized. Other duties and/or projects as assigned. 18. Adheres to HMH's Organizational competencies and standards of behavior. Qualifications: Education, Knowledge, Skills and Abilities Required: Bachelor's level degree or equivalent in Information Technology/Math/Computer Science or related field, or equivalent (4 years) relevant experience. Possesses expert knowledge of subject matter. Minimum of 6 (or, if no degree, 10+ years) years of experience. Analytical skills, communication skills, adaptable, and flexible. Windows Server Operating Systems Security concepts and technologies, including PCI & PHI understanding. Active Directory, Group Policy, DBS, DHCP & DFS. Enterprise storage, Enterprise-scale patch management & related maintenance methodologies. Network principles, protocols & Technologies. Epic Cache, Cogito, Oracle, SQL, and other database technology platforms, backup & recovery, including Disaster Recovery. Excellent written and verbal communication skills. Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms. Education, Knowledge, Skills and Abilities Preferred: Eight years of experience. Prior healthcare experience. If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
03/16/2026
Full time
Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Database Administrator IV provides database administration for Microsoft SQL Server/ Epic Cache/ Oracle, including but not limited to administration, replication, backup/restore procedures, and related components such as Reporting Services, Analysis Services, and Integration Services, in addition to providing support for databases outside of SQL. Usually assigned the larger, more complex jobs than the lower-levels, and demonstrates extensive knowledge of all aspects of Database Administration. The Database Administrator IV provides database administration for Epic Clarity, Cogito, and Caboodle databases including administration, replication, backup/restore procedures, query assessment, performance tuning, troubleshooting and related DBA activities. They will work closely with the Data and Analytics and BI teams to ensure platform availability and stability. This fourth level position is usually assigned larger more complex jobs than the level I, II and III jobs. This is a hybrid position, there is a mix of onsite and remote work with a flexible schedule, once a month, typically a Wednesday, and as needed for events. Candidates must have Epic experience and certifications in Epic Clarity/ Cogito ETL Caboodle Administration. Epic Iris experience is preferred. They should also have experience in either SQL Server or Oracle. Responsibilties: A day in the life of a Database Administrator IV at Hackensack Meridian Health includes: Take ownership of problems through to resolution over a wide variety of systems and technologies. Ensure internal database systems are managed to the highest standard by following industry best practice. Performs work with a high degree of latitude. Handles the most complex issues. Demonstrate problem management, ownership, and prevention of downtime. Provides mentoring, guidance, and general oversight to less experienced staff in a variety of database design, administration, and/or modeling activities. Consults with and advises senior management and multiple clients on high-impact data or database management issues, influencing strategic direction. Handles and leads various large-scale or highly complex data/database management activities including one or more of the following: designing highly complex logical and/or physical databases; leading highly complex data modeling, mapping, integration, and capacity planning efforts; developing management policies, procedures and standards; and business requirements identification, analysis and development. Actively contribute to the development of existing and new IT processes and procedures to enhance service transition and service operation lifecycle stages. Demonstrate self-starter capabilities, identifying areas of improvement and taking action in order to address service-impacting issues. Provide operational support for the Epic Cache/ Oracle/ Windows/SQL Server database environment. Database backup/restores, daily checks, maintenance tasks, and building new database instances and applying service packs. Manage and escalate problems as appropriate, and investigate defects or problems, work with infrastructure and external vendors to identify solutions, and support any fixes that are required as part of service improvement. Follow the Change Management procedure and other standard practices in installing, configuring, and supporting databases and related items in Test and Production environments. Ensure service uptime is prioritized and all faults, incidents, and problems are responded to in an efficient manner without negatively impacting SLAs and reporting metrics in place. Upgrade or maintain software at a time when the impact on the business is minimized. Other duties and/or projects as assigned. 18. Adheres to HMH's Organizational competencies and standards of behavior. Qualifications: Education, Knowledge, Skills and Abilities Required: Bachelor's level degree or equivalent in Information Technology/Math/Computer Science or related field, or equivalent (4 years) relevant experience. Possesses expert knowledge of subject matter. Minimum of 6 (or, if no degree, 10+ years) years of experience. Analytical skills, communication skills, adaptable, and flexible. Windows Server Operating Systems Security concepts and technologies, including PCI & PHI understanding. Active Directory, Group Policy, DBS, DHCP & DFS. Enterprise storage, Enterprise-scale patch management & related maintenance methodologies. Network principles, protocols & Technologies. Epic Cache, Cogito, Oracle, SQL, and other database technology platforms, backup & recovery, including Disaster Recovery. Excellent written and verbal communication skills. Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms. Education, Knowledge, Skills and Abilities Preferred: Eight years of experience. Prior healthcare experience. If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Database Administrator IV provides database administration for Microsoft SQL Server/ Epic Cache/ Oracle, including but not limited to administration, replication, backup/restore procedures, and related components such as Reporting Services, Analysis Services, and Integration Services, in addition to providing support for databases outside of SQL. Usually assigned the larger, more complex jobs than the lower-levels, and demonstrates extensive knowledge of all aspects of Database Administration. The Database Administrator IV provides database administration for Epic Clarity, Cogito, and Caboodle databases including administration, replication, backup/restore procedures, query assessment, performance tuning, troubleshooting and related DBA activities. They will work closely with the Data and Analytics and BI teams to ensure platform availability and stability. This fourth level position is usually assigned larger more complex jobs than the level I, II and III jobs. This is a hybrid position, there is a mix of onsite and remote work with a flexible schedule, once a month, typically a Wednesday, and as needed for events. Candidates must have Epic experience and certifications in Epic Clarity/ Cogito ETL Caboodle Administration. Epic Iris experience is preferred. They should also have experience in either SQL Server or Oracle. Responsibilties: A day in the life of a Database Administrator IV at Hackensack Meridian Health includes: Take ownership of problems through to resolution over a wide variety of systems and technologies. Ensure internal database systems are managed to the highest standard by following industry best practice. Performs work with a high degree of latitude. Handles the most complex issues. Demonstrate problem management, ownership, and prevention of downtime. Provides mentoring, guidance, and general oversight to less experienced staff in a variety of database design, administration, and/or modeling activities. Consults with and advises senior management and multiple clients on high-impact data or database management issues, influencing strategic direction. Handles and leads various large-scale or highly complex data/database management activities including one or more of the following: designing highly complex logical and/or physical databases; leading highly complex data modeling, mapping, integration, and capacity planning efforts; developing management policies, procedures and standards; and business requirements identification, analysis and development. Actively contribute to the development of existing and new IT processes and procedures to enhance service transition and service operation lifecycle stages. Demonstrate self-starter capabilities, identifying areas of improvement and taking action in order to address service-impacting issues. Provide operational support for the Epic Cache/ Oracle/ Windows/SQL Server database environment. Database backup/restores, daily checks, maintenance tasks, and building new database instances and applying service packs. Manage and escalate problems as appropriate, and investigate defects or problems, work with infrastructure and external vendors to identify solutions, and support any fixes that are required as part of service improvement. Follow the Change Management procedure and other standard practices in installing, configuring, and supporting databases and related items in Test and Production environments. Ensure service uptime is prioritized and all faults, incidents, and problems are responded to in an efficient manner without negatively impacting SLAs and reporting metrics in place. Upgrade or maintain software at a time when the impact on the business is minimized. Other duties and/or projects as assigned. 18. Adheres to HMH's Organizational competencies and standards of behavior. Qualifications: Education, Knowledge, Skills and Abilities Required: Bachelor's level degree or equivalent in Information Technology/Math/Computer Science or related field, or equivalent (4 years) relevant experience. Possesses expert knowledge of subject matter. Minimum of 6 (or, if no degree, 10+ years) years of experience. Analytical skills, communication skills, adaptable, and flexible. Windows Server Operating Systems Security concepts and technologies, including PCI & PHI understanding. Active Directory, Group Policy, DBS, DHCP & DFS. Enterprise storage, Enterprise-scale patch management & related maintenance methodologies. Network principles, protocols & Technologies. Epic Cache, Cogito, Oracle, SQL, and other database technology platforms, backup & recovery, including Disaster Recovery. Excellent written and verbal communication skills. Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms. Education, Knowledge, Skills and Abilities Preferred: Eight years of experience. Prior healthcare experience. If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
03/16/2026
Full time
Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Database Administrator IV provides database administration for Microsoft SQL Server/ Epic Cache/ Oracle, including but not limited to administration, replication, backup/restore procedures, and related components such as Reporting Services, Analysis Services, and Integration Services, in addition to providing support for databases outside of SQL. Usually assigned the larger, more complex jobs than the lower-levels, and demonstrates extensive knowledge of all aspects of Database Administration. The Database Administrator IV provides database administration for Epic Clarity, Cogito, and Caboodle databases including administration, replication, backup/restore procedures, query assessment, performance tuning, troubleshooting and related DBA activities. They will work closely with the Data and Analytics and BI teams to ensure platform availability and stability. This fourth level position is usually assigned larger more complex jobs than the level I, II and III jobs. This is a hybrid position, there is a mix of onsite and remote work with a flexible schedule, once a month, typically a Wednesday, and as needed for events. Candidates must have Epic experience and certifications in Epic Clarity/ Cogito ETL Caboodle Administration. Epic Iris experience is preferred. They should also have experience in either SQL Server or Oracle. Responsibilties: A day in the life of a Database Administrator IV at Hackensack Meridian Health includes: Take ownership of problems through to resolution over a wide variety of systems and technologies. Ensure internal database systems are managed to the highest standard by following industry best practice. Performs work with a high degree of latitude. Handles the most complex issues. Demonstrate problem management, ownership, and prevention of downtime. Provides mentoring, guidance, and general oversight to less experienced staff in a variety of database design, administration, and/or modeling activities. Consults with and advises senior management and multiple clients on high-impact data or database management issues, influencing strategic direction. Handles and leads various large-scale or highly complex data/database management activities including one or more of the following: designing highly complex logical and/or physical databases; leading highly complex data modeling, mapping, integration, and capacity planning efforts; developing management policies, procedures and standards; and business requirements identification, analysis and development. Actively contribute to the development of existing and new IT processes and procedures to enhance service transition and service operation lifecycle stages. Demonstrate self-starter capabilities, identifying areas of improvement and taking action in order to address service-impacting issues. Provide operational support for the Epic Cache/ Oracle/ Windows/SQL Server database environment. Database backup/restores, daily checks, maintenance tasks, and building new database instances and applying service packs. Manage and escalate problems as appropriate, and investigate defects or problems, work with infrastructure and external vendors to identify solutions, and support any fixes that are required as part of service improvement. Follow the Change Management procedure and other standard practices in installing, configuring, and supporting databases and related items in Test and Production environments. Ensure service uptime is prioritized and all faults, incidents, and problems are responded to in an efficient manner without negatively impacting SLAs and reporting metrics in place. Upgrade or maintain software at a time when the impact on the business is minimized. Other duties and/or projects as assigned. 18. Adheres to HMH's Organizational competencies and standards of behavior. Qualifications: Education, Knowledge, Skills and Abilities Required: Bachelor's level degree or equivalent in Information Technology/Math/Computer Science or related field, or equivalent (4 years) relevant experience. Possesses expert knowledge of subject matter. Minimum of 6 (or, if no degree, 10+ years) years of experience. Analytical skills, communication skills, adaptable, and flexible. Windows Server Operating Systems Security concepts and technologies, including PCI & PHI understanding. Active Directory, Group Policy, DBS, DHCP & DFS. Enterprise storage, Enterprise-scale patch management & related maintenance methodologies. Network principles, protocols & Technologies. Epic Cache, Cogito, Oracle, SQL, and other database technology platforms, backup & recovery, including Disaster Recovery. Excellent written and verbal communication skills. Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms. Education, Knowledge, Skills and Abilities Preferred: Eight years of experience. Prior healthcare experience. If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Risk Management Analyst (RMA) is responsible for investigating risk management events, reviewing and analyzing events in the ONElink event reporting system, assisting with proactive risk management educational initiatives, working on various insurance matters, as well as assisting with claims and litigation matters on a day-to-day basis for the various lines of coverage for multiple sites within the Hackensack Meridian Health Care System. The RMA shall be responsible for legal research, discovery requests, and maintenance of files and statistical reports. The RMA shall work closely with internal and external counsel, the medical claims TPA, and insurance broker representatives. This position interacts with all levels in the organization along with the Enterprise Risk Management team toward the goal of improving safe and trusted healthcare. This position reports to the Director, Enterprise Risk Management. Responsibilties: A day in the life of a Risk Management Analyst at Hackensack Meridian Health includes: Investigates risks involving actual or potential injury to patients, visitors and team members Assists with the review, investigation, follow up and closure of ONElink event reports Prepares and provides statistical data, graphs and various other reports from the ONElink system/other systems for Enterprise Risk Management and other ad hoc requests; presents and explains relevant trends, data, and outcomes to a variety of audiences. Makes appropriate referrals to Managers, Internal Quality Improvement teams, Peer Review Committees for appropriate follow-up to reduce risk of recurrence. Responsible for additions and deletions of team member access and updates in the ONElink system Assists in the process of accepting Subpoenas, and Summonses and Complaints Investigates and analyzes claims/litigation and potential claims upon receipt. Obtains and sequesters evidence Obtains visit history and pertinent medical records Notifies the liability insurance carrier of actual and potential claims Obtains insurance information and partners with insurance team to determine coverage analysis Processes claims with the appropriate carrier(s) and broker within policy period Obtains coverage determinations, and partners with the risk leader to resolve unfavorable determinations Coordinates day-to day discovery (document production, interrogatories, scheduling interviews and depositions) Maintaining a positive working relationship with the hospital's professional and general liability insurance carrier and general counsel. Working in coordination with the Director of Risk Management reply to requests from the hospital's legal counsel. Obtains reimbursement from carriers as appropriate on first party claims (eg., auto and property) Maintains current knowledge of status of all claims and litigation matters and keeps Risk Management leaders/team apprised of changes Performs legal research as needed Keeps abreast of healthcare risk management issues, assisting with implementation of new or revised guidelines and practices 21. Maintains the confidentiality and integrity of all information encountered during work activities. Audits expenses and processes payments as needed Maintains up-to-date claims run at all times and updates relevant parties on a quarterly basis and as needed Maintains appropriately organized litigation files; including electronic and paper claim files; Prepares materials for quarter claim and steering committee meetings Acts as a liaison with insurance brokers for requests from various department Assists the Corporate Insurance Department with the professional liability insurance coverage process which includes collaboration with the Medical Staff Office, Human Resources and our insurance broker Assists Corporate Insurance Department with the Due Diligence process and works with Physician Enterprise to assure appropriate documentation is received and reviewed Notifies insurance broker of terminations/resignations of healthcare providers Investigates all incidents related to vehicle and property claims in conjunction with insurance manager Receives and investigates recall reports of medical device and product problems in collaboration with the Purchasing Dept Represents the Enterprise Risk Management Department on various medical center committees as assigned Participates in training of team members and in-services provided by the Enterprise Risk Management team Adheres to HMH Organizational competencies and standards of behavior Must work independently with general guidance on a wide variety of special projects All other duties and projects as assigned to assist the Enterprise Risk Management Department to maintain daily activities of the departments. Qualifications: Education, Knowledge, Skills and Abilities Required: Minimum of Associates degree in Business, Insurance or related field or at least 5 years of related work experience in Risk, Paralegal, Insurance, or other related field Proficient in Google Suite Strong analytical and communication skills Knowledge of legal and medical terminology Excellent technological skills and organizational skills Education, Knowledge, Skills and Abilities Preferred: A minimum of 1 to 3 years of experience in risk management, claims, and/or insurance experience is preferred. Experience working with Insurance Brokers and representatives preferred. If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
03/16/2026
Full time
Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Risk Management Analyst (RMA) is responsible for investigating risk management events, reviewing and analyzing events in the ONElink event reporting system, assisting with proactive risk management educational initiatives, working on various insurance matters, as well as assisting with claims and litigation matters on a day-to-day basis for the various lines of coverage for multiple sites within the Hackensack Meridian Health Care System. The RMA shall be responsible for legal research, discovery requests, and maintenance of files and statistical reports. The RMA shall work closely with internal and external counsel, the medical claims TPA, and insurance broker representatives. This position interacts with all levels in the organization along with the Enterprise Risk Management team toward the goal of improving safe and trusted healthcare. This position reports to the Director, Enterprise Risk Management. Responsibilties: A day in the life of a Risk Management Analyst at Hackensack Meridian Health includes: Investigates risks involving actual or potential injury to patients, visitors and team members Assists with the review, investigation, follow up and closure of ONElink event reports Prepares and provides statistical data, graphs and various other reports from the ONElink system/other systems for Enterprise Risk Management and other ad hoc requests; presents and explains relevant trends, data, and outcomes to a variety of audiences. Makes appropriate referrals to Managers, Internal Quality Improvement teams, Peer Review Committees for appropriate follow-up to reduce risk of recurrence. Responsible for additions and deletions of team member access and updates in the ONElink system Assists in the process of accepting Subpoenas, and Summonses and Complaints Investigates and analyzes claims/litigation and potential claims upon receipt. Obtains and sequesters evidence Obtains visit history and pertinent medical records Notifies the liability insurance carrier of actual and potential claims Obtains insurance information and partners with insurance team to determine coverage analysis Processes claims with the appropriate carrier(s) and broker within policy period Obtains coverage determinations, and partners with the risk leader to resolve unfavorable determinations Coordinates day-to day discovery (document production, interrogatories, scheduling interviews and depositions) Maintaining a positive working relationship with the hospital's professional and general liability insurance carrier and general counsel. Working in coordination with the Director of Risk Management reply to requests from the hospital's legal counsel. Obtains reimbursement from carriers as appropriate on first party claims (eg., auto and property) Maintains current knowledge of status of all claims and litigation matters and keeps Risk Management leaders/team apprised of changes Performs legal research as needed Keeps abreast of healthcare risk management issues, assisting with implementation of new or revised guidelines and practices 21. Maintains the confidentiality and integrity of all information encountered during work activities. Audits expenses and processes payments as needed Maintains up-to-date claims run at all times and updates relevant parties on a quarterly basis and as needed Maintains appropriately organized litigation files; including electronic and paper claim files; Prepares materials for quarter claim and steering committee meetings Acts as a liaison with insurance brokers for requests from various department Assists the Corporate Insurance Department with the professional liability insurance coverage process which includes collaboration with the Medical Staff Office, Human Resources and our insurance broker Assists Corporate Insurance Department with the Due Diligence process and works with Physician Enterprise to assure appropriate documentation is received and reviewed Notifies insurance broker of terminations/resignations of healthcare providers Investigates all incidents related to vehicle and property claims in conjunction with insurance manager Receives and investigates recall reports of medical device and product problems in collaboration with the Purchasing Dept Represents the Enterprise Risk Management Department on various medical center committees as assigned Participates in training of team members and in-services provided by the Enterprise Risk Management team Adheres to HMH Organizational competencies and standards of behavior Must work independently with general guidance on a wide variety of special projects All other duties and projects as assigned to assist the Enterprise Risk Management Department to maintain daily activities of the departments. Qualifications: Education, Knowledge, Skills and Abilities Required: Minimum of Associates degree in Business, Insurance or related field or at least 5 years of related work experience in Risk, Paralegal, Insurance, or other related field Proficient in Google Suite Strong analytical and communication skills Knowledge of legal and medical terminology Excellent technological skills and organizational skills Education, Knowledge, Skills and Abilities Preferred: A minimum of 1 to 3 years of experience in risk management, claims, and/or insurance experience is preferred. Experience working with Insurance Brokers and representatives preferred. If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!