Curana Health is a provider of value-based primary care services for the senior living industry, including skilled nursing facilities, assisted & independent living communities, Memory Care units, and affordable senior housing sites. Our 1,000+ clinicians serve more than 1,500 senior living community partners across 34 states, and Curana participates in various innovative CMS programs (including owned-and-operated Accountable Care Organizations and Medicare Advantage plans). With rapid year-over-year growth since our founding in 2021, Curana is setting a new standard in innovative care delivery for seniors with high-risk, complex clinical needs, many of whom have been historically underserved by the healthcare system. Our mission: To radically improve the health, happiness and dignity of senior living residents.

Reporting to the Chief Legal Officer, the Manager of Risk Management oversees the Clinical Risk Management Program to safeguard the Company and its patients, providers, and employees. The Manager of Risk Management proactively identifies, evaluates, and mitigates risks to enhance patient safety, ensure quality care, and reduce organizational costs through effective risk management, claims administration, and insurance procurement.

Insurance Procurement and Management

• Collaborates with insurance brokers to evaluate, negotiate, and secure appropriate coverage for professional liability, general liability, property, vehicle, flood, EPL, crime, D&O, and fiduciary insurance.
• Maintains schedules for insurance coverage, including physician/APP and locum tenens, property, vehicle, and flood insurance locations.
• Coordinates quarterly and annual claim reviews with brokers and carriers for workers’ compensation and professional liability.
• Reviews insurance requirements for leases, RFPs, and contracts, obtaining certificates of liability insurance for providers, centers, landlords, vendors, employers, and other third parties as needed.
• Oversees participation in state-specific programs (e.g., Indiana Patient Compensation Fund, Pennsylvania Patient Compensation Fund, Ohio Workers Compensation, and Washington Workers Compensation).

Claims Management

• Develops and implements claims administration policies and procedures.
• Maintains a comprehensive database for all claims, incidents, and loss runs.
• Investigates claims to assess compensability and inform preventive measures.
• Files and tracks claims with carriers, ensuring timely resolution.
• Assesses potential liability and loss probability for incidents, claims, and legal actions.
• Ensures completion of incident reports, investigations, and carrier communications.
• Coordinates with insurance carriers and outside counsel to resolve claims, and facilitates settlements as appropriate.
• Supports litigated claims by assisting attorneys, coordinating with carriers, and preparing for legal proceedings.
• Assists clinical staff, management, and carrier in litigated claims and assists attorneys as needed.
• Develops and updates the Insurance/Claims Guide, Fleet Safety Program, and Return to Work Program.

Risk Management

• Develops and maintains systems for identifying, investigating, and tracking risks and incidents to enhance patient and workplace safety.
• Analyzes incident patterns, maintains statistical data, and screens reports for loss control.
• Evaluates risk reduction strategies on a regular basis and recommends actions to mitigate risks.
• Develops and reviews organizational policies on risk management and patient safety.
• Serves as a subject matter expert, consulting with clinical teams on risk management and patient safety best practices.
• Reviews patient complaints, assists with resolution, and escalates to carriers if needed.
• Monitors relevant statutes and regulations to ensure compliance and assess impact on the Company.
• Chairs quarterly Health & Safety Committee meetings, sets agendas, and communicates outcomes.

• Develops safety manuals, delivers employee safety training, and coordinates vendor-led training programs.
• Participates in departmental safety meetings and prepares related reports and recommendations.

Knowledge, Skills, and Abilities

• In-depth knowledge of federal and state risk management regulations, healthcare risk principles, and loss control practices.
• Strong analytical skills to evaluate claims, interpret complex legal and medical reports, and compile statistical data.
• Ability to exercise independent judgment, develop risk mitigation strategies, and present clear recommendations.
• Excellent communication and interpersonal skills to collaborate with managers, employees, clinical teams, attorneys, carriers, and stakeholders.
• Proficiency in maintaining databases, tracking claims, and coordinating safety programs.
• Ability to develop and deliver safety training and educational materials tailored to organizational needs.
• Understanding of workers’ compensation, civil liability law, and claims handling procedures.

Education and Certification

• Bachelor’s degree required; Master’s degree in Healthcare Administration, Nursing, or related field preferred.
• Certified Professional in Healthcare Risk Management (CPHRM) strongly preferred; other relevant certifications considered.

Experience

• Minimum five years of experience in healthcare risk management, with expertise in claims administration and insurance procurement.

Curana Health is dedicated to the principles of Equal Employment Opportunity. We affirm, in policy and practice, our commitment to diversity. We do not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable or state law, genetic information, or any other characteristic protected by applicable federal, state and local laws and ordinances.

The EEO policy applies to all personnel matters as outlined in our company policy including recruitment, hiring, transfers, and general treatment during employment.

*The company is unable to provide sponsorship for a visa at this time (H1B or otherwise).