CareFirst Careers

Risk Management Manager

Resp & Qualifications

PURPOSE:

The Risk Management department is responsible for the education, empowerment, and governance of business owners in identifying and managing enterprise risks in a consistent and integrated manner.  Risk Management, facilitated by the teams and business owners across the enterprise, establishes frameworks for effectuating consistency within operational and enterprise risk management, that supports company-wide initiatives and drives cost-effective risk management strategies

The Risk Manager is a catalyst for change, providing leadership and subject matter expertise for establishing and maturing the enterprise risk management program, risk mitigation and controls critical to the success of the overall organization.  Specifically, the Risk Manager is responsible for identifying and mitigating enterprise risks, contractual risk transfer, loss mitigation programs and claims, and safeguards to minimize the impact of potential and existing risks affecting the organization; ensuring compliance with laws, regulations, and organization frameworks; coordinating, collaborating and managing resources, both people and funding, cross-functionally; and monitoring and effectuating remediation of issues identified.  This requires strong collaboration and partnership with business owners and stakeholders across the enterprise. 

ESSENTIAL FUNCTIONS:

1. Partner with business owners across the enterprise to serve as the subject matter expert in the identification of issues and concerns, provide the appropriate level of support, and proactively identify risk management, control efficiency and effectiveness, and process improvement opportunities to improve the enterprise risk culture. Act as the key liaison between the business units and the risk management group by promoting a positive environment of collaboration and excellent customer service.

  • Assist in and validate the root cause analysis performed for ineffective and inefficient controls, identify applicability of the root cause impact and presence in all applicable business processes and divisions, and collaborate with and influence business owners impacted in all relevant business areas/divisions to ensure the streamlined and efficient implementation of controls which effectively mitigate risks and the root cause identified.


2.  Lead the development of enterprise reporting and dashboards for monitoring and analysis of process-level risks, controls, issues, risk management, third-party risks and compliance activities. Manage parallel assessments of existing controls, process-level risks, and business processes to ensure in-depth understanding of “if, how, and when” the risks/threats should be addressed. Triage and escalate unmitigated risks or lack of compliance or collaboration from business owners and/or leadership for resolution or further escalation to executive leadership.


3. Plan, build, run and manage enterprise wide disaster recovery (business continuity, business resumption, business impact, and emergency notification), including disaster recovery strategies, plan development, plan exercising, and manage related budgets, annual program agendas and recovery improvement metrics.


4. Govern, support, and mentor associates in the completion of third-party risk assessments and control self-assessments to ensure the adequacy of controls in place to safeguard the organization, including tracking, monitoring, and managing issues identified. 


5. Manage claims for assigned coverage lines, in coordination with internal stakeholders, TPAs and Legal. Identify and drive loss mitigation opportunities based on contractual rights and claims data analytics. Ensure key stakeholders are updated on claims trending.


6. Lead the development and delivery of enterprise-wide training and awareness materials that educate associates and leadership on best practices, pervasive operational risk management issues, risk management tools and processes, and lessons learned.


7. Ensure self and staff development through participation in training, seminars and conferences to broaden knowledge of current and future disaster recovery issues and technologies and integrated risk assessment trends. Provide training, coaching and mentoring of staff to ensure individual growth, and a competent staff is prepared to provide consistent, quality service. 


QUALIFICATIONS:

Position requires a minimum of a Bachelor’s degree in Accounting, Finance, Business or related field, with five or more years of Risk management or related risk assessment field as well as previous financial institution experience required.  One year supervisory or demonstrated leadership experience required.  In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

Knowledge, Skills and Abilities (KSAs): 

Strong leadership and project management skills with ability to manage multiple competing priorities.

Excellent self-management skills taking initiative and assuming responsibility for team objectives and initiatives.

Proficiency in preparing and presenting information in a clear and concise manner to senior leaders.

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Hire Range Disclaimer

Actual salary will be based on relevant job experience and work history.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

Closing Date

Please apply before: 4.9.21

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

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