Legal Risk Management Director

Company Description
Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.

The Legal Risk Management Director will lead risk management activities on behalf of the legal department, including risk management operations, loss prevention, claims management and mitigation, and risk financing. The Legal Risk Management Director will assist Legal Counsel with the coordination and investigation of claims and implementation of corrective actions. The Legal Risk Management Director will report to the Deputy General Counsel.
Primary Job Duties

• Review existing processes and protocols for claim investigation and identify opportunities for process improvement
• Perform other duties as assigned
• Maintain a litigation/dispute log and provide regular status updates to internal stakeholders
• Coordinate with internal business teams to investigate circumstances of claims and complaints and, with legal counsel, recommend response
• Coordinate with outside counsel on ongoing litigation
• Assist in the investigation and resolution of client, employee, and vendor disputes, including conducting root cause analysis and developing a corrective action plan as applicable
• Notify, and coordinate with, insurance carriers (as applicable)
• As part of the company's risk mitigation strategy, regularly review insurance coverages and handle renewal applications
• Investigate, and in coordination with counsel, respond to BBB complaints and governmental investigations

Qualifications

• Ability to work independently as well as with a team.
• Healthcare experience is required.
• Critical thinker with excellent research, analytical, and writing skills.
• Ability to manage multiple projects effectively.
• Ability to assess situations in an objective manner.
• Skilled in establishing and maintaining effective, collaborative working relationships.
• Must comply with HIPAA rules and regulations.
• Works effectively under pressure and produces results accurately and in a timely manner.
• At least 3+ years of risk management experience preferably in a hospital or health system.
• Skilled communicator who expresses ideas clearly and effectively, motivates the listener to action.
• Detail oriented with good follow through.
• Skilled at conflict resolution.
• Bachelor's degree preferred.
• Strong resiliency and ability to deal with ambiguity.

Additional Information
All your information will be kept confidential according to EEO guidelines.
Technical Requirements (for remote workers only, not applicable for onsite/in office work):
In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.
Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. Privia is a better company when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.