Risk

• Develop plans and manage activities in support of Risk Adjustment and Quality/HEDIS
• Direct daily activities of direct reports supporting Risk Adjustment Coding and Quality/HEDIS
• Assess viability of current direction/projects/operations and recommend strategies
• Implement strategic and tactical improvements to Risk Adjustment Coding and Quality/HEDIS processes
• Manage information to ensure accurate and efficient projects

Supervisor, Strategic Risk Adjustment and Quality

• Claims advocate and facilitator on behalf of client
• Consultation with clients on claim issues involving Directors & Officers, Errors & Omissions, Employment Practices, and Fiduciary coverages
• Review and recommend solutions to coverage, quantum and claim handling management issues
• Negotiate with insurers, adjusters and lawyers to expedite and obtain fair settlement of claims
• Participate in sales presentations to prospective clients
• Assist the client in preparing special claims servicing instructions focusing on the client’s specific needs and taking into consideration the structure of their insurance programs
• Review and comment on policy wordings for account teams
• Review of claims with clients/insurers/loss adjusters regularly

VP, Professional & Executive Risk – ProEx Claims

• Provides strategic and operational leadership for clinical documentation programs
• Supports quality reporting, severity of illness and risk of mortality (SOI/ROM), value-based reimbursement, and risk-adjusted outcomes
• Oversees CDI/CDE staff and conducts documentation audits
• Ensures compliance with regulatory and risk‑based reimbursement requirements
• Identifies documentation gaps and trends and drives continuous improvement initiatives
• Promotes operational efficiency and documentation excellence across the organization
• Collaborates closely with physicians, coding teams, and CDI/CDE advisors to enhance documentation quality
• Develops and delivers targeted education on documentation best practices

Quality & Risk Manager

• Develop and execute a comprehensive safety and risk management strategy for all corporate and franchise operations
• Establish safety standards, policies, procedures, and best practices that support operational excellence and risk reduction
• Create and manage company-wide safety scorecards, KPIs, dashboards, and reporting systems
• Lead initiatives designed to reduce workplace injuries, vehicle accidents, cargo claims, and insurance losses
• Foster a culture of accountability, leadership, and safety ownership across all levels of the organization
• Provide executive leadership with regular reporting and recommendations regarding safety trends, risks, and corrective actions
• Serve as the organization's primary authority on regulatory compliance and monitor regulatory changes
• Oversee the company's captive insurance programs and risk management initiatives
• Analyze workers' compensation, auto liability, general liability and cargo claims and implement proactive loss prevention strategies
• Develop and deliver safety certification programs for franchise owners and operational leaders
• Build and lead a high-performing safety and risk management function

Risk jobs in Louisiana

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Supervisor, Strategic Risk Adjustment and Quality

VP, Professional & Executive Risk – ProEx Claims

Quality & Risk Manager

Director of Safety and Risk Management