Careers in Quality

Risk Management Specialist

Pearland, TX

Kelsey-Seybold Clinic, a Houston tradition in patient-centered care, is a multispecialty clinic with 31 locations and is comprised of more than 600 physicians providing primary and specialty care in a collaborative manner.

With more than 65 different clinical and non-clinical specialties, you can design a career path at Kelsey-Seybold Clinic that allows you to grow your future in a completely new direction.

Assist the Manager of Risk Management in the reporting and management of first and third-party claims, particularly medical malpractice and general liability claims made against Kelsey-Seybold and the providers and/or other employees including interaction with adjusters, plaintiff, and defense attorneys. Responsible for investigation of incident reports, ensuring that discovery requests are timely completed, attending depositions, mediations, and trials, ensuring that credentialing information and certificates of insurance are provided, and making claims as a third-party claimant against those responsible for damage to KSC. This position has shared responsibility for daily risk management counseling of providers and other clinic personnel, for orientation of new providers/employees and educational programs, and works with the Quality Improvement Staff in identifying, analyzing, and making recommendations on risk management issues.

Requirements:

• Comparable experience in casualty/property insurance claims to adjust, adjusting company or corporate risk management department.
• Willingness to obtain ARM and/or CPCU
• 5-10 years liability claims to adjust with property/casualty insurance company, TPA, or in-house corporate risk management depts. in the investigation and management of auto, general, w.c., and property claims must have 5 years of experience in medical malpractice claims.
• Willingness to obtain TX Property/Casualty Adjuster’s License or TX Multi-Line License/
• Willingness to obtain TX Risk Manager’s License
• Healthcare quality and safety experience
• Excellent oral and written communication skills, basic computer skills
• Extensive knowledge of insurance policies and insurance company claims operations

Preferred:

• College degree, ARM, CPCU
• Current RN or LVN
• Medical malpractice risk management claims experience in a healthcare setting
• Employment practices experience helpful
• Experience in presenting medical malpractice educational seminars

Consider Kelsey-Seybold Clinic

• Medical, Vision and Dental
• Tuition Reimbursement
• Company Matching 401K
• Employee Reward and Recognition Program
• Paid time off for vacation, sick, and holidays
• Employee Assistance Program 
• No weekends
• Free Parking
• Monday-Friday, 8a-5p

If you want a satisfying career and a rich, rewarding personal life, don’t choose between them.

Achieve them both at Kelsey-Seybold Clinic.

For more information, please contact Mario Lynch at mario.lynch@kelsey-seybold.com or call (713) 442-0912.  

Kelsey-Seybold Clinic is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, or protected veteran status. Kelsey-Seybold is a VEVRAA Federal Contractor and desires priority referrals of protected veterans.

About Kelsey-SeyBold Clinic

Kelsey-Seybold Clinic is Houston's premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey in Houston's renowned Texas Medical Center. More than 500 physicians and allied health professionals practice at 30 locations in the Greater Houston area. Kelsey-Seybold offers quality medical care in 55 medical specialties. The organization operates the largest freestanding Ambulatory Surgery Center in the state of Texas and offers state-of-the-art Varian TrueBeam and Varian Edge radiation therapy technology at a nationally accredited Cancer Center. An accredited Sleep Center, comprehensive laboratory services, advanced imaging and diagnostics, 16 on-site Kelsey Pharmacy locations, and MyKelseyOnline, a secure web portal, are part of its comprehensive offerings. Kelsey-Seybold partners with major insurers to offer value-based commercial health plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold Clinic, has achieved the coveted 5-out-of-5-star rating from the Centers for Medicare and Medicaid for three consecutive years and is the only 5-out-of-5-star rated plan in Texas. Kelsey-Seybold has been re...cognized by the National Committee for Quality Assurance (NCQA) as the nation’s first accredited Accountable Care Organization and a Level 3 (highest) Patient-Centered Medical Home. Kelsey-Seybold has many physicians in the Greater Houston area certified for excellence in diabetes and heart and stroke care by the NCQA. In addition to these recognitions, Kelsey-Seybold is home to a nationally accredited Breast Diagnostic Center and Endoscopy Center.

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Connections working at Kelsey-SeyBold Clinic