Community Behavioral Health Hiring for Risk Analyst at Philadelphia, Pennsylvania Full Time

Position Overview:

The Internal Risk Analyst will support the execution of the Risk Management framework and strategy throughout the organization. Working with the department leadership to drive internal risk management activities including, identification and mitigation of risk, development of internal audit plans, conducting audits and working with department on remediation plans.

Core Expectations:

Community Behavioral Health (CBH) will hold each employee accountable for the following expectations which align with our mission, vision, and corporate code of conduct.

• Perform key responsibilities as detailed in this job description in a dependable, responsible, and positive manner, consistent with all state and federal guidelines.
• Serve as a role model by exemplifying professional behavior, language, skills, and attire to promptly and accurately serve the needs of stakeholders, members and their families.
• Assure adherence to CBH policies and procedures so that all work is of the highest quality and delivered in the most culturally competent and cost-effective manner.
• Promote and manage diversity and acceptance within CBH and with all members and stakeholders by honoring and respecting their individuality, dignity and rights.
• Offer suggestions and develop solutions to help promote effective and efficient work processes and innovative programs.
• Actively participate in required meetings and complete all mandatory trainings.
• Maintain high levels of advocacy and member confidentiality to ensure the success of CBH and our mission.
• Assist in assuring both internal and external program integrity by being alert to and reporting suspected instances of provider and employee fraud, waste or abuse.

Essential Functions:

• This position will strengthen CBH’s Risk Management program by supporting the agency’s risk assessment and risk management activities including:
• Maintain awareness of the current regulatory/industry trends impacting risk management principles, policies, and procedures.
• Perform analysis of risk trends and data discrepancies, while effectively communicating analysis output
• Design audit objectives and procedures for scheduled and unscheduled internal audits, reviews and special projects as assigned.
• Communicate audit findings to audited departments and senior leadership to ensure the audited entity’s understanding of the matters identified.
• When necessary, assist in the development of corrective action plans to ensure compliance with regulatory bodies.
• Monitor risk management processes including risk registers.
• Assist in the compilation of Risk Management materials and dashboards to report to leadership.
• Evolve the risk culture across the organization.
• Assist in conducting risk management general education and customized training

Position Requirements:

• Education: Master’s degree preferred. Bachelors degree required.
• Certification in Risk Management and/or Certified Internal Auditor highly desirable
• 3+ years’ experience with Managed Care organization or health plans or 3+ years’ experience in health care risk management. compliance auditing and monitoring.

Skills:

• Requires good analytical skills in order to filter, prioritize and validate potentially complex and dynamic material from multiple sources.
• Strong attention to detail
• High level proficiency with Microsoft Office applications
• Excellent written and verbal communication skills
• High comfort level with public speaking and training
• Knowledge of Medicaid regulations and requirements
• Strong analytical skills, ability to see the “big picture” and linkages between risk programs and data
• Detail-oriented and highly organized
• Ability to work effectively with all levels of staff
• Ability to manage ongoing projects and prioritize appropriately to meet deadlines.

Core Competencies:

• Teamwork and Collaboration: Build and sustain relationships with co-workers and stakeholders and support efforts and deliverables. Encourage unity and help remove barriers to productivity and success.
• Respect: Treat each other and our members and stakeholders with respect and sensitivity, recognizing the importance of diversity.
• Member Centric: Focus on the needs of our members by providing value-added services, promoting strong relationships and going beyond basic expectations to achieve the best possible outcomes.
• Honesty and Integrity: Be open and honest in all we do. Maintain the highest level of integrity at all times.
• Commitment to Service Excellence: Challenge ourselves to be forward-thinking and committed to providing total member and stakeholder satisfaction, first-in-class service and high quality, innovative programs.
• Compassion and Empathy: Demonstrate a deep appreciation for another’s situation and point of view. Pay attention to emotional cues, listen effectively and show an exceptional level of caring about each person’s perspectives and circumstances.
• Problem Solving: Build and implement logical solutions to resolving challenges/issues by using individual knowledge and experience while taking resources, constraints and CBH values into consideration.
• Initiative and Self-Directed: Proactively manage time and resources in a way that ensures that all work is done in the most efficient manner while identifying and implementing initiatives without interventions from co-workers, supervisors or stakeholders.
• Flexibility and Adaptability: Adjust approaches and behaviors in order to meet the constantly changing environment head-on and accomplish CBH and individual goals. Strive to adapt to, accept and embrace change within areas of responsibility.
• Communication: Effectively and appropriately share thoughts, ideas and information – both written and oral. Respectfully listen to co-workers and stakeholders to gain a full understanding of issues/situations.

Philadelphia Residency Requirement:

• The successful candidate must be a current Philadelphia resident or become a resident within six months of hire.

Covid-19 Vaccine Requirement:

• The safety and well-being of our candidates, our people, and their families continues to be a top priority. Subject to applicable law, please be aware that CBH requires all employees to be fully vaccinated as a condition of employment.

Equal Employment Opportunity:

• We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.

Requesting An Accommodation:

• CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.
• If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at

Compensation details: 0 Yearly Salary

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