WHAT’S YOUR WHY? At VIPcare, we value you. We see you. Team Members at VIPcare are living their why and building their career with a reliable team that shares our value of providing 5-star service that always puts patient care and outcomes first. You’ll be part of a team our senior population trusts to care for their health, someone they look to for healthcare guidance to get them healthy and keep them healthy.

VIPcare is a quality based healthcare organization that focuses on prevention. We encourage four well visits per year, proactive outreach to our most fragile and at-risk patients, same day urgent appointments and transitional care management.

THE OPPORTUNITY
The Risk Manager at VIPcare/SaludVIP will lead and support the development, implementation
and maintenance of all activities related to clinic quality, safety, and risk. The Risk Manager will
implement, oversee, monitor, enforce and, when necessary, modify the Clinic Quality/ Safety/
Risk Programs. The Risk Manager will work with the Compliance and Health Services Teams to
develop written standards and procedures, conduct internal auditing and monitoring, provide
staff training and education, investigate possible violations, develop corrective action plans and
when appropriate, enforce disciplinary standards. The Risk Manager reports directly to the
Chief Compliance Officer and works collaboratively with cross functional leadership.
The Risk Manager will understand regulatory standards and help develop internal procedures
and guidelines. The Risk Manager will play a vital role in establishing and supporting the entire
team’s compliance for clinical and medical procedures in order to address and reduce potential
safety, financial, and patient concerns. Responsible for risk management, oversight of quality
control measures, and understanding applicability of regulations, the Risk Manager conducts
verifications and audits to provide requested performance reporting and guidance on
compliance and risk management matters.
The Risk Manager will assist the Compliance Officer with compliance, risk management, and
quality improvement initiatives, including required trainings, assessments, corrective action
plans, and collaboration with all teams and/or third parties to make sure all levels of business
stay on ethical courses and within the guidelines of applicable corporate and regulatory
requirements.

KEY RESPONSIBILITIES
• Assist with the development of guidelines and standard operating procedures for
VIPcare/SaludVIP’s operational, clinical, and medical procedures.
• Draft, modify, and implement guidelines in-line with Compliance and Risk Management
Programs as needed.
• Manage and report compliance audits to ensure adherence to compliance and risk
management standards.
• Oversee quality control systems globally to mitigate and report on deviation(s) of
approved guidelines and procedures.
• Provide support, education, and training to build compliance and risk awareness.
• Work with Compliance Officer and department heads to continuously evaluate the
efficiency of controls and improve them.
• Collaborate with Clinical Quality Assurance and/or Environmental Control Manager to
generate, establish, and maintain improvement initiatives.
• Collaborate with legal counsels and department heads to report and improve
enforcement of standards and regulations.
• Coordinate, generate, and compile Quality Improvement & Risk Management Reporting
for QI&RM Committee review.
• Revise procedures, reports, etc. periodically to identify hidden risks or non-conformity
issues.
• Assess business ventures to identify possible compliance risks, including conducting a
yearly evaluation to report annual business risk assessment.

• Review the work of colleagues when necessary to identify compliance risks or possible
improvement opportunities and work with department heads to provide appropriate
advice or training.
• Keep abreast of regulatory developments as well as evolving best practices in
compliance control.
• Manage the grievance/complaint investigation process as required to ensure informed
determinations are made and timely response is provided.

REQUIREMENTS

• Experience working in the clinical quality/risk/safety/ or compliance functions in a multi-
provider, multi-location medical group practice

• Experienced in health administration, compliance, and risk management
• Bachelor’s degree or equivalent work experience in a related field
• Certifications in compliance/risk management/credentialing are a plus
• Experience in multi-state groups a plus
• Ability to travel nationally (15%-25% of time)
• Proven efficiency with monitoring, reporting, and data management
• In-depth knowledge of internal standards and protocols
• Proficient in generating reporting and record keeping procedures
• A proactive approach to quality initiatives and risk mitigation
• Dedication to regulatory standards, integrity, and ethical practices
• An ability to maintain composure and a positive attitude in demanding or stressful
situations
• Methodical and diligent with outstanding planning and organizational skills
• An analytical mind able to “see” the complexities of quality performance trends
• Excellent communication skills