Manager Corporate Risk Management

American Society for Healthcare Risk Management

Dallas, TX

JOB DETAILS
SKILLS
ARM (Advanced RISC Machine), Billing, Billing Records, Brokerage, Claims Management, Clinical Medicine, Communication Skills, Contract Management, Detail Oriented, Employee Orientation, File Maintenance, Health Insurance, Healthcare, Healthcare Administration, Healthcare Providers, Hospital Administration, Insurance, Insurance Claims, Knowledge Base, Law Enforcement, Legal, Litigation, Medical Billing, Medical Records, Microsoft Office, Negotiation Skills, Nursing, Organizational Skills, Patient Safety, Performance Analysis, Performance Management, Policy Development, Presentation/Verbal Skills, Problem Solving Skills, Reporting Dashboards, Risk Management, Training/Teaching, Writing Skills
LOCATION
Dallas, TX
POSTED
Today

Job DescriptionThe Corporate Risk Manager role directly supports the Corporate Risk Management, claims and insurance functions for the enterprise and assists in the overall operations of the Office of Legal Affairs. The Corporate Risk Manager will be responsible to attend internal and external meetings, depositions and trials within the Dallas-Fort Worth Metropolitan area as well as at MHS's owned and/or operated facilities.The Corporate Risk Manager will be expected to have a strong foundation in Risk Management principles. Insurance and claims management experience in a healthcare setting is preferred, along with a strong desire to acquire new knowledge. An in-depth knowledge of medico-legal terminology is preferred. A strong desire to expand their knowledge base to positively contribute to a strong, expert, and cohesive group is important. The Corporate Risk Manager will be required to use the Claims Management Systems, expense/billing and contract management systems, and their Microsoft Office skills to elevate the level of service the Office of Legal Affairs provides to the enterprise. Exceptional oral and written communication skills are required to support the department's mission and goals along with being detail oriented, logical, and an ability to methodically approach problem solving.The Corporate Risk Manager will work under the direction and supervision of the AVP, Corporate Risk Management.Job Specific Knowledge, Skills, and AbilitiesInvestigates and evaluates complex medical professional liability, general liability, auto, property, and other liability claims while keeping the department leader apprisedInterviews medical providers, staff, witnesses, and other parties to obtain information used to assess liability exposureParticipates in enterprise-wide organizational committees including RCAs, performance improvement, policy development and othersEnsures staff secure records required for investigation in anticipation of litigationEvaluates cases for appropriate disposition and seeks authority for settlement from department leadersDetermines negotiation strategy and negotiates settlements with authority level in coordination with department leadersMonitors external stakeholder performance, i.e. defense counsel, insurance coordinators, agent/brokers and reports performance issues to department leadersAssists in developing responses to written discovery, including interrogatories, notices to produce, and requests for admission with the guidance of department leadersCoordinates responses to various subpoenas involving the medical center and/or its employeesCoordinates with external stakeholders, i.e. Prosecutor's Office, law enforcement agencies etc. requests for staff interviews and/or testimonyAssists in identifying appropriate personnel for production for deposition testimony and provides support and guidance to employees during the processAssists in responding to patient medical/billing record production requests in pending litigation and/or professional Board mattersMonitors trials and attends pre-trial proceedings, mediations, and arbitrations, as necessaryConducts post-settlement debriefing with department leaders and prepares after action report to the Clinical Effectiveness & Patient Safety department leaderManages physician-resident and nursing education program for the enterpriseSubmits new losses to external stakeholders including insurance carriersAnalyzes and evaluates general liability events to determine organizational exposureLeads and maintains litigation files and litigation tracking reports/dashboard using claims management applicationAssists in problem-solving discussions with administrators, physicians, managers and clinical risk managers throughout the enterpriseMinimum Job QualificationsBachelor's Degree in Nursing preferred. Healthcare related field will be considered when paired with experience. Master's degree highly desirable.5 years clinical experience (required)Minimum 3 years Risk Management experience or 2-3 years healthcare administration-hospital operations (preferred)Certified Professional in Healthcare Risk Management (CPHRM), Associate in Risk Management (ARM) preferred. Alternatively, must be willing to obtain certification within 6 months of eligibility.Minimum 4 years of claims experience (medical malpractice preferred), insurance, or health care risk management insurance experience (preferred)Knowledge of medical, legal, and insurance terminology requiredExcellent assessment, communication, organization, and teaching skills#J-18808-Ljbffr

About the Company

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American Society for Healthcare Risk Management