Manager Corporate Risk Management

Hours of Work :

Days Of Week :

Work Shift :

Job Description :

POSITION OVERVIEW:

Reporting to the Assistant Vice President Corporate Risk Management, the Corporate Risk Manager is responsible for the 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 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 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.

POSITION RESPONSIBILITIES:

Responsible for maintaining and organizing the organization's bordereau's in an effective and efficient manner, as well as analyzing information utilizing risk management principals to treat risk. Responsible for reviewing safety event reports, organizes and evaluates potential compensable events, including medical professional liability, employment liability, and general liability. At the request of hospital and medical group's management, assists with patient complaints, grievances and risk management services. Responsible for creating complete claim files in the organization's claim management system and electronic claim files. Required to be an Administrator of the risk management application including being adept at generating reports, e.g. loss-runs; customizable reports Collaborates with s the Claims Manager as needed in:

• Investigating and evaluating complex medical professional liability, general liability, auto, property, and other liability claims while keeping the department leader apprised

• Interviewing medical providers, staff, witnesses, and other parties to obtain information used to assess liability exposure

• Participating in enterprise-wide organizational committees as requested by the AVP, Corporate Risk Management, including RCAs and performance improvement initiatives

• Conducting post-claim and post-settlement debriefing with department leaders and preparing after action reports to the Clinical Effectiveness & Patient Safety and medical group leaders

At the request of hospital risk managers, and in collaboration with the Assistant General Counsel, Hospital Operations, provides support in certain governmental investigations and responses. With attorneys in the Office of Legal Affairs, coordinates with external stakeholders, e.g. Prosecutor's Office, law enforcement agencies, Texas Medical Board actions, etc. in non-litigation requests for staff interviews and/or testimony. Assists in responding to 3rd party non-litigation subpoenas, requests for information and or production of documents. Has primary responsibility for analyzing, submitting to insurance carriers, administrating, and obtaining reimbursement for first party claims and losses, e.g., property losses Conducts non-litigation post-claim and post-settlement debriefing with department leaders and prepares after action reports regarding first party claims and losses. Under the supervision of the Assistant General Counsel, Hospital Operations, leads policy development and review in accordance with MHS policy, especially Corporate Risk Management policies. Monitors external stakeholder performance, i.e. defense counsel, insurance coordinators, agent/brokers and reports performance issues to department leaders. Assists in problem-solving discussions with administrators, physicians, managers and clinical risk managers throughout the enterprise Explores, identifies, and leads Corporate Risk Management strategic improvements and initiatives

Other duties as assigned.

EDUCATIONAL AND EXPERIENCE REQUIREMENTS:

• Bachelor's degree in Nursing or healthcare field. , Human Resources, Marketing or other related fields.

• Graduate degree preferred.

• Certified Professional in Healthcare Risk Management (CPHRM), Associate in Risk Management (ARM) or similar certification preferred.

• Alternatively, must be willing to obtain certification within 6 months of eligibility.

Previous Work Experience

• 7 or more years of Recruitment, Sourcing, Branding or general Human Resources experience.

• 3 or more years of leadership experience.

• 5 years clinical experience preferred.

• Minimum 3 years Risk Management experience or 2 - 3 years healthcare administration-hospital operations.

• 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 required.

Other Knowledge, Skills and Abilities

• Proven analytical and data driven capabilities to continuously assess and optimize claims activity.

• Relationship focused with the ability to build and maintain collaborative partnerships with all levels of employees.

• Outstanding critical thinking, combined with both quantitative and qualitative analytical skills to identify the strengths and weaknesses of alternative solutions to problems in a cost effective manner.

• Flexible and adaptable to the ever changing business needs.

• Ability to professionally and effectively communicate (verbally and in writing) with key internal and external stakeholders.

• Exhibits the highest level of ethical acumen and ability to handle confidential information.

• Demonstrates ability to effectively interact with a multi-disciplinary and matrixed healthcare teams.

• Demonstrates initiative, is a self-starter, works independently within time frames delegated.

• Proactive to foresee issues and opportunities as they arise and use appropriate problem solving analysis, develop recommendations and take appropriate action in problem resolution.

Reports To:

AVP Corporate Risk Management

Inclement Weather Status

? Required to report to work

? Not required to report to work

Job Summary

? Category A: Employee with no patient impact

? Category B: Employee with patient impact

? FLSA: Exempt

? FLSA: Non-exempt

Job Purpose:

Support Enterprise's Corporate Risk Management Functions

Education:

• Bachelor's degree in Nursing or healthcare field. , Human Resources, Marketing or other related fields.

• Graduate degree preferred.

• Certified Professional in Healthcare Risk Management (CPHRM), Associate in Risk Management (ARM) or similar certification preferred.

• Alternatively, must be willing to obtain certification within 6 months of eligibility.

Licenses and/or Certifications (Required and 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

Physical Demands and Work Environment:

• Bachelor's degree in Nursing or healthcare field. , Human Resources, Marketing or other related fields.

• Graduate degree preferred.

• Certified Professional in Healthcare Risk Management (CPHRM), Associate in Risk Management (ARM) or similar certification preferred.

• Alternatively, must be willing to obtain certification within 6 months of eligibility.

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned:

• Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers

• 150 Top Places to Work in Healthcare by Becker's Hospital Review , 2023

• Top 10 Military Friendly® Employer, Gold Designation, 2023

• Top 10 Military Spouse Friendly® Employer, 2023

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned:

• Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers

• 150 Top Places to Work in Healthcare by Becker's Hospital Review , 2023

• Top 10 Military Friendly® Employer, Gold Designation, 2023

• Top 10 Military Spouse Friendly® Employer, 2023

Equal Opportunity Employer

It is the policy of Methodist Health System (MHS) to select, develop, and promote employees based on individual ability and job performance. It has been, and will continue to be, the policy of MHS to provide equal employment opportunity to all people in all aspects of employer-employee relations without discrimination because of race, color, religion, national origin, age, sex, sexual orientation, gender expression, disability, marital status, genetic information or ancestry. This policy affects decisions including, but not limited to, an employee's compensation, benefits, terms and conditions of employment, opportunities for promotion, training, development, transfer all other privileges of employment. MHS is committed to maintain a working environment free of intimidation, workplace discrimination and harassment. Retaliation or attempted retaliatory behavior that occurs as a result of an employee's exercise of their rights under this policy or any other statutorily protected right is strictly prohibited and will be grounds for disciplinary action.