Director of Risk Management

2 months ago

Rockford, United States Mercy General Health Partners Full time
Overview

Hybrid available

The Director of Risk Management, under the general direction and supervision of the Vice President of Legal Affairs/General Counsel and in collaboration with the Assistant General Counsel for Risk and Litigation, is responsible for Mercyhealth's enterprise risk management program. Key responsibilities include providing support and direction for Mercyhealth's risk management, vetting and procurement of appropriate insurance coverage, insurance claims management; and risk identification, evaluation, and mitigation. The Director of Risk Management under the direction and supervision of the Vice President of Legal Affairs/General Counsel assists with Legal and Risk Management Services department leadership, administration, and operation. The Director of Risk Management has supervisory responsibility for identified department personnel and works closely with several departments. Performs other duties as assigned.

Responsibilities

Essential Duties and Responsibilities

  • Leads and coaches a team of one or more assigned partners, some of whom may be shared resources, and is accountable for the work of the team. Facilitates professional development for assigned professionals in collaboration with other Department leaders.
  • Manages and supports insurance claims, including serving as first point of contact and working closely with the employee partners, insurance representatives, Mercyhealth leadership, and coordinating and working with the Assistant General Counsel for Risk and Litigations Matters and the VP of Legal Affairs/General Counsel.
  • Investigates, analyzes, tracks, trends, and evaluates alleged risk events, reporting potential compensable events as appropriate.
  • In collaboration with Mercyhealth Finance, works to bid and award insurance products; negotiates with the awarded vendors to assure the best price/coverage for Mercyhealth for both new and existing vendors; and reviews all related invoices for submission of payment approval.
  • Manages distribution of Certificates of Insurance to outside sources; manages internal review and archival of Certificates of Insurance provided to Mercyhealth from outside sources.
  • Promotes awareness of and provides education and updates to key stakeholders on risk, risk mitigation and other assigned subject area(s).
  • Ensures Department of Motor Vehicles eligibility checks are conducted on all employees who drive Mercyhealth owned or provided vehicles.
  • Assumes responsibility for assigned performance measures, including but not limited to those related to Legal Department efficiency and cost-savings.
  • Performs leadership accountabilities such as interviewing, selection, evaluation and coaching/discipline of assigned staff members.
  • Assists in developing and implementing strategic initiatives including those relating to enterprise risk management. Responsible for strategic problem solving of myriad issues.
  • Participates in developing and obtaining approval of department budget and is responsible for department performance to budget and objectives.
  • Works collaboratively as a team member of the Department.
  • Completes rounds in patient care areas and administrative departments to demonstrate he/she is accessible and approachable resource for physicians, nurses, managers and other partners.
  • Participates in Mercyhealth's Legal/Risk or Administrator On Call schedule. Serves on assigned Mercyhealth committees, providing both technical and strategic advice as appropriate. Represents Mercyhealth in external community or industry organizations.
  • Is regularly available during business hours. Must be available for emergencies during non-business hours by phone or e-mail, including in exceptional circumstances during authorized absences such as vacations or illnesses.


Culture of Excellence Behavior Expectations

To perform the job successfully, an individual should demonstrate the following behavior expectations:

Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals.

Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.

Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals.

Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.

Education and Experience

Bachelor's Degree in Occupational Safety, Risk Management or related field is required. Ten or more years of experience in Risk Management, Safety and Security is desired, preferably in a health care setting.

Certification and Licensure

Certification as Professional Healthcare Risk Manager

Skills and Abilities
Ability to effectively communicate on very sensitive subject matter, with a variety of individuals, for example Physicians, outside agencies, governmental agencies, insurance vendors and attorneys. Able to analyze data and complex materials.
Special Physical Demands

The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations.
While performing the duties of this job, the employee is regularly required use hands to finger, handle, or feel. The employee is frequently required to sit, feel, talk, and hear. The employee is occasionally required to stand and walk. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception, and the ability to adjust focus. This partner must be able to exert up to 25 pounds of force occasionally.
Must be able to travel from site to site, communication both orally and in writing.

Level of Supervision

Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems; employee adherence to annual education and certification requirements

Supervises

Directly supervises assigned staff and responsibilities are conducted in accordance with directives of management, the organization's policies, and applicable laws.

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