Lead Risk Management Strategist

2 weeks ago

Irvine, California, United States Hoag Memorial Hospital Presbyterian Full time
Salary Range: $ $ /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

Position Overview

Become a vital part of a prominent healthcare institution where innovation is intertwined with compassion. At Hoag Memorial Hospital Presbyterian, we are committed to delivering outstanding care while nurturing a supportive atmosphere for our staff, physicians, and patients. Our collaborative ethos and dedication to excellence have made us a cornerstone in the healthcare landscape of Orange County.

Key Responsibilities
  • Formulating and executing risk management frameworks, policies, and procedures that align with the organization's goals, regulatory mandates, and industry best practices.
  • Guiding and mentoring a team of risk management specialists, offering direction, coaching, and support to enhance performance and professional development.
  • Engaging with senior executives, including the CEO and CFO, to establish risk management objectives, priorities, and financial plans.
  • Identifying, evaluating, and prioritizing risks across various sectors of the organization, including operational, financial, regulatory, and reputational domains.
  • Creating and implementing risk mitigation strategies and controls to manage and minimize identified risks to acceptable levels.
  • Conducting risk evaluations, audits, and reviews to assess the effectiveness of risk management processes and controls.
  • Ensuring adherence to regulatory standards, industry guidelines, and internal policies, while liaising with regulatory bodies as necessary.
  • Fostering and maintaining relationships with internal stakeholders, external partners, regulators, and industry associations to remain informed of industry trends, best practices, and regulatory changes.
  • Providing education and training on risk management methodologies, performing risk assessments, and monitoring trends to proactively identify potential risks and areas for improvement.
  • Collaborating with external legal advisors on litigated matters, responding to discovery requests, and assisting in the development of defense strategies.
  • Conducting claims analysis, managing files, and working closely with insurance providers.
  • Partnering with third-party administrators to ensure compliance with company guidelines and best practices in claims management.
  • Leading incident investigations and participating in root cause analyses to prevent recurrence.
  • Working alongside clinical teams to enhance patient safety initiatives.
  • Participating in the management of insurance portfolios, including policy renewals.
  • Delivering training and support to staff on risk management practices.
  • Safeguarding the rights of patients, providers, and the institution.
  • Demonstrating exemplary leadership skills.
  • Encouraging process enhancements.
  • Promoting initiatives to protect all assets of the hospital.
  • Exhibiting professionalism in communication, appearance, and conduct.
  • Supporting the hospital's mission and values.
Qualifications
  • A minimum of five years of clinical experience and at least seven years in risk management.
  • Proficient computer skills, including the ability to format and present information in both Excel and PowerPoint.
  • Capability to format and present legal and clinical information in both small and large group settings.
Preferred Certifications
  • Certified Professional Healthcare Risk Manager or eligibility to obtain within two years of hire.
#LI-EM1

Hoag Memorial Hospital Presbyterian is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. We are committed to the principle of equal employment opportunity for all employees and providing a work environment free of discrimination and harassment. We value diversity and strive to create an inclusive environment where all employees can reach their full potential in pursuit of organizational objectives.

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