Risk Management Analyst II

5 months ago

Portland, United States Kaiser Permanente Full time
Description: Job Summary:

Supports risk management programs by conducting standard audits and analyses to evaluate risk management programs, with general guidance. Assists with ad hoc reports and specialized data analysis for professional liability cases, risk management trends and issues, significant events, and near misses. Follows general guidelines to monitor, identify, and appropriately report risks and threats. Performs incident response, with some direction, using established protocols in rapid response and situation management for minor to moderate incidents. Contributes to consultative services for clinical and non-clinical staff on routine risk management issues, with minimal day-to-day supervision. Complies with State and Federal laws, regulations, patient rights, and professional ethics, with some guidance.


Essential Responsibilities:
Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome.Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship. Collaborates with others to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports the completion of priorities, deadlines, and expectations. Identifies and speaks up for ways to address improvement opportunities.Ensures compliance by: complying with State and Federal laws, regulations, patient rights, and professional ethics, with some guidance; upholding Kaiser policies and procedures and applicable federal and state laws and regulations, with general direction; serving as a liaison to assist other departments in complying with standard accreditation and regulatory risk management requirements (e.g., policies and procedures, legal claims manager); preparing for and participating in routine regulatory audits and related projects (e.g., annual audits, accrediting bodies); and learning about changes to laws, regulations, codes, policies, following general guidance, and standards as they apply to risk management.Supports Risk Management consulting by: contributing to consultative services for clinical and non-clinical staff on routine risk management issues, with minimal day-to-day supervision; following general guidelines for communications, outreach, and education as part of a comprehensive response plan to mitigate risk; and providing assistance as requested by participating in committees related to risk management activities.Contributes to documentation, analysis, and reporting by: using sophisticated risk management data sources to complete standard tasks with general direction; following guidelines to document professional liability cases, risk management trends and issues, significant events, and near misses with general guidance; contributing to the development and production of reports on scheduled cadence to senior leadership, Board committees, and regulators; assisting with ad hoc reports and specialized data analysis for professional liability cases, risk management trends and issues, significant events, and near misses; conducting basic analyses to identify trends and facilitate improvements with general guidance; utilizing reports and analyses to develop basic recommendations and action plans, escalating as necessary; following general guidelines to research risk exposure data in the areas of insured risks, including general and professional liability and consulting on certificates of insurance, indemnification letters, and credentialing responses as they relate to insured risks, including general and professional liability programs with some direction; and supporting team in investigating, analyzing, and resolving potentially compensable events, compensable events, and regulatory investigations.Supports Risk Management education and training by: coordinating training delivery and conducting risk management training for providers, staff, and/or external audiences as needed; engaging in training and development on risk management best practices as directed and integrating learning and feedback into daily work tasks; and engaging in routine activities to measure the impact and monitoring sustainability of education and training.Responds to Risk Management incidents by: performing incident response, with some direction, using established protocols in rapid response and situation management for minor to moderate incidents; gathering information to assist with incident investigations with general guidance; applying basic knowledge to act as a liaison to resolve and/or mitigate standard incidents, escalating any incidents with unusual conditions or factors; monitoring improvements and corrective actions to prevent recurrence with general guidance; and following general guidance to facilitate organizational awareness and handling of day-to-day clinical risk issues.Supports Risk Management programs by: assisting with the implementation of locally-relevant and/or enterprise-wide risk reduction and prevention programs, with minimal supervision; conducting standard audits and analyses to evaluate Risk Management programs, with general guidance; and making some recommendations, with limited guidance, to enhance existing programs based on analyses and observations.Contributes to threat monitoring and risk prevention by: following general guidelines to monitor, identify, and appropriately report risks and threats; analyzing, validating, and interpreting new and ongoing risks and threats with general direction; following general directions to support technical consulting and analytical support to a comprehensive risk financing program preserving corporate assets in order to reduce the impact of financial loss in the areas of property, casualty, workers compensation, general liability, and professional liability; implementing action plans to address identified problems with minimal guidance; reviewing and analyzing high-level product safety risks with some direction; preparing initial processing and receipt of clinical / safety events with limited guidance; and sharing risk management information to support the reduction of preventable errors in health care delivery. Minimum Qualifications:
Minimum two (2) years of experience using medical terminology.Bachelors degree in Analysis, Research, Statistics, Health Care (e.g., Registered Nurse), Healthcare Administration, Health Care Management, Economics, Business, Homeland Security, or a directly related field AND minimum one (1) year of experience in risk management, quality program, claims management, patient safety, or a directly related field OR Minimum four (4) years of experience in risk management, quality program, claims management, patient safety, or a directly related field.
Additional Requirements:
Knowledge, Skills, and Abilities (KSAs): Confidentiality; Business Relationship Management; Conflict Resolution; Relationship Building; Risk Assessment; Adaptability; Organizational Skills; Member Service; Microsoft Office; Personal Courage; Health Information Systems Preferred Qualifications:Two (2) years of experience in risk management, quality program, claims management, patient safety, or a directly related field.

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