System Director of Risk Management

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Location

BHG Bronson Healthcare Group

Title

System Director of Risk Management

The Director manages day-to-day operations of the Risk Management Department and maintains a comprehensive program designed to identify, eliminate or reduce, and insure against potential risks to Bronson Healthcare Group and its subsidiaries.  The Director leads, provides advice and strategy on risk related issues in collaboration with a wide variety of business partners both inside and outside Bronson.  The Director oversees the following functions:  Risk Management, Claims Management and Insurance Services. 

Responsibilities include:

• Development and maintenance of key performance indicators including analysis of risk management data gathered through the investigation of events, patient safety reports and other reporting mechanisms.
• Development of decision making tools and reports allowing for robust, risk based decision making of leaders.
• Development and implementation of organizational changes, in cooperation with business partners, based on best practice risk mitigation strategies, risk assessments, organizational experience, industry trends, or emerging Michigan and Federal laws that impact clinical services.
• Creation and execution of a comprehensive risk management educational plan for employees and workforce members throughout the system.
• Present risk and insurance updates, reports and education at Executive and Board level meetings.
• Collaborate with senior leaders in the management of critical, sensitive events that carry financial and reputational risk as well as risk to workforce members.
• Provide day-to-day risk expertise and support to leaders, providers and employees at all levels within the organization through a variety of mechanisms.  Risk Management Services are available 24/7, 365.
• Demonstrates skills in investigation of complex clinical concerns, using best practice resources to guide advice and decision making.
• Passion for and experience in a variety of investigation techniques, root cause analysis, failure mode analysis and other risk stratification and prevention techniques.
• Coordinates efforts to comply with and learn from risk partners and regulatory agencies through the risk assessment or complaint process.
• Build a dynamic risk management team, leading the team to achieve organizational and departmental goals.  Performs all aspects to people management.
• Develops and administers the departmental budget, including oversight and development of the system’s insurance budget as well as financial information shared monthly reflecting claim activity.
• Oversees all aspects of the professional and general liability claims management and risk financing program.  This includes oversight of both self-insurance and commercial lines of insurance: 

• Oversees investigation of all actual incidents/accidents/events that could lead to financial loss, including professional liability and general liability.
• Ensures collection of all information necessary to prepare for the defense of claims.
• Serves as Liaison to brokers and insurance company representatives in negotiating and settling claims.  Directs conferences with claimants, attorneys, and insurance carriers, when applicable.
• Interacts with hospital legal counsel, insurance carriers, and patients/families to effect settlement.
• Provides direction and advice to medical staff as necessary in connection with malpractice litigation and medico legal matters.
• Retrospectively analyzes claims data in an effort to identify trends or practices, which may be addressed by loss prevention education.
• Reviews and maintains insurance policies.
• Participates in negotiating of policy provisions.
• Assess appropriate reserve funding levels, both insured and self-insured, in conjunction with an actuary.
• Builds a culture of compliance.  Encourages a reporting environment.  Maintains awareness of and models compliance with state and federal law (HIPAA, EMTALA and Fraud and Abuse reporting) as well as organizational policies and compliance requirements specific to the functional area.

Education and Experience

• Bachelor’s degree in nursing or a health care related field.  Master’s degree preferred.
• 8 years’ experience in healthcare preferred.
• Five years' experience in risk management preferred.     
• CPHRM preferred or willing to obtain within three years of hire.
• Exceptional leadership skills
  • Ability to work independently and with a high level of initiative.
  • A high degree of professionalism to engender respect and build rapport as a knowledgeable and helpful resource within and outside the Risk Management team.
  • Exceptional verbal and written communication skills with strong problem-solving skills.
  • Demonstrates ability to manage conflict successfully.
  • Ability to lead and participate in teams to meet departmental goals and organizational initiatives.
  • Ability to manage complex projects and multiple projects simultaneously.
  • Ability to perform detailed work accurately and within agreed upon deadlines.
  • Ability to maintain confidentiality and handle highly sensitive information with discretion.
• Ability to successfully navigate the electronic medical record.
• Demonstrates a broad understanding of medical terminology, medical processes and the patient experience navigating healthcare.

Core Competencies

• Approachability: Is easy to approach and talk to; spends extra effort to put others at ease; can be warm, pleasant, and gracious; is sensitive to and patient with the interpersonal anxieties of others; builds rapport well; is a good listener.
• Coaching: Demonstrates a genuine intent to foster the learning and development of others; provides direct constructive feedback using examples that address specific behavioral issues; supports employee/customer involvement in the coaching process.
• Composure: Is cool under pressure; does not become defensive or irritated when times are tough; is considered mature; can be counted on to hold things together during tough times, can handle stress; is not knocked off balance by the unexpected; doesn’t show frustration when resisted or blocked; is a settling influence in a crisis.
• Conflict Management: Steps up to conflicts; seeing them as opportunities; reads situations quickly; good at focused listening; can navigate tough conversations and settles disputes equitably, can find common ground and get cooperation while maintaining professional relationships.
• Communication: Is able to speak/write clearly and succinctly in variety of communication settings and styles; consistently presents and expresses oneself to gain the support and collaboration of others; able to adapt communication style to various situations.
• Customer/Patient Focus: Is dedicated to meeting the expectations and requirements of the internal and external customers/patients, gets first-hand customer/patient information and uses it from improvements, acts with the customers/patients in mind, establishes and maintains effective relationships with customers/patients and gains their respect and trust.
• Integrity and Trust: Is widely trusted; is seen as direct, truthful individual; can present the unvarnished truth in an appropriate and helpful manner; keeps confidences, admits mistakes, doesn’t represent their self for personal gain.
• Listening: Practices attentive and active listening; has the patience to hear people out; can accurately restate opinions of others even when they disagree.
• Managing Inclusive Excellence: Manages all kinds of classes of people equitably; deals effectively with all races, nationalities, cultures, disabilities, ages, sexual orientation, and genders; supports equitable, fair treatment and opportunity for all. Is keenly aware of the impact of implicit bias and develops solutions to cultivate a diverse, equitable, engaging, and inclusive environment.
• Motivation: Continuously raises the bar. Demonstrates continuous improvement in job performance and encourages others to do so as well.
• Negotiating: Can negotiate skillfully in tough situations with both internal and external groups; can settle differences equitably; can win concessions without damaging relationships; can be both direct and forceful as well as diplomatic; gains trust quickly of other parties, has a good sense of timing.
• Planning: Accurately scopes out length and difficulty of tasks and projects; sets objectives and goals; breaks down work into the process steps; develops schedules; anticipates and adjusts for problems and roadblocks, measures performance against goals, evaluates results.
• Problem Solving: Uses rigorous logic and methods to solve difficult problems with effective solutions; probes all fruitful sources for answers; can see hidden problems or agendas, is excellent at honest analysis; looks beyond the obvious and doesn’t stop at the first answers.
• Self-Awareness – Reflects on activities and impact on others, proactively seeks feedback without being defensive, is open to constructive criticism and talking about shortcomings, admits mistakes and gains insights from those experiences, knows strengths and developmental opportunities.
• Self-Development: Is personally committed, and actively works, to continuously improve them self; understands that different situations and levels may call for different skills and approaches; works to deploy strengths; works on compensating for weaknesses and limits.
• Teamwork: Successfully works with multiple teams; recognizes team members’ contributions to the success of the team; fosters an environment of cooperation; demonstrates the ability to resolve team conflicts; respects and encourages the participation of others.

Shift

Variable

Time Type

Full time

Scheduled Weekly Hours

40

Cost Center

1300 Risk Management (BHG)

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