Executive Director, Risk Management - Stamford, United States - The Stamford Hospital

Description

• The responsibilities of this position include, with respect to insurance and risk financing matters, the

• The management, reserving, adjudication, adjustment, and payment of all medical professional, general, and employee benefit liability claims reserved and paid through HealthStar Indemnity, LLC, including but not limited to:
• The evaluation, investigation, and management of the organizational response to all major incidents and sentinel events.
• The conduct of meetings with patients and families regarding incident investigation results.
• Representation of the hospital as agent for service of legal process, including the coordination of activities such as record requests, depositions, etc.
• The counseling of employees as needed in support of legal proceedings in which they are professionally involved, including contacting hospital employees for the preparation and scheduling of depositions, assisting in obtaining answers to interrogatories, and responding to requests for production of documents and records from multiple hospital sources.
• Collaboration with outside counsel as needed.
• Primary responsibility for supporting hospital counsel in the litigation process.
• Supervision of the activities of the property and casualty insurance brokers/agents chosen by Stamford to place the system's property and casualty insurance portfolio and the reinsurance of HealthStar.
• The day-to-day supervision of the activities of HealthStar and its management and operations, working in conjunction with Stamford's independent risk management and insurance consultant, actuary, and management company.
• Assist in the representation of Stamford, its mission, operations, and other matters to the worldwide insurance/reinsurance underwriting market.
• The assessment, quantification, and identification of all risks to the organization that are directly or indirectly related to the insurances purchased or self-financed by Stamford; trending of aggregate data from adverse event reports, claims and loss prevention studies undertaken for identification of corrective and preventive actions as well as developing trends, and the development of risk reduction strategies and related programs.
• The responsibilities of this position include, with respect to claim management and risk

• Provision of ongoing support to hospital counsel in the litigation process: contacts hospital employees for depositions, assists in obtaining answers to interrogatories, requests for production of documents and records from multiple hospital sources.
• Develop litigation strategies and be responsible for planning and oversight of litigation related processes: regular update with defense counsel and insurer, reinsurers and other stakeholders. Coordinate and lead key meetings to plan and evaluate litigation matters (case roundtables, mock juries, meetings with key executive leaders).
• Provide regular presentations on captive and commercial insurance program, litigation matters, organizational and programmatic updates to diverse audiences, i.e. captive board, system board, underwriters, internal stakeholders and reinsurers.
• Responsible for management of claims management software systems, report development, claim trend analysis. Ensures accurate entry of new claims/suits into the case management database.

• The creation and establishment of a system-wide framework for identifying and containing enterprise risk, including the full integration of a best-practices enterprise risk management program covering all aspects of Stamford's operations and its operational risks derived from its core business practices; financial risks associated with the organization's ability to maintain access to capital; human capital risks associated with the organization's ability to acquire, maintain, and manage its work force; strategic risks, as they relate to joint ventures, acquisitions, advertising liability and related matters; legal and regulatory risks related specifically to mandated rules, regulations, statutes, and standards; technological risks related to the use of biomedical devices, telemedicine, electronic medicine, and the electronic medical record, as well as risk management information systems and other information technologies;
• The development of and maintenance of an organization-wide enterprise risk management matrix, quantifying and establishing the business and associated risks of all aspects of the system's operations and its internal as well as external conduct of business;
• The management and leadership of a cross functional enterprise risk management implementation team which will meet regularly to identify and address areas of risk throughout the organization and where team members include senior representatives from Stamford's core departments and functions, including finance, legal, human resource, information technology, and related operational areas.
• Responsible for identifying and communicating budgetary needs during the financial planning cycle. Responsible for maintaining expense levels with the financial plan and for communicating and explaining significant variances as they occur.
• Participates in rotating after hours Department on Call duties.

• Licensure in the state of Connecticut as either a Registered Nurse or other licensed professional is required.
• Master's degree in nursing, healthcare administration, or other comparable degree is required.
• A minimum of five years risk management and claims experience in a healthcare setting with at least three years' experience in a leadership capacity is required.
• Experience in loss control and claims management.
• Knowledge of medical malpractice and healthcare law.
• Experience in working with teams in a complex organization.
• Certification or certification-eligible as a Risk Manager is required.
• Member in good standing of one or more professional Risk Management organizations.

• Strong knowledge of healthcare terminology.
• Ability to maintain strict confidentiality.
• Must demonstrate exceptional leadership skills and the ability to build attract and develop an excellent management team.
• High level of competency with computers, the Internet, and computer software such as MS Office or equivalent is required.
• Superior verbal, written, organizational, and interpersonal skills are required.
• Prior experience designing training programs, developing training materials and facilitating presentations to large audiences and varying levels of an organization is preferred.
• The ability to work with individuals at all organizational levels especially in stressful situations, particularly peers, team members, other departments, patients, and the community is required.
• Analytical ability is required and experience with Performance Improvement programs such as Lean, PDCA, 6 Sigma is required. Competency with statistics and statistical analysis is required.