Risk Manager

Summary:

Location: 280 Chestnut Street Springfield MA (Hybrid)

Schedule: Monday-Friday; 8a-5p

Oncall expectations required

Under the direction of the Senior Director of Clinical Safety and Risk Management, the Risk Manager is responsible for:

1. The management, administration, and application of the system-wide clinical and enterprise risk management (ERM) programs across all coverage lines

2. Systematically applying the risk management process to proactively identify, analyze, and mitigate risk

3. Engagement in the patient and family-centered Communication, Apology, and Resolution (CARe) response to all serious adverse events

4. Identifying potential losses to the organization

5. Conducting immediate/appropriate response to any serious occurrence/complaint representing the actual or potential patient, visitor, and/or employee injury

6. Monitoring and taking subsequent actions to assure learning, compliance, and documentation

7. Developing and maintaining appropriate loss prevention programs and strategies within Baystate Health’s just culture framework, consistent with high-reliability organization principles (HRO), to enhance patient safety, support the just culture of provider transparency, prevent/reduce injury to patients, employees, and visitors, and mitigate the frequency and severity of financial exposure to the organization

8. Managing loss exposures to minimize economic impact on patients and the organization

9. Risk identification, evaluation, reporting, and loss control, including compliance with applicable regulatory, accreditation, and professional standards

10. Coordinating with the captive insurance program in the identification and processing of potentially compensable events, claims, and lawsuits brought against insured Baystate Health entities and hospital-based and community-based practitioners

11. Assisting with the development and implementation of initiatives, including clinical education activities and other risk prevention/reduction/elimination throughout the organization

12. Supporting the process of responding to product and safety recalls and alerts and safe medical device reporting of adverse events

13. Serving as a liaison to external regulatory agencies for purposes of patient and nursing reporting, event investigation, and response, including, but not limited to, the Department of Public Health and Board of Registration in Nursing, preparing and submitting required reports to state and federal agencies and, when applicable, coordinating external investigations

14. Disseminating information on claim patterns and risk control and legislative and regulatory changes and utilizes this information to educate personnel as to changes in practice

15. Actively participating in a variety of committees within the hospital system as assigned

16. Keeping up to date with new and revised state and federal regulations and statutes related to hospitals and patient care, advising medical and hospital staff of changes in governmental and professional standards that affect practice with recommendations for compliance

17. Reviewing and evaluating related policies and procedures, recommending revisions as needed, and creating new policies for approval as required

18. Providing guidance relative to civil and criminal matters, including responses to subpoenas requesting testimony, document production, and disclosure of protected health information

19. Serving as a consultant to the Claims Manager in the identification of areas of potential liability and the application of legal theory and case law

20. Maintaining a direct referral system for staff to report adverse events with access to timely consultation, including the sharing by rotation of 24-hour On-Call coverage service

21. Supporting enterprise risk management goals, strategies, and processes under the direction of the Senior Director of Clinical Safety and Risk Management and the Vice President/Chief Risk Officer

Required Work Experience and Education: 

• Previous experience in healthcare, professional liability insurance, and/or law
• Bachelor’s or master’s degree in healthcare administration, risk management, nursing, or another related field

Preferred Work Experience: 

• Healthcare risk management or professional liability experience preferred
• Bachelor’s or master’s degree in healthcare administration, risk management, nursing, or another related field
• Paralegal experience or any healthcare delivery role will be considered
• CPHRM, ARM, ARM-E preferred

Skills and Competencies: 

• Basic computer skills
• Effective communication, writing, presentation, and analytical research skills
• Strong problem-solving and decision-making skills
• Familiarity with healthcare delivery processes and best practices
• General familiarity with legal, regulatory, and accreditation standards

Education:

Bachelors Degree (Required)

Certifications:

Compensation

Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.

Minimum – Midpoint – Maximum

$108,180.00 – $124,342.00 – $147,097.00

Equal Employment Opportunity Employer