Director Risk Management

Providence Health & Services•Anaheim, CA

34d•$80 - $127•Hybrid

About The Position

Calling all Esteemed Leaders! Are you a strategic mastermind with a passion for healthcare? Do you thrive on navigating complex challenges and shaping the future of healthcare delivery? If so, then we have the perfect opportunity for you! The Role: Providence Clinical Network (PCN) is seeking an experienced and collaborative Director of Medical Group Risk Management & Malpractice for oversight of a comprehensive malpractice risk program across our Southern California medical groups. This role fills a critical gap unique to the California model-where physicians practice through independent medical groups under Professional Services Agreements (PSAs). The Director ensures compliance with PSA obligations by providing the administrative and operational support necessary to manage medical malpractice risk, claims, and patient safety interface functions. The Director will partner with Director of Patient Safety Risk and work with PCN SoCal CMO to lead medical group risk strategy, including direct physician engagement, insurer relations, and early resolution of patient concerns. This is a replacement and expansion of a long-standing role at Facey Medical Group, now scaling to serve all Providence-affiliated medical groups in Southern California.

Requirements

Educational Background: Bachelor's degree in healthcare administration, risk management, law, nursing, or related field; Master's degree preferred (JD, MBA, MHA, MSN or equivalent).
Experience: 7+ years of experience in medical malpractice risk management, insurance, or healthcare compliance, and 8 years of leadership experience in a multi-site environment. Experience interfacing with physicians, insurers and legal counsel to manage claims and settlements.
Skills: Strong leadership, analytical, organizational, communication, interpersonal, and problem-solving skills. Ability to partner with clinical and operational leaders and interface with stakeholders effectively.
Expertise: Knowledge of California and federal healthcare regulations, clinical, medical group governance, and risk assessment and mitigation skills.
Stakeholder Interface: Skilled in physician curbside consults on risk issues and resolution of patient complaints.
Financial Responsibility: Ability to exercise/recommend settlement authority and influence malpractice premium performance.
Regulatory Awareness: Working knowledge of the California malpractice environment.

Responsibilities

Design and lead a consolidated medical group malpractice risk program serving multiple medical groups across Southern California.
Develop policies, procedures, and workflows to manage malpractice claims, patient complaints, and early-resolution strategies.
Partner with malpractice insurer and legal counsel to ensure coordinated communication and risk mitigation.
Serve as a trusted advisor to physician leaders, providing real-time consults on risk-sensitive clinical and patient issues.
Standardize and lead medical group risk committees across LA, Orange County, and High Desert markets.
Oversee intake, evaluation, and management of malpractice claims, including settlements within delegated financial authority (up to $250K per claim where applicable). ss
Act as liaison with The Doctors Company (TDC) and other insurers for claims management and reporting.
Monitor and analyze loss runs, premiums, reserves, and emerging trends to identify financial opportunities.
Partner with finance leaders to forecast and manage the impact of deductibles and premium reduction strategies. Regulatory Compliance & Patient Interface
Ensure all risk activities comply with state, federal, and regulatory standards, including California corporate practice requirements.
Lead or coordinate patient complaint reviews and early resolution outreach in collaboration with legal and physician leaders.
Provide ongoing education and guidance to physicians and clinical teams on malpractice prevention, disclosure, and documentation. Collaboration & Governance
Collaborate with the Director of Patient Safety/Compliance to align trends and mitigation initiatives while maintaining distinct responsibilities.
Participate in compliance committees, policy reviews, and audits as the medical group risk subject-matter expert.
Develop strong partnerships with System Risk, Legal, HR, and hospital leadership to ensure alignment and coordinated communication.

Benefits

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more.
Learn more at providence.jobs/benefits.

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