Manager Corporate Risk Management

Methodist Health System•Dallas, TX

About The Position

Methodist Health System (MHS) is a $2 billion health system in the Dallas-Fort Worth Metropolitan area with 6 general acute care hospitals and 1 general acute care hospital under construction. Our mission is to improve and save lives through compassionate, quality healthcare. We strive to be the trusted choice for health and wellness. Our mission will inspire your day-to-day work. Join our Team. We’ve been named among the Best Places to Work for 15 consecutive years by the Dallas Business Journal . But, most importantly, we have created the kind of culture where employees are valued by leadership, are part of process initiatives, and truly support each other as a team. The Office of Legal Affairs is dynamic and growing; collaborative and creative in our approach; and we like to have fun. We support remote work and the positive impact it can have on team members’ productivity and well-being. Summary. The Corporate Risk Manager role directly supports the Corporate Risk Management, claims and insurance functions for the enterprise and assists in the overall operations of the Office of Legal Affairs. The Corporate Risk Manager will be responsible to attend internal and external meetings, depositions and trials within the Dallas-Fort Worth Metropolitan area as well as at MHS’s owned and/or operated facilities. The Corporate Risk Manager will be expected to have a strong foundation in Risk Management principles. Insurance and claims management experience in a healthcare setting is preferred, along with a strong desire to acquire new knowledge. An in-depth knowledge of medico-legal terminology is preferred. A strong desire to expand their knowledge base to positively contribute to a strong, expert, and cohesive group is important. The Corporate Risk Manager will be required to use the Claims Management Systems, expense/billing and contract management systems, and their Microsoft Office skills to elevate the level of service the Office of Legal Affairs provides to the enterprise. Exceptional oral and written communication skills are required to support the department’s mission and goals along with being detail oriented, logical, and an ability to methodically approach problem solving. The Corporate Risk Manager will work under the direction and supervision of the AVP, Corporate Risk Management.

Requirements

Bachelor’s Degree in Nursing preferred. Healthcare related field will be considered when paired with experience.
Master’s degree highly desirable
5 years clinical experience (Required)
Minimum 3 years Risk Management experience or 2 - 3 years healthcare administration-hospital operations (preferred)
Certified Professional in Healthcare Risk Management (CPHRM), Associate in Risk Management (ARM) preferred. Alternatively, must be willing to obtain certification within 6 months of eligibility
Minimum 4 years of claims experience (medical malpractice preferred), insurance, or health care risk management insurance experience (preferred)
Knowledge of medical, legal, and insurance terminology required
Excellent assessment, communication, organization and teaching skills

Responsibilities

Investigates and evaluates complex medical professional liability, general liability, auto, property, and other liability claims while keeping the department leader apprised
Interviews medical providers, staff, witnesses, and other parties to obtain information used to assess liability exposure
Participates in enterprise-wide organizational committees including RCAs, performance improvement, policy development and others
Ensures staff secure records required for investigation in anticipation of litigation
Evaluates cases for appropriate disposition and seeks authority for settlement from department leaders
Determines negotiation strategy and negotiates settlements with authority level in coordination with department leaders
Monitors external stakeholder performance, i.e. defense counsel, insurance coordinators, agent/brokers and reports performance issues to department leaders
Assists in developing responses to written discovery, including interrogatories, notices to produce, and requests for admission with the guidance of department leaders
Coordinates responses to various subpoenas involving the medical center and/or its employees
Coordinates with external stakeholders, i.e. Prosecutor’s Office, law enforcement agencies etc. requests for staff interviews and/or testimony
Assists in identifying appropriate personnel for production for deposition testimony and provides support and guidance to employees during the process
Assists in responding to patient medical/billing record production requests in pending litigation and/or professional Board matters
Monitors trials and attends pre-trial proceedings, mediations, and arbitrations, as necessary
Conducts post-settlement debriefing with department leaders and prepares after action report to the Clinical Effectiveness & Patient Safety department leader
Manages physician-resident and nursing education program for the enterprise
Submits new losses to external stakeholders including insurance carriers
Analyzes and evaluates general liability events to determine organizational exposure
Leads and maintains litigation files and litigation tracking reports/dashboard using claims management application
Assists in problem-solving discussions with administrators, physicians, managers and clinical risk managers throughout the enterprise