Corporate Risk ManagerMission and Vision. 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 will directly report to the AVP, Corporate Risk Management, will work in a collaborative and aligned manner with the Claims Manager and the attorneys in the Office of Legal Affairs, and will ultimately function under the direction and supervision of the Chief Legal Officer. 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 also supports the risk finance function at the request of the AVP, Corporate Risk Management. Under the supervision of the AVP, Corporate Risk Management, the Corporate Risk Manager will collaborate with the patient safety arm of the organization.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.Job Specific and Unique Knowledge, Skills and Abilities:Obtains (e.g., from Verge reports), organizes and evaluates potential claims events, including medical professional liability, employment liability, and general liabilityAt the request of hospital and medical group risk managers, assists with patient complaints and grievancesResponsible for effective and efficient hospital and medical group Bordereaus, including analyzing information obtained and strategizing as to risk managementResponsible for the logging and the completeness of potential claims event files in RiskConnectRequired to be a super user of the RiskConnect application and adept at generating reports, such as monthly loss runsSupports the Claims Manager as needed in:Investigating and evaluating complex medical professional liability, general liability, auto, property, and other liability claims while keeping the department leader apprisedInterviewing medical providers, staff, witnesses, and other parties to obtain information used to assess liability exposureParticipating in enterprise-wide organizational committees as requested by the AVP, Corporate Risk Management, including RCAs and performance improvement initiativesConducting post-claim and post-settlement debriefing with department leaders and preparing after action reports to the Clinical Effectiveness & Patient Safety and medical group leadersAt the request of hospital risk managers, and in collaboration with the Assistant General Counsel, Hospital Operations, provides support in certain governmental investigations and responsesWith attorneys in the Office of Legal Affairs, coordinates with external stakeholders, i.e. Prosecutor's Office, law enforcement agencies, Texas Medical Board actions, etc. in non-litigation requests for staff interviews and/or testimonyAssists in responding to 3rd party non-litigation subpoenas, requests for information and or production of documentsHas primary responsibility for analyzing, submitting to insurance carriers, administrating, and obtaining reimbursement for first party claims and losses, e.g., property lossesConducts non-litigation post-claim and post-settlement debriefing with department leaders and prepares after action reports regarding first party claims and lossesUnder the supervision of the Assistant General Counsel, Hospital Operations, leads policy development and review in accordance with MHS policy, especially Corporate Risk Management policiesMonitors external stakeholder performance, i.e. defense counsel, insurance coordinators, agent/brokers and reports performance issues to department leadersAssists in problem-solving discussions with administrators, physicians, managers and clinical risk managers throughout the enterpriseExplores, identifies, and leads Corporate Risk Management strategic improvements and initiativesMinimum Job Qualifications:Bachelor's Degree in Nursing preferred. Healthcare related field will be considered when paired with experience. Master's degree highly desirable5 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 eligibilityMinimum 4 years of claims experience (medical malpractice preferred), insurance, or health care risk management insurance experience (preferred)Knowledge of medical, legal, and insurance terminology requiredExcellent assessment, communication, organization and teaching skillsMethodist Health System is a highly revered, leading nonprofit healthcare organization in Dallas, Texas. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist includes 13 hospitals, either through ownership or affiliation. Our wholly owned and full-service hospitals include Methodist Dallas, Methodist Charlton, Methodist Mansfield, Methodist Midlothian, Methodist Richardson, and Methodist Southlake Medical Centers. Our affiliated physician organization is Methodist Medical Group, which includes more than 50 healthcare clinics, two concierge medicine clinics, an urgent care clinic, and a virtual care platform known as MethodistNOW. At Methodist, we strive to have a diverse workforce that reflects the communities we serve — one that is welcoming of the skills and talents of all groups.Our Care Commitments:Take Care of PatientsTake Care of Each OtherTake Care of OurselvesTake Care of MethodistMethodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community.