In collaboration with the Healthcare Risk Director, lead the affiliate risk and risk mitigation operational functions including, Risk Management Program Development, Claims Management, Risk Mitigation, Risk Assessment and Guidance, and Education in assigned affiliate(s). As a member of the Healthcare Risk team and the Office of General Counsel, the Risk Officer collaborates with affiliate leadership to improve the patient experience and patient safety by identifying and controlling risks, reducing and eliminating the possibility of losses associated with healthcare delivery and related core business activities. Collaborate with affiliate and system leadership in developing and executing pro-active patient safety focused risk management, risk mitigation, and loss prevention programs. Develop a collaborative relationship with other members of the OGC and Compliance in order to ensure risk, legal and regulatory concerns are addressed properly. The Risk Officer reports directly to a Healthcare Risk Director.
Bachelor's degree in Business, Healthcare Administration, Risk Management, Nursing, or a related field required or equivalent education/experience.
Associate in Risk Management (ARM) Preferred.
Licensures and Certifications
Certified Professional in Healthcare Risk Management - CPHRM required.
Certified Professional in Healthcare Quality (CPHQ) preferred.
Certified Profession in Patient Safety (CPPS) preferred.
Significant healthcare risk management experience required, as typically acquired during a minimum of 3 years in a similar role required.
Proven experience in a healthcare role with an emphasis on the implementation of a risk management program in a patient care environment required.
Demonstrated experience adopting and implementing healthcare quality review/improvement and accreditation process required.
Extensive experience managing healthcare-related liability claims required.
Demonstrated capability of proficiency in managing key, sensitive working relationships with people from diverse groups of business backgrounds, in a rapidly changing environment required.
Proven experience leading teams and system initiatives required.
Significant experience conducting system analyses to identify and improve patterns/behaviors that do not meet risk management best practice and could result in increased liability exposure required.
Skills and Knowledge
Intermediate knowledge of healthcare-related state and federal law and regulations including accreditation and professional standards
Thorough knowledge of methods used to identify and develop solutions to loss and risk control problems
Broad knowledge of healthcare risk identification and control methods, loss reduction and prevention activities, and claims management
Understanding of and experience with Lean or other process improvement philosophies and methodologies desired
Practical knowledge of healthcare quality review/improvement and accreditation processes
Broad knowledge of risk management best practices and methods used to limit exposure liability and risk
Proven ability to effectively and independently utilize consultative skills and maintain excellent interpersonal relationships
Demonstrate capability to communicate verbally and in writing in a clear and concise manner with leaders, staff and physicians in affiliate and across Sutter Health
Proven ability to communicate and mobilize staff in order to implement risk management strategies
Strong RCA, FMEA , problem solving skills and ability to reprioritize workload as needed to assure completion of work
Demonstrated ability to indentify risks, review past incidents, and liability claims and make recommendations to minimize risk
Basic computer literacy, including knowledge of word processing, email, and use of the internet