Executive Director, Risk Management & Insurance Operations job in Stamford

Stamford, Connecticut - CT Stamford Health

Job Ref:	300000056891022
Employer:	Stamford Health
Sector:	Health Insurance
Qualifications:	Senior Qualified Actuary
Job Type:	Full Time
Salary and Benefits:	Competitive
Remote:	No
Location
Country:	United States
State/Province/County:	Connecticut - CT
City:	Stamford
Post Code:	06904
Map:	(Show on map)
Description
Responsibilities 1. The responsibilities of this position include, with respect to insurance and risk financing matters, the following specific duties and responsibilities: The management, reserving, adjudication, adjustment, and payment of all medical professional, general, and employee benefit liability claims reserved and paid through HealthStar Indemnity, LLC, including but not limited to: The evaluation, investigation, and management of the organizational response to all major incidents and sentinel events. The conduct of meetings with patients and families regarding incident investigation results. Representation of the hospital as agent for service of legal process, including the coordination of activities such as record requests, depositions, etc. The counseling of employees as needed in support of legal proceedings in which they are professionally involved, including contacting hospital employees for the preparation and scheduling of depositions, assisting in obtaining answers to interrogatories, and responding to requests for production of documents and records from multiple hospital sources. Collaboration with outside counsel as needed. Primary responsibility for supporting hospital counsel in the litigation process. Supervision of the activities of the property and casualty insurance brokers/agents chosen by Stamford to place the system's property and casualty insurance portfolio and the reinsurance of HealthStar. The day-to-day supervision of the activities of HealthStar and its management and operations, working in conjunction with Stamford's independent risk management and insurance consultant, actuary, and management company. Assist in the representation of Stamford, its mission, operations, and other matters to the worldwide insurance/reinsurance underwriting market. The assessment, quantification, and identification of all risks to the organization that are directly or indirectly related to the insurances purchased or self-financed by Stamford; trending of aggregate data from adverse event reports, claims and loss prevention studies undertaken for identification of corrective and preventive actions as well as developing trends, and the development of risk reduction strategies and related programs. 2. The responsibilities of this position include, with respect to claim management and risk financing matters, the following specific duties and responsibilities: Provision of ongoing support to hospital counsel in the litigation process: contacts hospital employees for depositions, assists in obtaining answers to interrogatories, requests for production of documents and records from multiple hospital sources. Develop litigation strategies and be responsible for planning and oversight of litigation related processes: regular update with defense counsel and insurer, reinsurers and other stakeholders. Coordinate and lead key meetings to plan and evaluate litigation matters (case roundtables, mock juries, meetings with key executive leaders). Provide regular presentations on captive and commercial insurance program, litigation matters, organizational and programmatic updates to diverse audiences, i.e. captive board, system board, underwriters, internal stakeholders and reinsurers. Responsible for management of claims management software systems, report development, claim trend analysis. Ensures accurate entry of new claims/suits into the case management database. 3. The Executive Director, Risk Management and Insurance Operations will also be responsible for the development and implementation of an enterprise-wide risk management program that transcends the management of the insurance, self-insurance, risk management, and claims management processes including: The creation and establishment of a system-wide framework for identifying and containing enterprise risk, including the full integration of a best-practices enterprise risk management program covering all aspects of Stamford's operations and its operational risks derived from its core business practices; financial risks associated with the organization's ability to maintain access to capital; human capital risks associated with the organization's ability to acquire, maintain, and manage its work force; strategic risks, as they relate to joint ventures, acquisitions, advertising liability and related matters; legal and regulatory risks related specifically to mandated rules, regulations, statutes, and standards; technological risks related to the use of biomedical devices, telemedicine, electronic medicine, and the electronic medical record, as well as risk management information systems and other information technologies; The development of and maintenance of an organization-wide enterprise risk management matrix, quantifying and establishing the business and associated risks of all aspects of the system's operations and its internal as well as external conduct of business; The management and leadership of a cross functional enterprise risk management implementation team which will meet regularly to identify and address areas of risk throughout the organization and where team members include senior representatives from Stamford's core departments and functions, including finance, legal, human resource, information technology, and related operational areas. Responsible for identifying and communicating budgetary needs during the financial planning cycle. Responsible for maintaining expense levels with the financial plan and for communicating and explaining significant variances as they occur. 4. Participates in rotating after hours Department on Call duties. Qualifications QUALIFICATIONS/REQUIREMENTS: Licensure in the state of Connecticut as either a Registered Nurse or other licensed professional is required. Master's degree in nursing, healthcare administration, or other comparable degree is required. A minimum of five years risk management and claims experience in a healthcare setting with at least three years' experience in a leadership capacity is required. Experience in loss control and claims management. Knowledge of medical malpractice and healthcare law. Experience in working with teams in a complex organization. Certification or certification-eligible as a Risk Manager is required. Member in good standing of one or more professional Risk Management organizations. SKILLS/ABILITIES/COMPETENCIES: Strong knowledge of healthcare terminology. Ability to maintain strict confidentiality. Must demonstrate exceptional leadership skills and the ability to build attract and develop an excellent management team. High level of competency with computers, the Internet, and computer software such as MS Office or equivalent is required. Superior verbal, written, organizational, and interpersonal skills are required. Prior experience designing training programs, developing training materials and facilitating presentations to large audiences and varying levels of an organization is preferred. The ability to work with individuals at all organizational levels especially in stressful situations, particularly peers, team members, other departments, patients, and the community is required. Analytical ability is required and experience with Performance Improvement programs such as Lean, PDCA, 6 Sigma is required. Competency with statistics and statistical analysis is required. About Us About Stamford Health Stamford Health is a non-profit independent health care system with more than 3,800 employees committed to caring for the community through a wide range of high-quality health and wellness services. Patients and their families receive expert, compassionate care through the system's 305-bed Stamford Hospital; Stamford Health Medical Group, with more than 40 offices in lower Fairfield County offering primary and specialty care; a growing number of ambulatory locations across the region; and support through the Stamford Hospital Foundation. Stamford Health is known for its expert, person-centered care through its many recognitions and partnerships. U.S. News & World Report has recognized Stamford Hospital as a High-Performing Hospital. The Centers for Medicare and Medicaid Services (CMS) rated Stamford Hospital as a five-star hospital for Overall Quality and The Leapfrog Group awarded Stamford Hospital an "A" for patient safety. The American Nurses Credentialing Center has granted Stamford Hospital Magnet Status, which recognizes superior patient care with the highest level of safety, quality, and patient satisfaction. Stamford Health is Planetree Gold-Certified for Excellence in Person-Centered Care and is a Certified™ Great Place to Work. Stamford Health is a major teaching affiliate of the Columbia University Vagelos College of Physicians and Surgeons and has recently expanded its relationship with Columbia to offer treatment and expertise from Columbia University Irving Medical Center's nationally recognized heart surgeons. Stamford Health and Hospital for Special Surgery (HSS) have created a premier center for specialty orthopedic care right in Stamford, Connecticut. Additionally, in 2020 Stamford Health's Carl & Dorothy Bennett Cancer Center entered into an expanded collaboration with Dana-Farber Brigham Cancer Center. Dedicated to being the community's most trusted health care partner, Stamford Health puts patients first to build long-lasting relationships. For more information, visit StamfordHealth.org. Like us on Facebook and follow us on Twitter, Instagram, YouTube, and LinkedIn. About the Team Why work for Stamford Health? Stamford Health offers an extremely competitive salary with generous shift differentials where appropriate. Our Total Rewards Program is ranked as one of the highest satisfiers based on our employee engagement surveys. With over 100 transfers and promotions each year for the past 5 years, Stamford Health is a place for you to grow and develop your career. Many departments from Nursing to Information Systems and Rehabilitation have Career Ladder programs that foster career development. Whether employees choose to live in the greater Stamford, CT area or commute from New York or Fairfield, we offer free convenient parking and free transportation from the Stamford train stations. Our collaborative with Hospital for Special Surgery, and the Dana Farber Brigham and Women's Cancer Care Collaborative, connect us directly with world class expertise, research, resources and technology to put us at the forefront of patient care. We have a robust Professional Development and Organization Development program that provides both clinical and non-clinical staff with the opportunity to develop and grow professionally. For organizational leaders, we offer a comprehensive New Manager Orientation four times per year. Our program designed specifically for Stamford Health will help prepare today's and tomorrow's leaders for success with an innovative curriculum based on best practices. It will also enhance the skills of our leaders that bring their fresh leadership perspective from other organizations.

ref: (300000056891022) 7 days ago

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Executive Director, Risk Management & Insurance Operations job in Stamford

Stamford, Connecticut - CT Stamford Health

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