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The primary responsibility of the Risk Manager is to protect Summit Healthcare Association’s (“SHA”) interests and contribute to the quality of patient care by contributing to the minimization/mitigation of risk across the Association’s system. This position is responsible for SHA’s risk management activities for both the hospital-based services (inpatient and outpatient) and practice-based services (multi-specialty physician practices).
Required knowledge and experience includes health care risk management, claims management, risk financing, investigational and incident analytical skills, patient safety, and specific health care legal issues.
Functions include, but may not be limited to, coordinating insurance coverage and risk financing, managing claims against the facility, interfacing with defense legal counsel, administering the risk management program on a day-to-day basis, managing and analyzing risk management data conducting risk management educational programs, complying with risk management related standards by CMS and the health care industry, all with the objective of maintaining patient safety, enhancing quality care, and minimizing loss to protect the assets of SHA. This position is responsible for reviewing and formulating policy or organizational changes and making recommendations for final approval by senior management. This individual also assists the SHA with evaluation of and/or development of contracts, and work with defense counsel in management of claims, and assist internal staff in appropriate response to complaints.
The Director of Risk Management serves on the Enterprise Compliance and Risk Management Committee, the SHA Institutional Review Board, and makes periodic presentations to the Board of Trustees, the Medical Executive Committee, and other groups as requested or needed.
This position reports to the Summit Healthcare Association Chief Compliance, Privacy and Risk Management Officer.
Bachelor’s degree in healthcare or related field (Required). Master’s Degree in business, insurance, law, health administration, public administration, or nursing and/or J.D. preferred.
Certification in Risk Management. (ARM, CPHRM or FASHRM required, or achieved within 2 years).
Current AZ RN license (required if RN).
If applicable, license to practice law in the state of AZ and bar affiliation.
Must possess demonstrated leadership in the field of health care risk management.
Must possess a solid understanding of clinical care in an integrated delivery system that includes acute care, outpatient surgery centers, home health agencies, and multi-specialty group practices
Must possess a strong understanding of how statutory and regulatory law shapes clinical health care risk management
Experience in health care related contract drafting and transactional matters
Working knowledge of federal healthcare regulations
Interpersonal skill set to work with all types of staff from front line to the Board level, and with outside constituents and vendors
CPR Certification (required within 30 days of hire date).
5 years previous experience in a variety of healthcare settings (required).
2-4 years previous managerial experience (required).
Internal Number: 5050
About Summit Healthcare
Summit Healthcare is a FOUR-STAR not-for-profit healthcare system located in the beautiful White Mountains of Northeast Arizona. Summit Healthcare is comprised of a 101 bed hospital, multiple community health clinics, an outpatient surgery center, and other outpatient services. We respond to the healthcare needs of more than 90,000 permanent residents and seasonal visitors living in a 3,000 square mile area. Summit Healthcare’s goal is to provide patients with state of the art healthcare close to home. Summit Healthcare has been voted the #1 employer in the White Mountains
The White Mountains have a lot to offer, including: skiing, hiking, hunting, fishing, dining, shopping, and much more.