The Risk Program Manager is responsible for the risk management activities of Halifax Hospital Medical Center and its affiliates, including the coordination of insurance coverage and risk financing, the management of claims and system-wide performance improvement in conjunction with clinical risk specialists, and the administration of the risk management program on a day-to-day basis.
Job Duties and Responsibilities
Manage claims, including medical malpractice, general liability, and Department of Health matters
Assist and manage outside legal counsel interaction and coordination, and act as corporate representative at trials and hearings
Assist in the coordination all liability claims, expert retention, discovery, litigation, mediation, and settlement of legal risk matters
Evaluate and implement insurance coverage, risk financing, actuary issues, and indemnity and expense reserves
Handle all risk reporting requirements with AHCA, Office of Insurance Regulation, CMS, and the like
Analyzing risk management data and administer risk management program on a day-to-day basis, including self-insurance and reporting obligations
Implement system-wide claims performance improvement in conjunction with clinical risk specialists
Work in conjunction with legal department and clinical risk for system-wide efficiencies
Present or report to Claims Review Committee, General Counsel, system leadership, or Board of Commissioners, as required
Assist in providing legal guidance to Halifax Hospital Medical Center management and leadership on a wide-array of issues to facilitate operations
Identify and communicate regulatory requirements to applicable departments
Identify and implement measures for effective and efficient legal services to Halifax Hospital Medical Center
Analyze various legal contracts and related documents on behalf the system
Conduct risk management educational programs and facilitate compliance with the Joint Commission’s risk management standards, all with the objective of controlling and minimizing loss to protect the assets of Halifax Hospital Medical Center
Maintain flexibility as the program develops and may change from time to time
Education: Bachelor’s degree, preferably in a health-related field or science. RN a plus. Or, a Juris Doctorate degree from an accredited law school and Florida Bar license.
Experience: A minimum of five (5) years’ risk or legal experience required with health care or insurance. Litigation experience preferred. Risk Manager Certificate or Certified Professional in Healthcare Risk Management preferred.
Skills: A highly motivated self-starter who sets priorities and can accomplish objectives independently. A mature individual with a strong sense of organization and the ability to develop long-term plans while maintaining control over current projects. Must be able to handle high degree of detail and be able to manage a number of ongoing projects at the same time. Excellent verbal and written communication skills are essential with the ability to communicate effectively with patients, visitors, and associates within Halifax Hospital Medical Center as well as with business, industry, community and other professional groups. Ability to follow oral and written instructions. Ability to express ideas logically, cogently and persuasively, both orally and in writing.
Internal Number: 010203
About Halifax Health
Recognized by The Joint Commission as a Top Performer on Key Quality Measures, Halifax Health serves Volusia, Flagler, Brevard, and Lake counties, providing a continuum of healthcare services through a network of organizations, including a tertiary hospital, community hospital, psychiatric services, a cancer treatment center with four outreach locations, the area’s largest hospice, a center for inpatient rehabilitation, primary care walk-in clinics, a walk-in clinic specializing in women’s health, two community clinics, three children’s medical practices, a home healthcare agency, and an exclusive provider organization. Halifax Health offers the area’s only Level II Trauma Center, Comprehensive Stroke Center, Pediatric Intensive Care Unit, Pediatric Emergency Department, Child and Adolescent Behavioral Services, complete Neurosurgical Services, OB Emergency Department and Level II Neonatal Intensive Care Unit that cares for babies born as early as 28 weeks. For more information, visit halifaxhealth.org.