Job added in hotlist
Applied job
Contract job
Recruiter job
Employer job
Expanded search
Apply online not available
View more jobs in Washington, DC
View more jobs in District Of Columbia

Job Details

Director Insurance amp Risk Management

Washington, DC, United States

Posted on
May 17,2019

Apply for this job


Essential Duties and Responsibilities include the following. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned.Develop, oversee, and implement a comprehensive organizational Risk Management Plan that is designed to reduce or eliminate, when feasible, risk to organizational resources and to patients, families and staff with a focus on professional healthcare and general liability.Provide and/or arrange for education and training to organizational providers and staff regarding organizational risks and risk management strategies.Prepare, implement, and oversee an audit and monitoring program to assess ongoing effectiveness of risk management strategies.Responsible for managing potential or actual claims against the organization, including oversight of any third party claims administrator. Responsible for reporting patient care related incidents to appropriate insurance carriers.Provide risk management advice to minimize exposure to actions, claims, or suits, or evaluate practices and organizational policies to ensure consistent application of laws, regulations and/or accreditation standards.In collaboration with General Counsel and Finance, oversees organization's insurance programs, including the organization's captive insurance program. Based on risk assessment, provides advice to the organization regarding appropriate insurance coverage, and amounts.Assists in the development and/or revision of policies, procedures, and forms pertaining to patient care and administrative matters by reviewing and recommending revisions to conform to legal, regulatory, and/or accreditation standards and requirements.Conducts research and analysis into a variety of risk management issues. Prepares reports, opinions, correspondence, and other documents. Able to conduct and/or coordinate complex investigations of incidents involving actual, or potential, injury to patients, employees and visitors that could lead to financial loss, including professional, general, and employment practices liability. Analyze information, draw conclusions and provide advice or make recommendations regarding course of action and/or minimize risk. Ensure collection of all information necessary to prepare for defense of claims or other actions.Supervises the Risk Management Specialist(s) and delegates assignments appropriately.Provides oversight to the Patient Relations activities and the Medical Records Department. Ensures patient complaints are managed in a consistent, timely, and effective manner. Ensures medical records are maintained and released according to HIPAA/HITECH, applicable District or state law, and other applicable laws, regulations and standards.Maintains the highest levels of confidentiality and privilege afforded to each situation.Reviews contracts from insurance and risk perspective.QualificationsThe requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education           For Insurance and Risk Management: Clinical healthcare, risk management and insurance claims management experience required. Law degree and/or Nursing degree preferred. (Other clinical licensure and experience will be considered)Experience        10 years of Risk Management experience in a hospital or ambulatory care medical office setting.Supervisory experience.Experience investigating and managing complaints, incidents, occurrences, adverse events, claims and/or medical malpractice litigation.Outstanding ability to deliver information effectively and professionally via multiple vehicles including verbal and non-verbal communication, one-on-one meetings, team settings, telephone conversations, letters, reports, and/or electronic messages.Demonstrated excellence in working with physicians and staff in a highly professional manner.Advanced skill in Microsoft Word.Above average skill in Microsoft Excel and other spreadsheet/report formats.Ability to prioritize and manage multiple and occasionally conflicting projects and deliverables.Competencies   Must have excellent verbal and written communication skills. Must be able to communicate providing verbal feedback in a professional manner. Must be able to follow and understand instructions, and react favorably in all work situations.  Must have strong interpersonal skills and be mentally adaptable and flexible in dealing with a variety of people at various levels within and outside the Medical Faculty Associates (MFA).  Must be able to do math calculations and input data into the computer.

Company info

Sign Up Now -

Similar Jobs:
Insurance Agent
Location : Fairfax, VA
Sign In Employers Post Jobs Free Resume Builder Job Tools Local Jobs Salary Estimator Contact Us United States United States Canada Argentina Australia België Brasil Deutschland España France India Ireland Italia México Nederland ...
Requirements Entry level No Education Salary to negotiate Arlington Description *Current Life Insurance License Required to be considered* Are you an individual with a strong desire to succeed in the business world and help famili...
Account Executive Health Insurance
Location : Washington, DC
V Account Executive Health Insurance Vlocity Washington , DC 20319 Posted Yesterday Apply This Job is not relevant Tell us why Company Description Vlocity is a leading provider of industry-specific cloud and mobile software, driv...
What I liked about the service is that it had such a comprehensive collection of jobs! I was using a number of sites previously and this took up so much time, but in joining EmploymentCrossing, I was able to stop going from site to site and was able to find everything I needed on EmploymentCrossing.
John Elstner - Baltimore, MD
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
InsurCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
InsurCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2019 InsurCrossing - All rights reserved. 168 192