Senior Healthcare Risk Management Specialist

POSITION TITLE:
Senior Healthcare Risk Management Specialist

Healthcare Insurance Reciprocal of Canada (HIROC) is a trusted healthcare safety advisor, committed to offering a full spectrum of insurance, risk and claims management products and support.

HIROC knows healthcare as it’s the largest not-for-profit healthcare liability insurer in the country, with over 700+ healthcare organizations part of the Reciprocal. Combined with sage counsel and risk management solutions, HIROC works with its partners to increase safety.

As a Reciprocal, HIROC is governed by its Subscribers and remains an innovative, agile, and proactive partner. Since its inception in 1987, the not-for-profit has returned over $200 million to the healthcare system. HIROC’s 35 years of data is combined with its extensive experience to advise and share learnings, all with the goal of scaling knowledge and increasing safety across Canada’s healthcare system.

One common thread running through HIROC’s culture is the feeling of being part of something unique :
partnering to create the safest healthcare system – HIROC’s vision.

Each employee has the opportunity to find their calling and help build a stronger organization designed to meet the needs of its Subscribers. As a Top 100 GTA Employer nine years running, HIROC employees are empowered to find solutions and create amazing experiences in service to its Subscribers.

Join us and be part of the team working to make a difference.

SUMMARY:

Reporting to the Lead, Risk, the primary responsibility of the Senior Healthcare Risk Management Specialist is to provide expert guidance and advice to support HIROC subscribers from across all healthcare sectors. The successful candidate will have demonstrated subject matter expertise in:
risk management, safety, quality improvement, and analytics within the complex and dynamic landscape of the Canadian healthcare system. This role requires a broad understanding of standards informing healthcare delivery including provider and client needs, regulatory and legal frameworks (pan Canadian), emergency preparedness and response, awareness of cultural competence and inclusivity in healthcare, and would benefit from experience with direct clinical practice. Working with a team of like-minded professionals you will support subscribers with risk management and patient safety subject matter.

KEY RESPONSIBILITIES:

Support subscriber experience and stewardship

• Support subscriber stewardship (e.G. attend meetings with subscribers, build safety capacity, provide risk/safety education, support the application/spread of best practices)
• Enhance subscriber experience by applying safety science methodologies (e.G. patient safety, quality improvement, behavioral insights, design/systems thinking, etc.) for processes, procedures, safety intelligence, education, and resource development
• Implement quantitative and qualitative methods to understand subscriber needs, system gaps, and incident investigation findings
• Respond to subscribers and support with respect to subscriber queries, tools, customized claims analysis, trends analysis, meeting preparations, and attendance.

Support safety investigation and system resilience

• Apply safety science to investigate major losses, and incidents
• Identify systemic areas of interest from major losses and build safety capacity with subscribers
• Identify and share learnings, and support safety collaborations (clinical, safety/risk and human factors networks, academic communities, etc.)
• Review and analyze healthcare legal claims data to support HIROC’s safety and risk initiatives
• Conduct focused reviews to provide subscribers (individually and collectively) and HIROC with actionable themes, trends, etc.
• Report potential new risk/safety themes and opportunities from claims analysis

General Safety and Risk Management Functions

• Contribute to the departments and team planning
• Participate in ongoing educational opportunities to remain current on your field of expertise (e.G. clinical, safety and risk management issues in the field of health care, human factors, and insurance)
• Act as a resource to other departments and HIROC staff, and provide mentorship as required.
• Respond to issues relating to risk management and patient safety matters (consulting with Claims, Insurance Operations, Senior Management, and Legal where required)
• Participate in or lead ad-hoc departmental and HIROC projects, initiatives, and committees
• Contribute to development and revision of risk management tools and services:
  based on extensive research of current legislation, professional and/or governing organizations, medical journals and internet risk management resources, claims data, and best practices
• Support the development/improvement of patient safety indicators and other analytics
• Other duties as required

Conduct research and academic activity

• Participate in the creation of new safety knowledge and contribute to academic activities (e.G. peer reviewed papers, posters, presentations, etc.)
• Participate in the supervision of students
• Present new information at symposiums, education and academic conferences
• Work with a clinical coding team to optimize data collection and ensure accuracy and consistency

KNOWLEDGE SKILLS & ABILITIES:

• Well organized, excellent time management skills and ability to meet deadlines
• Self-motivation and initiative
• Excellent written, verbal and listening skills
• Proficiency in Microsoft Office suite of tools
• Well-developed analytical and data management skills
• Knowledge of adult education principles
• Ability to work both independently and as a team member
• Committed to ongoing learning
• Valid driver’s license required

EDUCATION, TRAINING & EXPERIENCE:

• Post-graduate degree in healthcare related field
• Advanced certification in Patient Safety, Risk Management, Quality Improvement, or Health Law Certification in quality/patient safety (e.G., Canadian Patient Safety Officer)
• Minimum five years of recent healthcare related experience.
• Member of a regulated health profession.

Preferred:

• Advanced clinical/business acumen in specialty areas e.G. obstetrics/perinatal, emergency medicine and/or intensive care, and/or facility management
• Experience with grant applications, ethics/REB/IRB, and literature reviews.
• Experience in presentation, facilitation, and public speaking.
• Experience with data systems/analysis (Power BI, advanced Excel functions, Power Queries)
• Integrated/Enterprise Risk Management (IRM/ERM) experience
• Advanced clinical/business acumen in specialty areas e.G. obstetrics/perinatal, emergency medicine and/or intensive care, and/or facility management
• Exposure to medical chart and documentation review to ensure alignment on goals and data integrity
• Familiarity with medical coding practices, using safety factor frameworks (i.E., ICD10, CCI, Canadian Incident Analysis framework)

WORKING CONDITIONS:

• Normal working conditions in an office setting. Working at computer for most of the day. Some travel required – Subscriber visits, presentations, conferences, and courses.
• Hybrid work model.

HOURS OF WORK:

• Monday-Friday 8:
  30am-4:
  30pm, some flexible hours may be required to meet Subscriber needs.
• May be required to travel, attend after-hours functions/meetings.

TO APPLY:

Please submit your résumé to hr@hiroc.com

In order to be considered for this position, please include a current résumé or detailed qualifications summary with your application. Only those selected for an interview will be contacted.

HIROC is committed to fostering a climate of equity, diversity, inclusion, and accessibility. HIROC respects the diversity of all members of its community and welcomes applications from those who have demonstrated a commitment to the values of equity, diversity and inclusion. Applications from members of groups that have been historically disadvantaged and marginalized, including First Nations, Métis and Inuit peoples, racialized persons, persons with disabilities, those who identify as women, 2SLGBTQ+, individuals who self-identify on the basis of any of the protected grounds under the Human Rights Code and/or others who may contribute to the further diversification of ideas within its community are encouraged. HIROC is committed to fair assessment of a candidate’s abilities, and consideration for diversity of thought, method, and experience, including non-traditional career paths.

HIROC is committed to providing a barrier-free environment for all stakeholders, including its participants, employees, job applicants, suppliers, the public and any visitors who may enter its premises, access its information, or use its services. As an organization, HIROC respects and upholds the requirements set forth under the Accessibility for Ontarians with Disabilities Act (AODA) and its associated standards and regulations and will ensure that HIROC offers a safe and welcoming environment that is respectful of each person's dignity and independence.