Senior Healthcare Risk Management Specialist
6 days ago
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. 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.
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
Respond to subscribers and support with respect to subscriber queries, tools, customized claims analysis, trends analysis, meeting preparations, and attendance.
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
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)
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
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
Well organized, excellent time management skills and ability to meet deadlines
Proficiency in Microsoft Office suite of tools
Well-developed analytical and data management skills
Knowledge of adult education principles
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., Minimum five years of recent healthcare related experience.
Advanced clinical/business acumen in specialty areas e.g. obstetrics/perinatal, emergency medicine and/or intensive care, and/or facility management
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)
Normal working conditions in an office setting. Working at computer for most of the day. Monday-Friday 8:30am-4:30pm, some flexible hours may be required to meet Subscriber needs.
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.
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.
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