Senior Healthcare Risk Management Specialist

3 weeks ago


Toronto, Canada Healthcare Insurance Reciprocal of Canada (HIROC) Full time

Senior Healthcare Risk Management Specialist 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 across all healthcare sectors. The successful candidate will have demonstrated subject‑matter expertise in risk management, safety, quality improvement, and analytics within Canada’s complex and dynamic healthcare system. Duties and 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 (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 department’s 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 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 the development and revision of risk management tools and services based on extensive research of current legislation, professional and governing organizations, medical journals, 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 (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 Skills and Attributes Required Well organized, good time‑management skills, and able to meet deadlines Self‑motivation and initiative Excellent written, verbal, and listening skills Proficiency in Microsoft Office suite of tools Well‑developed analytical skills Public speaking skills Knowledge of adult education principles Ability to work both independently and as a team member Committed to ongoing learning Education, Training & Experience Post‑graduate degree in a 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 Qualifications Advanced clinical/business acumen in specialty areas (e.g., obstetrics/perinatal, emergency medicine, intensive care, 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 Exposure to medical chart and documentation review to ensure alignment on goals and data integrity Familiarity with medical coding practices and safety factor frameworks (e.g., ICD10, CCI, Canadian Incident Analysis framework) Hours of Work Monday-Friday 8:30‑4:30. Will be required occasionally to attend after‑hours functions/meetings. 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. EEO and Accessibility Statement 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. 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. Seniority Level Not Applicable Employment Type Full‑time Job Function Other Industries Insurance #J-18808-Ljbffr



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