Kaiser Permanente
Overview
Directs risk management programs by contributing to proactive planning and strategy for audits and analyses to evaluate risk management programs. Provides thought leadership on reporting and specialized data analysis for professional liability cases, risk management trends and issues, significant events, and near misses. Collaborates across organizations to manage processes for collecting and analyzing data from multiple reporting systems, sources, and emerging industry trends to identify opportunities to improve risk and threat management. Influences strategy, holds teams accountable, and directs the development and refinement of protocols for incident response. Provides proactive, strategic advice for the Board of Trustees and subsidiary governing boards, and to senior leadership and related entities to minimize risk and preserve corporate assets. Holds teams accountable for disseminating risk management-related information to providers, staff, and external partners across organizations. Contributes to the development of policies and procedures to maintain compliance with State and Federal laws, regulations, patient rights, and professional ethics.
Prepares individuals for growth opportunities and advancement; builds internal collaborative networks for self and others. Solicits and acts on performance feedback; drives collaboration to set goals and provide open feedback and coaching to foster performance improvement. Demonstrates continuous learning; oversees the recruitment, selection, and development of talent; ensures performance management guidelines and expectations to achieve business needs. Stays up to date with organizational best practices, processes, benchmarks, and industry trends; shares best practices within and across teams. Motivates and empowers teams; maintains a highly skilled and engaged workforce by aligning resource plans with business objectives. Provides guidance when difficult decisions need to be made; creates opportunities for expanded scope of decision making and impact.
Oversees the operation of multiple units within a department by identifying member and operational needs; ensures the management of work assignment completion; translates business strategy into actionable business requirements; ensures products and/or services meet member requirements and expectations while aligning with organizational strategies. Gains cross-functional support for business plans and priorities; assumes responsibility for decision making; sets standards, measures progress, and fosters resolution of escalated issues. Communicates goals and objectives; analyzes resources, costs, and forecasts and incorporates them into business plans; prioritizes and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; ensures teams accomplish business objectives.
Ensures compliance by: contributing to the development of policies and procedures to maintain compliance with State and Federal laws, regulations, patient rights, and professional ethics; driving a culture of compliance, holding teams accountable for compliance with, and contributing to Kaiser Permanente’s policies and procedures and applicable federal and state laws and regulations as they relate to Risk Management; contributing to strategy and best practices for assisting other departments in complying with highly complex accreditation and regulatory risk management requirements; contributing to guidelines and holding teams accountable for preparation for and participation in regulatory audits and related projects; and communicating to senior leadership and influencing adoption of regulatory compliance matters as they apply to risk management.
Directs Risk Management consulting by: providing proactive, strategic advice for the Board of Trustees and subsidiary governing boards, and to senior leadership and related entities to minimize risk and preserve corporate assets; influencing the development and implementation of plans for communications, outreach, and education as part of a comprehensive response plan to mitigate risk; providing expertise by serving as a member of risk management-related forums; and shaping goals and processes for comprehensive risk management consultation across organizations on clinical and non-clinical risk management issues.
Directs documentation, analysis, and reporting by: influencing the design and management of sophisticated risk management data sources; contributing to a standard documentation process across organizations; engaging with senior leadership to influence strategies for the design, development, and production of reports on a scheduled cadence to senior leadership, Board committees, and regulators; providing thought leadership on reporting and specialized data analysis for professional liability cases, risk management trends and issues, significant events, and near misses; driving organization-wide processes for data and risk analyses; shaping standards for the utilization of reports and analyses in developing recommendations and action plans; shaping expectations for researching risk exposure data and preparing underwriting submissions in insured risks, including general and professional liability; contributing to guidelines for consulting on certificates of insurance, indemnification letters, and credentialing responses as they relate to insured risks; and holding teams accountable for determination, investigation, analysis, and resolution of potentially compensable events, regulatory investigations.
Directs Risk Management education and training by: setting standards for comprehensive, ongoing risk management-related training and education for providers, staff, and external audiences; driving a culture of continuous learning; holding teams accountable for integration of learning into work strategies; evaluating training effectiveness and sustainability; influencing strategic goals for risk management training across the organization; and disseminating risk management-related information to providers, staff, and external partners.
Guides Risk Management incidents by: influencing strategy, holding teams accountable, and directing the development and refinement of protocols for incident response; contributing to organization-wide incident investigation practices; directing escalation protocols and accountability for incident resolution and/or mitigation; guiding root cause analysis, process improvements, and corrective actions; ensuring organizational awareness and handling of highly impactful clinical risk issues.
Directs Risk Management programs by: influencing strategic direction and goals for enterprise-wide risk reduction and prevention programs; contributing to proactive planning and strategy for audits and analyses to evaluate risk management programs; shaping Health and Safety programs based on analyses, observations, industry best practices, and organizational goals.
Directs threat monitoring and risk prevention by: collaborating across organizations to manage data from multiple sources to identify opportunities to improve risk and threat management; shaping strategy for analysis and interpretation of threats and risks; ensuring alignment with organizational goals; partnering with Quality Management, Patient Safety, Operations, and other functions; overseeing risk financing to preserve assets; ensuring consistency of risk and threat response processes; guiding product safety risk reviews; driving risk management knowledge sharing to reduce preventable errors in health care delivery.
Minimum Qualifications
Minimum two (2) years of experience managing operational or project budgets. Minimum five (5) years of experience in a leadership role with direct reports. Minimum six (6) years of experience using medical terminology. Minimum four (4) years of program / project management experience. Bachelor’s degree in Analysis, Research, Statistics, Health Care, Healthcare Administration, Health Care Management, Economics, Business, Homeland Security, or related field AND minimum eight (8) years of experience in risk management, quality program, claims management, patient safety, or related field OR minimum eleven (11) years of experience in risk management, quality program, claims management, patient safety, or related field.
Knowledge, Skills, and Abilities (KSAs): Systems Thinking; Change Management; Negotiation; Business Process Improvement; Loss Prevention; Risk Management; Compliance Management; Confidentiality; Applied Data Analysis; Business Relationship Management; Conflict Resolution; Relationship Building; Risk Assessment; Adaptability; Organizational Skills; Risk Identification; Patient Safety; Trusted Advisor; Legal Risk Management; Insurance Regulations, Policies, and Procedures; Insurance Contracts; Clinical Risk Assessment; Health Information Systems; Health Care Compliance; Internal Controls; Data Integration; Relational Database Management; Member Service; Microsoft Office; Personal Courage
Seniority level
Director
Employment type
Full-time
Job function
Finance and Sales
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at Kaiser Permanente by 2x
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Directs risk management programs by contributing to proactive planning and strategy for audits and analyses to evaluate risk management programs. Provides thought leadership on reporting and specialized data analysis for professional liability cases, risk management trends and issues, significant events, and near misses. Collaborates across organizations to manage processes for collecting and analyzing data from multiple reporting systems, sources, and emerging industry trends to identify opportunities to improve risk and threat management. Influences strategy, holds teams accountable, and directs the development and refinement of protocols for incident response. Provides proactive, strategic advice for the Board of Trustees and subsidiary governing boards, and to senior leadership and related entities to minimize risk and preserve corporate assets. Holds teams accountable for disseminating risk management-related information to providers, staff, and external partners across organizations. Contributes to the development of policies and procedures to maintain compliance with State and Federal laws, regulations, patient rights, and professional ethics.
Prepares individuals for growth opportunities and advancement; builds internal collaborative networks for self and others. Solicits and acts on performance feedback; drives collaboration to set goals and provide open feedback and coaching to foster performance improvement. Demonstrates continuous learning; oversees the recruitment, selection, and development of talent; ensures performance management guidelines and expectations to achieve business needs. Stays up to date with organizational best practices, processes, benchmarks, and industry trends; shares best practices within and across teams. Motivates and empowers teams; maintains a highly skilled and engaged workforce by aligning resource plans with business objectives. Provides guidance when difficult decisions need to be made; creates opportunities for expanded scope of decision making and impact.
Oversees the operation of multiple units within a department by identifying member and operational needs; ensures the management of work assignment completion; translates business strategy into actionable business requirements; ensures products and/or services meet member requirements and expectations while aligning with organizational strategies. Gains cross-functional support for business plans and priorities; assumes responsibility for decision making; sets standards, measures progress, and fosters resolution of escalated issues. Communicates goals and objectives; analyzes resources, costs, and forecasts and incorporates them into business plans; prioritizes and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; ensures teams accomplish business objectives.
Ensures compliance by: contributing to the development of policies and procedures to maintain compliance with State and Federal laws, regulations, patient rights, and professional ethics; driving a culture of compliance, holding teams accountable for compliance with, and contributing to Kaiser Permanente’s policies and procedures and applicable federal and state laws and regulations as they relate to Risk Management; contributing to strategy and best practices for assisting other departments in complying with highly complex accreditation and regulatory risk management requirements; contributing to guidelines and holding teams accountable for preparation for and participation in regulatory audits and related projects; and communicating to senior leadership and influencing adoption of regulatory compliance matters as they apply to risk management.
Directs Risk Management consulting by: providing proactive, strategic advice for the Board of Trustees and subsidiary governing boards, and to senior leadership and related entities to minimize risk and preserve corporate assets; influencing the development and implementation of plans for communications, outreach, and education as part of a comprehensive response plan to mitigate risk; providing expertise by serving as a member of risk management-related forums; and shaping goals and processes for comprehensive risk management consultation across organizations on clinical and non-clinical risk management issues.
Directs documentation, analysis, and reporting by: influencing the design and management of sophisticated risk management data sources; contributing to a standard documentation process across organizations; engaging with senior leadership to influence strategies for the design, development, and production of reports on a scheduled cadence to senior leadership, Board committees, and regulators; providing thought leadership on reporting and specialized data analysis for professional liability cases, risk management trends and issues, significant events, and near misses; driving organization-wide processes for data and risk analyses; shaping standards for the utilization of reports and analyses in developing recommendations and action plans; shaping expectations for researching risk exposure data and preparing underwriting submissions in insured risks, including general and professional liability; contributing to guidelines for consulting on certificates of insurance, indemnification letters, and credentialing responses as they relate to insured risks; and holding teams accountable for determination, investigation, analysis, and resolution of potentially compensable events, regulatory investigations.
Directs Risk Management education and training by: setting standards for comprehensive, ongoing risk management-related training and education for providers, staff, and external audiences; driving a culture of continuous learning; holding teams accountable for integration of learning into work strategies; evaluating training effectiveness and sustainability; influencing strategic goals for risk management training across the organization; and disseminating risk management-related information to providers, staff, and external partners.
Guides Risk Management incidents by: influencing strategy, holding teams accountable, and directing the development and refinement of protocols for incident response; contributing to organization-wide incident investigation practices; directing escalation protocols and accountability for incident resolution and/or mitigation; guiding root cause analysis, process improvements, and corrective actions; ensuring organizational awareness and handling of highly impactful clinical risk issues.
Directs Risk Management programs by: influencing strategic direction and goals for enterprise-wide risk reduction and prevention programs; contributing to proactive planning and strategy for audits and analyses to evaluate risk management programs; shaping Health and Safety programs based on analyses, observations, industry best practices, and organizational goals.
Directs threat monitoring and risk prevention by: collaborating across organizations to manage data from multiple sources to identify opportunities to improve risk and threat management; shaping strategy for analysis and interpretation of threats and risks; ensuring alignment with organizational goals; partnering with Quality Management, Patient Safety, Operations, and other functions; overseeing risk financing to preserve assets; ensuring consistency of risk and threat response processes; guiding product safety risk reviews; driving risk management knowledge sharing to reduce preventable errors in health care delivery.
Minimum Qualifications
Minimum two (2) years of experience managing operational or project budgets. Minimum five (5) years of experience in a leadership role with direct reports. Minimum six (6) years of experience using medical terminology. Minimum four (4) years of program / project management experience. Bachelor’s degree in Analysis, Research, Statistics, Health Care, Healthcare Administration, Health Care Management, Economics, Business, Homeland Security, or related field AND minimum eight (8) years of experience in risk management, quality program, claims management, patient safety, or related field OR minimum eleven (11) years of experience in risk management, quality program, claims management, patient safety, or related field.
Knowledge, Skills, and Abilities (KSAs): Systems Thinking; Change Management; Negotiation; Business Process Improvement; Loss Prevention; Risk Management; Compliance Management; Confidentiality; Applied Data Analysis; Business Relationship Management; Conflict Resolution; Relationship Building; Risk Assessment; Adaptability; Organizational Skills; Risk Identification; Patient Safety; Trusted Advisor; Legal Risk Management; Insurance Regulations, Policies, and Procedures; Insurance Contracts; Clinical Risk Assessment; Health Information Systems; Health Care Compliance; Internal Controls; Data Integration; Relational Database Management; Member Service; Microsoft Office; Personal Courage
Seniority level
Director
Employment type
Full-time
Job function
Finance and Sales
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at Kaiser Permanente by 2x
Get notified about new Director of Risk Management jobs in Atlanta, GA.
Brookhaven, GA $180,000.00-$230,000.00 4 days ago
Executive Director — State Office of Risk Management (TX)
Senior Director, Record to Report Process Optimization Lead
Atlanta, GA $175,000.00-$202,000.00 1 week ago
Chubb Risk Consulting Director, EHS Sales & Client Services (Remote with travel)
Alpharetta, GA $124,900.00-$154,700.00 1 month ago
Atlanta, GA $10,000.00-$10,000.00 1 week ago
Executive Director — Washington State Transit Insurance Pool (WA)
Senior Director, Order To Cash Process Optimization Lead
Atlanta, GA $175,000.00-$202,000.00 1 week ago
Director Physician Practice Operations 2
Director of Member Pooling Programs – Association of Washington Cities (WA)
Director, Corporate Transactions Group - FDD
Manufacturing Underwriting Director (Commercial P&C)(Remote)
Director, IT Audit and Technology RiskAdvisory
Atlanta, GA $181,231.00-$292,576.00 2 weeks ago
DWM Watershed Director II (OLIO - Operations)
Finance Solutions – FP&A Operations, Director
Atlanta, GA $155,000.00-$410,000.00 6 days ago
Atlanta, GA $130,000.00-$180,000.00 9 hours ago
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr