Job Details

Director, Regulatory and Risk Management

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Director, Regulatory and Risk Management

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At Legacy, our mission is to make life better for our patients, our staff and the community. As part of that mission, we continuously review the quality and safety of our services, and we look for ways to build upon our existing strengths. If quality and performance improvement is an area in which you thrive and you share our passion for helping others, you may be an ideal fit for this position.

Responsibilities

The Director of Risk Management is responsible for leading system-wide risk management initiatives across our multi-hospital system. This position plays a pivotal role in the culture of safety, excellence in healthcare delivery, and systematic risk mitigation. The Director oversees the Risk Management, Patient Relations and Regulatory Readiness programs, ensuring alignment with healthcare industry standards, organizational goals, and compliance with federal and state healthcare regulations related to patient safety and quality of care.

The Director also oversees professional and general liability claims in collaboration with the organization's third-party administrator (TPA), ensuring timely reporting, thorough investigation, and timely submission of claims. This includes analyzing trends, coordinating with legal counsel, and implementing strategies to reduce liability exposure while supporting a culture of safety and accountability.

Education

Qualifications

• Bachelor's degree in Nursing, Healthcare Administration, Public Health, or related field required; Advanced degree (e.g. Master's in health care, business, or a related field) strongly preferred
  
  

Experience

• A minimum of 5 years of experience, including leadership, of experience in healthcare risk management and regulatory readiness.
• Advanced knowledge of risk management principles and practices, including regulatory requirements, and risk mitigation strategies.
• Demonstrated competency in maintaining excellent relationships with stakeholders such as executive leadership, department heads, and bedside care workers to align efforts with organizational goals.
• Demonstrated experience in designing, developing, and implementing risk management programs in a healthcare system and hospital setting.
• Experienced with high-stakes conflict resolution and crucial conversations.
  
  

Skills

• Works in close collaboration with Legal and Corporate Compliance to:
• Develop and implement policies and procedures that promote a just culture within the broader culture of safety framework.
• Ensure confidentiality and appropriate handling of sensitive information in accordance with legal and regulatory standards.
• Collaborate effectively with departments and stakeholders across the organization to support enterprise-wide goals and initiatives.
• Demonstrate advanced skills in leadership, management, presentation, facilitation, organizational development, consultation, and training.
• Communicate clearly and persuasively, including the ability to engage in crucial conversations with staff, patients, and external regulatory agencies.
• The Director provides oversight of the Patient Relations team and the organization's grievance process to ensure timely, thorough, and compassionate responses to patient complaints and grievances. This includes:
• Ensure compliance with regulatory requirements,
• Participate in hospital-based grievance
• Coordinate appropriate and timely responses to complaints and inquiries submitted by insurance payors.
• The Director ensures that all concerns are addressed in a manner that supports patient satisfaction, regulatory compliance, and continuous quality improvement.
• Possesses critical thinking skills, decisive judgment, and the ability to work independently and in partnership with others.
• Strong analytical and problem-solving skills with the ability to evaluate complex situations and make informed decisions.
• Strong facilitation and presentation skills, capable of leading engaging work product on complex subjects.
• Strong knowledge of enterprise risk management principles and practices within healthcare.
• Strong leadership and communication skills, with the ability to collaborate with diverse teams, motivate and mentor, and build consensus.
  

Licensure

• Certification in risk management (CPHRM) required.
  
  

Pay Range

USD $71.12 - USD $107.38 /Hr.

Our Commitment to Health and Equal Opportunity

Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.

If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you

Seniority level

• Seniority level

  Director

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Hospitals and Health Care

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