Insurance and Risk Management Director jobs in Amarillo, TX

Northwest Texas Healthcare System is a 495 bed system serving the city of Amarillo and the surrounding region. We offer the ideal combination of traditional values and the most advanced technologies in healthcare, plus the conveniences of big city living in a friendly, smaller-town atmosphere. From the beauty of Palo Duro Canyon and great recreational facilities, to our quality educational system, Amarillo is a great place to live and work.

A hospital is only as good as its employees. That's why we're looking for professionals who are dedicated and passionate about their work. We're looking for employees who can add to our culture of exemplary patient care and personal excellence. We're looking for exceptional professionals who share our vision and values.

Visit us online at: https://www.nwths.com/careers

Position: Director of Risk Management

POSITION SUMMARY

The Director of Risk will serve as the liaison between local facility and the corporate risk hierarchy. This will include the appropriate investigation and reporting of risk events through corporate informational systems. The Director of Risk will oversee the data acquisition and analyses performed by the risk analysts from the incident
reporting system as the facility.

PROVISION OF SERVICES:

Demonstrates leadership and participation in the provision of departmental reports and patient safety initiatives. This includes reporting to various risk reduction teams, the CEO, Medical Staff Office, and Corporate Risk. Responds to department needs with the ability to prioritize and direct departmental processes and activities. Demonstrates leadership and organizational skills is preparing claim files on potential and actual claims. Demonstrates appropriate leadership skills in planning, organizing, and coordinating risk activities in relation to the UHS and NWTHS mission, vision, strategic goals, and values, and in accordance with JCAHO’s leadership standards.

OPERATIONAL EXCELLENCE:

Operates departments of responsibility in such a way as to meet the fiscal goals of the organization. Implements value added programs and services. Manages the satisfaction of department customers to include patients, employees and physicians through effective communication and appropriate responsiveness to customer issues.

Benefit Highlights:

• Challenging and rewarding work environment
• Competitive Compensation and Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300 Subsidiaries!
• Tuition Reimbursement
• Retention Bonus Program
• Loan forgiveness Program
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Requirements:

1. Minimum of Bachelor’s degree, MS in nursing or Master degree in related field preferred.
2. Five years’ experience in healthcare Risk Management.
3. Five years clinical or healthcare experience preferred.
4. Seven years of professional experience that demonstrates a progressive leadership background.
5. Interview skills and experience in incident investigation.
6. Demonstrates high level of organization skills.
7. Strong communication skills, both oral and written.
8. Knowledge of computer hardware and software applications.
9. Ability to perform statistical analysis on data collected via risk management reporting.
10. Certification in specialty preferred.

CLINICAL/TECHINICAL EXPECTATIONS:

1. In collaboration with Administration, responsible for the development of both long- and short- range goals for the
department and services that are consistent with goals and objectives of the hospital; ensures implementation of
plans and the meeting of goals; and measures compliance in collaboration with hospital administration.
2. Develops and implements department specific fiscal plans including but not limited to departmental budgets,
compliances and monitoring of budgeted parameters. Takes appropriate corrective action while providing
organization and direction for resource allocation according to the scope of service.
3. Establishes the Risk Management Plan for the year based on the UHS T.E.R.M. program.
4. Submits the Risk Management Plan to the Executive Committee and Board of Governors for approval.
5. Functions as the corporate Compliance Officer and ensures employee participation in Corporate Compliance and
Code of Conduct program.
Revised June 2016 3
6. Functions as the hospital Patient Safety Officer and ensures employee participation and compliance with the
Patient Safety Program.
7. Notifies Administration and Corporate Risk once significant risk is identified that may lead to a claim.
8. Coordinates with Performance Improvement Director when Root Cause Analysis or Failure Mode Effect Analysis is
performed to address a sentinel event or any situation deemed appropriate by the Director of PI, Director of Risk
Management, Administration and Patient Safety Council.
9. Reviews Facility contracts to ensure Joint Commission language and indemnification clauses are included.
10. Provides Director of Quality with Peer Review information for incident reports.
11. Attends and participates in Hospital and Medical Staff Committees which includes but are not limited to: Clinical PI,
Patient Safety Council, Medication Safety, P&T, Safety, OB Medicine, Surgery, Clinical Services, Credentials and
Risk Reduction Task Forces.
12. Completes performance reviews with a 95% compliance rate by the review deadline (Exceptions due to
extraordinary, uncontrollable circumstances may be dismissed at the discretion of the supervisor).
13. Holds routine individual meetings with direct reports.

Disclaimer

Northwest Texas Healthcare System, a subsidiary of UHS, is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion, and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS

and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.