Senior Risk Management Specialist

“Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.”

Job Summary

The Senior Risk Management Specialist USA shall report directly to the USA Chief Compliance Officer. The role’s primary responsibility is to identify, quantify, monitor and make suggestions to help mitigate the types of risks that could affect the Company’s financial health, legal compliance or reputation, in conjunction with the Company’s Enterprise Risk Management (ERM) framework. Their duties include chairing the Risk Committee, communicating with company leadership personnel, Department Leaders or legal staff, reviewing operational procedures, employee data or market trends and presenting their findings to upper management personnel. This role will be supporting an established ERM framework to advance the ERM governance structure.

Essential Job Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Implement support and promote the organization’s Enterprise Risk Management design, practices, and policies to identify, evaluate, mitigate, and monitor Sanitas USA risks.
• Work at all levels of Sanitas USA, to implement and promote the ERM program, providing clear and replicable methods for recognizing and assessing risks across the organization.
• Monitor and assess compliance with ERM reporting.
• Participate in risk assessment activities for new projects, products, mergers and acquisitions, including any addition or modification to Sanitas USA products and services, and the organizational structure.
• With the support from the CCO, manage the insurance program including the relationship with brokers and carriers, helping to process claims, gather data and complete applications for policy renewals.
• Support the Business Continuity Plan (BCP) for the organization as it relates to identified risks.
• Work with the Global Chief Risk Officer to maintain Risk vision and Global Risk Policies approved by Global Risk Committee, including collaboration between risk practices among countries
• Review and analyze investigation reports, tracking, trending and reporting of safety events and incident reports; participate in root cause analysis exercises;
• Recommend corrective action strategies and initiatives based on Company policy and best practices;
• Interact with defense counsel on litigation matters to provide requested information, documents and records; organize depositions
• Review and summarize medical records involving treatment related to safety events and incidents;
• Formulate risk identification, trending, assessment, reduction and remediation strategies;
• Develop, revise and implement policies to ensure compliance with current standards and practices related to ERM and safety matters;
• Look into patient complaints which involve risk or potential litigation issues;
• Investigate general liability incidents involving Sanitas USA and affiliated entities;
• Provide staff with guidance and education on risk policies and initiatives;
• Work with Human Resources to collect analysis regarding employee incidents resulting in injury;
• Prepare documents for liability insurance carriers regarding claims and potential claims;
• Chair the Risk Committee and participate in the Patient Safety and Compliance Committees.
• Helps coordinate communicates with health professionals, defense counsel and others regarding investigations and resolution of incidents and potential claims involving patients.

Supervisory Responsibilities

This position has no supervisory responsibilities.

Required Education

Associate or bachelor’s degree or 6-8 years equivalent experience in a health care setting performing risk management duties.

Required Experience

Minimum of ten (10) years of prior relevant experience working in a health care setting performing risk management duties.

Required Licenses and Certifications

Related professional certification such as CISA, CISSP, CIA, CRM, CHRM or equivalent or willing to obtain within 6 months of hire.

Required Knowledge, Skills, and Abilities

• Ability to communicate issues to non-technical stakeholders.
• Capability to work independently and manage multiple priorities.
• Capacity to break down a issues into components using problem-solving techniques
• Communicate data to analytical team for analysis, issues and control recommendations.
• Strong written and verbal communication skills that deliver quality, actionable, and impactful feedback to management on potential control issues and solutions to close gaps.
• Significant experience reporting to the C-suite.
• Ability to evaluate and determine the adequacy of controls.

• Enthusiastic and self-motivated, with a keen interest in learning; effective under pressure and willing to take personal responsibility/accountability.
• Unquestionable and impeccable ethics and integrity.
• Ability to influence and communicate effectively across all levels and teams to achieve mutually beneficial outcomes.
• Judgment in distinguishing issues requiring communication to executive management, the Risk Committee, and the Corporate Compliance Committee from issues needing to be mitigated.
• Able to work in a fast-paced, deadline-oriented environment and motivated to take the initiative to understand the business and processes.

Budget Responsibilities

Languages

Travel

Physical/Environmental Activities

Please indicate with an X the frequency for the activities that apply to the essential functions of the job based on the chart below. Please select Not Required for physical demands that aren’t essential to job performance.

We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive, and equitable culture for our employees and communities.

This job description is not intended to be a complete list of all responsibilities, duties or skills required for the job and is subject to review and change at any time, with or without notice, in accordance with the needs of the company. Since no job description can detail all the duties and responsibilities that may be required from time to time in the performance of a job, duties and responsibilities that may be inherent in a job, reasonably required for its performance, or required due to the changing nature of the job shall also be considered part of the jobholder’s responsibility.