Risk Manager, Insurance and Claims Management, Minneapolis, Minnesota

Created 02/10/2021
Reference 11378079
Job type Full Time
Country United States
State Minnesota
City Minneapolis
Zip 55402
Salary Competitive
About Children's Minnesota:

Children's Minnesota is the seventh largest pediatric health system in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children's serves kids throughout the Upper Midwest at two free-standing hospitals, 12 primary and specialty care clinics and six rehabilitation sites.

Additionally, Children's is Minnesota's only Level I pediatric trauma center inside a hospital dedicated solely to children. In 2018 Children's Minnesota was verified as a Level I Children's Surgery Center by the American College of Surgeons. Children's maintains its longstanding commitment to the community to improve children's health by providing high-quality, family-centered pediatric services and advancing those efforts through research and education.

This work is made possible in large part by generous philanthropic and volunteer support from individuals and organizations throughout the state and region. An award-winning health system, Children's received Magnet® recognition from The American Nurses Credentialing Center (ANCC) in 2018 and is regularly ranked by U.S. News & World Report as a top children's hospital. Please visit childrensMN.org .

Department Summary:


Risk management involves the identification, evaluation, financing, and reduction of problems that include injuries to patients, staff, and visitors or losses to the organization caused by damage to the building or financial losses from issues with contracts, etc. Specifically risk management services at Children's Minnesota include:

  • Legal case management including working with the hospital attorneys for malpractice cases, investigations by professional licensing boards, and other cases. This includes investigation into the event and working with staff for depositions and trial preparation.
  • Purchase of hospital insurance with the exception of worker's compensation. Insurance includes malpractice, general liability, property, auto, crime, patient transport, and directors and officers among others.
  • Investigation into medical accidents through interviewing of staff, coordination of focused event meetings, and maintenance of documentation.
  • Collaboration with system-wide and department level patient safety efforts to support staff in providing care that is safe and reliable.

Position Summary:

The Risk Manager of Insurance and Claims Management is responsible for the organization's day-to-day insurance and claims management activities, which include, but may not be limited to the following:

  • Coordinating and managing liability claims.
  • Performing organization wide risk assessments.
  • Administering the insurance program.
  • Providing on-call assistance for urgent risk situations
  • Conducting risk management education programs and complying with risk management related standards of The Joint Commission.

This work is completed with the objective of maintaining patient safety, enhancing quality of care, and minimizing loss to the organization. The Risk Manager of Insurance and Claims Management performs these functions with a primary reporting relationship to the Senior Director, Compliance and Risk Management and a secondary reporting relationship to the Chief Legal Officer.

Qualifications
Education:
  • Bachelor's degree required.
  • Juris Doctorate (J.D.) degree highly preferred.
Experience:
  • Minimum of five years' experience working with healthcare risk management required.
  • Eight or more years in healthcare risk management or insurance arena preferred.
  • Experience with general insurance claims management required.
  • Experience with professional liability litigation management preferred.
Knowledge/Skills/Abilities:
  • Strong interpersonal skills and ability to communicate effectively at all levels of the organization.
  • Ability to assess situations, consider alternatives and recommend appropriate courses of action in a proactive manner
  • Must be able to analyze data, draw conclusions and make recommendations based on data.
Physical Demands:

Please click here to view the Physical Demands

All job offers are contingent upon successful completion of an occupational health assessment, drug screen, background investigation, and compliance with the U.S. Government Form I-9, Employment Eligibility Verification. Children's requires proof of immunity to vaccine preventable infectious diseases prior to employment, as recommended by the Centers for Disease Control (CDC).

Children's is committed to creating a culture where every employee can be their best self, make a difference for kids and families, and learn and grow to reach their full potential. We are proud to celebrate our rich diversity and believe what makes us different, makes us stronger. Our diversity and inclusion program and participation in the CEO Action for Diversity & Inclusion provide every employee with opportunities to use their skills and talents to their full potential. We're also proud to support and lead community efforts and public policy that impact health and health care for children.

Children's Minnesota is committed to providing Equal Employment Opportunities to all applicants. EO M/F/Disability/Vet Employer.
Employer Children's Minnesota

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