Risk Management Director (Quality), Full Time

Holland Hospital; Quality (CA); On-site; USD 150,000 - 210,000; Full time

Job summary

Holland Hospital is seeking an experienced senior leader to oversee the Enterprise Risk Management (ERM) program, risk portfolio, and compliance across the system. You will drive strategic risk initiatives, coordinate with senior leadership, and shape risk governance to protect patients and the organization.

As a key partner to Nursing Services, Risk Management, and Quality, you will implement risk assessment methodologies, establish monitoring indicators, and lead training and policy

Qualifications

• BA or BS in risk management, healthcare administration, or related field.
• Masters or JD preferred.

Responsibilities

• Lead ERM program development and risk portfolio management.
• Identify and assess risks; develop mitigation strategies and action plans.
• Establish ERM risk indicators and monitor exposure.
• Oversee insurance program management and liability claims.
• Develop ERM policies, training, and procedures.
• Ensure regulatory compliance and accreditation readiness.
• Oversee regulatory affairs/accreditation and environment of care.

Skills

Leadership

Analytical skills

Communication

Interpersonal skills

Change management

Risk assessment

Risk management software

Insurance claims management

Regulatory knowledge

Education

BA/BS in risk management or healthcare administration

Master's degree or JD

Tools

ERM software

Job description

Working under the supervision of the Senior Vice President for Nursing Services, Risk Management, and Quality, provide strategic development, oversight, and management of the organisation's Enterprise Risk Management Program and risk portfolio.

Maintain extensive knowledge of healthcare risk management, compliance, legal, and regulatory/accreditation principles and trends; risk assessment methodologies; excellent leadership skills; and the ability to develop, implement, and measure effective risk management strategies.

Minimum Required

• BA or BS in risk management, healthcare administration, or a related field

Preferred

• Masters degree or Juris doctorate degree

EXPERIENCE Minimum Required

• Proven experience (10 years) in a senior health care risk management role
• In-depth knowledge of Enterprise Risk Management (ERM) domains and risk management principles, methodologies, and best practices
• Strong analytics skills and the ability to assess complex risk scenarios and make data-driven, risk-stratified decisions
• Demonstrated experience in developing and implementing risk management frameworks, policies and procedures, and Internal Audit programs
• Strong knowledge of health care-related regulatory, accreditation, and legal standards (CMS, DNV/ISO, OSHA, OCR, OIG, etc.)
• Proficiency in risk management software systems and tools
• Extensive experience with insurance program management & professional liability claims management
• Excellent leadership, communication, and interpersonal skills, with the ability to effectively collaborate and influence stakeholders at all levels within the organization as well as external stakeholders
• Proven change management skills
• Ability to thrive in a fast-paced environment and effectively manage multiple priorities and deadlines
• Strong problem-solving skills and the ability to think strategically while also managing fine detail

A. ERM Program Management

• Lead the organization in identifying and conducting risk assessments & Root Cause Analyses and identifying potential risks and vulnerabilities
• Collaborate with organizational leadership and senior management to develop risk mitigation strategies, corrective action plans, and monitoring strategies
• Establish key ERM risk indicators and develop systems to monitor and report on risk exposure, industry trends, and internal & external stakeholder requirements
• Stay abreast of industry trends, regulatory developments, and emerging risks to ensure the system remains compliant and proactive in managing risks
• Provide consultation, guidance, and support to leadership, medical staff, and organizational staff in implementing risk management best practices and ensuring adherence to policies and procedures
• Act as a liaison with external stakeholders, including regulatory agencies, auditors, insurers, and other third parties, to ensure compliance and effective risk management
• Lead the adverse event and crisis management efforts, including coordinating responses to adverse events and managing communication with stakeholders
• Continuously evaluate and enhance the system’s risk management framework and processes to adapt to changing healthcare, business, and patient safety needs as well as risk landscapes

B. Claims Management

• Establishment of risk reserves & oversight of risk retention/transfer recommendations
• Coordination and defense/settlement of insurance claims, to include professional liability & general liability claims
• Coordinate activities of system-wide Claims Committee

C. Insurance Program Management

• Provide strategic direction to system with regard to insurance portfolio (policy acquisition, claims management)

D. System-wide Education, Training, and Policy Development

• Develop and implement ERM-based policies, procedures, and protocols to identify, assess, mitigate, and monitor risks across the system
• Develop and deliver ERM-based training programs to enhance risk awareness and competency across the system

Strategic Development, Oversight, and Management of the System-Wide Patient Relations (Grievance) and Recipient Rights Functions

• Oversee compliance with accreditation, regulatory, and legal requirements relative to system-wide grievance process and Michigan Mental Health Code-driven Recipient Rights programs
• Oversight and Management of the System-wide Regulatory Affairs/Accreditation and Environment of Care (environmental) Safety Functions
• Ensure compliance with regulatory and legal expectations, including CMS, DNV, ISO, FDA, OSHA, Safe Medical Device Act, etc.
• Oversee accreditation and continuous readiness activities in support of accreditation/regulatory compliance
• Oversee Environment of Care (EOC) functions (including educational programming & initiatives)

Holland Hospital is an Equal Opportunity Employer, please see our EEO policy

Why Holland Hospital? In a word-caring. Here, we not only strive to provide the best possible care to our patients, but also nurture the continued health and wellness of our most valuable asset: our employees. We believe superior service is only possible with a superior workforce. Our collaborative, can-do culture makes all things possible. And, our family-like feel makes Holland Hospital not only a great place to work, but a career that feels like home.