Senior Health Risk Manager | Remote + On-Call

Tufts Corporate; Burlington (MA); Remote; USD 101,000 - 129,000; Full time

Job summary

Tufts Medicine is seeking a senior risk management professional to develop and coordinate risk programs across our organization. The role emphasizes compliance with laws and standards, patient safety improvement, and collaboration with clinical and administrative teams.

The position involves leading investigations, reporting to leadership and regulatory bodies, and supporting policies that reduce loss and protect patients.

Qualifications

• Bachelor's degree in Law, Regulatory Affairs, Compliance, Nursing, Healthcare Administration or related field.
• Five (5) years of clinical experience or risk management experience.
• Preferred: Master's Degree; CPHRM; Seven (7) years of clinical experience or risk management.

Responsibilities

• Proactively evaluates areas of organizational risk based on internal assessment and external benchmarking, and implements strategies, policies, and practices that promote patient safety.
• Collaborates in reviewing events involving patient harm or significant deviation of standard procedures which could cause patient harm, and in conducting the harm analysis of such events.
• Reviews and evaluates aggregate adverse event and claims data to identify high-risk activities, procedures and departments.
• Compiles statistics on all areas of risk throughout the hospital to use in identifying, evaluating, eliminating or reducing incidents in high-risk areas. Creates meaningful reports and graphic presentations to assist managers and administrators in assessing the impact of patient safety practices on loss prevention.
• Initiates the investigatory process and manages investigations related to adverse outcomes and events, including interviewing staff, reviewing medical records, assessing policies and procedures, and identifying best practices.
• Initiates safety event huddles, leads the review of adverse events, facilitates root cause and other causal analyses, and works with clinical and administrative leaders in designing solutions to prevent future events.
• Provides support to the Patient Care Assessment Program, including assisting in the review and analysis of adverse events by the Program's committee.
• Provides advice, consultation, and support to hospital administrative and clinical staff, departments, and committees on clinical, regulatory, legal, insurance, risk, and ethical issues.
• Assists administrative, medical and departmental personnel in the development of policies and procedures that reflect risk management principles.
• Conducts risk management orientation and continuing education programs for administrative and clinical staff to enhance awareness of their role in patient safety and risk reduction.
• Collaborates with the patient and family liaisons to promote an environment that supports successful outcomes through timely response to issues and concerns. In collaboration with the patient liaisons, coordinates with department directors and managers and physicians to facilitate resolution of complaints and grievances.
• Collaborates with the Office of General Counsel attorneys on legal matters when requested.
• Collaborates with Office of General Counsel and Claims departments in order to review and evaluate claims and other data to identify high-risk activities, procedures, and departments.
• Works with outside counsel to facilitate timely responses to requests for documents, records, testimony, or other materials.
• Integrates information identified through risk management program with the credentialing and reappointment process.
• Participates in regional, state, and national organizations directly concerned with risk management.
• Provides risk management services to hospital and Physician Organization employees and other clinical and support staff after hours and on weekends and holidays via a rotating on-call schedule.
• Maintains positive and collaborative relationships with regulatory and oversight agencies and submits appropriate reports and corrective action plans to these oversight agencies as required and appropriate.
• Complies with all applicable federal and state laws and regulations, the policies and procedures of hospital, and the standards of any relevant accrediting organization; participates actively in and abides by the Compliance standards and HIPPA Programs.
• Facilitates teamwork and collaboration in an environment of open, effective communication and problem resolution, and fosters a positive work environment.

Skills

Risk assessment

Investigations

Regulatory compliance

Data analytics

Communication

On-call management

Education

Bachelor's degree in Law/Regulatory Affairs/Compliance/Nursing/Healthcare Administration

Master's Degree

Job description

Tufts Medicine is seeking a senior risk management professional to develop and coordinate risk programs across our organization. The role emphasizes compliance with laws and standards, patient safety improvement, and collaboration with clinical and administrative teams.

The position involves leading investigations, reporting to leadership and regulatory bodies, and supporting policies that reduce loss and protect patients.