Doral, FL, USA
2 days ago
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.
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