Job Abstract

Salary Range: $84.2700 - $139.0700 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

Job Summary

Join a leading healthcare organization where innovation meets compassion. At Hoag, we are dedicated to providing exceptional care and fostering a supportive environment for our staff, physicians, and patients alike. Our collaborative culture and commitment to excellence have established us as a pillar in the healthcare community in Orange County.

The Principal Sr. Risk Management will play a pivotal role in maintaining Hoag’s reputation for safety and trust. This individual will be responsible for identifying, evaluating, and mitigating risks to ensure the highest level of patient care and safety.  Key responsibilities include the following:

• Developing and implementing risk management strategies, policies, and procedures aligned with organization’s objectives, regulatory requirements, and industry best practices.
• Leading and mentoring a team of risk management professionals, providing guidance, coaching, and support to drive performance and professional growth.
• Collaborating with senior leadership, including the CEO, CFO, and other executives, to define risk management goals, priorities, and budgets.
• Identifying, assessing, and prioritizing risks across all areas of the organization, including operational, financial, regulatory, and reputational risks.
• Developing and implementing risk mitigation plans and controls to manage and reduce identified risks to acceptable levels.

• Conducting risk assessments, audits, and reviews to evaluate the effectiveness of risk management processes and controls.
• Ensuring compliance with regulatory requirements, industry standards, and internal policies, and liaising with regulatory authorities as needed.
• Building and maintaining relationships with internal stakeholders, external partners, regulators, and industry associations to stay abreast of industry trends, best practices, and regulatory developments.
• Provides education and training on risk management practices, conducts risk assessments, and monitors trends to proactively identify potential risks and opportunities for improvement.
• Collaborate with external legal counsel on litigated files, respond to discovery requests and assist in formulating defense strategies.
• Perform claims analysis, manage files, work closely with insurance companies.
• Collaborate with TPA’s to ensure alignment with company guidelines and best practices in claim handling.
• Lead incident investigations and participate in root cause analyses to prevent recurrence. 
• Collaborate with clinical teams to enhance patient safety initiatives.
• Participate in management of insurance portfolios, including policy renewals.
• Provide training and support to staff on risk management practices.
• Protects the rights of the patient, providers, and the facility.
• Exhibits quality in leadership skills.
• Promotes process improvement.
• Promotes activities to protect all assets of the hospital.
• Projects an image of professionalism in communication, appearance and conduct.
• Supports the hospital mission and values.

Education and Experience

• Minimum of five years clinical background and minimum of 7 years risk management experience.
• Necessary computer skills include the ability to format and present information in both excel and PowerPoint
• An ability to format and to present legal and clinical information in small and large group settings

Certifications Preferred

• Certified Professional Healthcare Risk Manager or within 2 years of hire date.

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Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.