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UPMC · 2 hours ago

Senior Manager, Corporate Risk Management

Pittsburgh, PA

Full-time

Hybrid

Senior Level, Lead/Staff

8+ years exp

UPMC is a healthcare provider seeking a Senior Manager to join their Corporate Risk Management Team. This role involves collaborating with leadership to implement a risk management program that supports the UPMC Health System's goals, overseeing clinical management functions, and ensuring compliance with corporate policies.

BiotechnologyHealth CareHospitalMedical

Responsibilities

Monitor, trend and analyze risk management team concerns and identify strategies to reduce the risk and improve overall team performance and continuity in conjunction with the Sr. Director of Risk Management

Serves as a resource to team members on clinical operations

Identify state, federal and UPMC Health System policies and procedures that impact professional liability issues

Be familiar with the operations and business needs of the System's risk management programs

Enhanced coordination of risk management activities in and among stakeholder and team members

Identify risk producing events and adopt risk reduction policies and procedures

Serve to assist, monitor, and verify the implementation of the various risk management action items adopted by the Sr. Director following meetings, investigation, and review of documentation and/or on-site reviews

Direct the assessment of needs related to medical products and equipment failures

Participate in Continuous Quality Improvement Initiatives within the UPMC Health System

Represents Corporate Risk Management in various multi-disciplinary team meetings

Qualification

Clinical experienceRisk management programHealthcare regulationsLeadership skillsCritical thinkingData analysisTeam collaborationCommunication skills

Required

Minimum of eight years clinical experience

Knowledge of and experience with current medical and treatment approaches, The Joint Commission and Department of Health standards, Federal and State regulations relative to utilization management, case management, discharge planning, community resources/eligibility criteria, Medicare, Medicaid, and various other third-party payer requirements and managed care is required

The ability to use expert clinical practice, leadership skills, and critical thinking skills to efficiently coordinate and direct patient care among all health care providers while maximizing use of resources is required

The ability to prepare and critically analyze data, make appropriate recommendations toward resolution, and follow-through of identified action is required

Demonstrates a comprehensive familiarity with UPMC System Wide Policies, specifically as they relate to risk and liability