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Purpose:

Strategize with Division Chief Legal Officer & VP Compliance, Quality and Risk Management and the Risk Management team and other UPMC Health System business leaders to initiate and implement a risk mitigation program that will support the business units of the UPMC. Plan, develop, and monitor all clinical program management functions in conjunction with UPMC Health System's corporate policies, strategies, and business goals. Work closely with legal services, clinical staff and administration to define risk and liability management at the business unit level. Responsible for ensuring compliance with Health System's corporate philosophy and policies. Provide leadership and guidance to the multi-disciplinary teams and facilitate resolution of issues/barriers.

Responsibilities:

+ Monitor, trend and analyze risk management concerns and identify strategies to improve the quality of care to patients and reduce the risk to the organization.

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

+ Screen for detailed action plans and comprehensive review of operations, conditions and procedures that may have contributed to the risk and liability claims.

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

+ Enhance coordination of risk management activities in and among UPMC insured individuals and entities.

+ Identify risk producing events and adopt risk reduction policies and procedures.

+ Enhance effective follow-up on the implementation of policies and procedures together with implementation of mandatory compliance procedures for Risk Management Program policies and as condition of insurance.

+ Serve to assist, monitor, and verify the implementation of the various risk management action items adopted by various UPMC entities and business units 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.

+ Act as a resource/consultant for staff and affiliates for questions and concerns regarding professional liability issues.

+ Provide twenty-four-hour per day coverage according to the department on-call schedule.

+ Performs in accordance with system-wide competencies/behaviors.

+ Performs other duties as assigned.

+ Juris doctor preferred or master's degree with concentration in healthcare.

+ Minimum of 5 years risk management experience.

+ Knowledge of Federal and State regulations impacting healthcare.

+ The ability to prepare and critically analyze data, identify trends, make appropriate recommendations toward resolution, and follow-through.

+ Master's degree with a concentration in healthcare.

+ Strong leadership skills, and critical thinking skills to efficiently navigate a complex health care environment.

+ Experience completing and facilitating root cause analyses and healthcare failure modes and effects analyses. **Licensure, Certifications, and Clearances:**

+ Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran