Risk Manager - Hybrid in Worcester, MA

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Under the direction of the Senior Manager, Risk Management, Optum Massachusetts. The Risk Manager provides day-to-day risk management and patient safety support across the organization, to create and sustain a culture of safety.  The Risk Manager functions as an expert in matters of patient safety, event reporting, analysis and education. Assists all employees with the review of the safety events; analyzes trends in safety event reporting, conducts event reporting investigations and completes Root Cause Analysis, as needed. Assists in the design and implementation of strategies to increase and improve event reporting to identify system related issues that adversely affect patient safety.

The Risk Managers primary responsibilities include but is not limited to, daily management of the electronic safety event reporting system (RLDatix), performs a variety of duties related to data input, analysis, trending and tracking claims and risk management information.

This position follows a hybrid schedule with two in-office days per week.

Primary Responsibilities:

• Establish and lead an atmosphere of Just Culture
• Serves as a point of contact for all providers, managers and staff, handling all risk management issues, offering advice, and coordinating investigations
• Utilizes the web‑based safety event reporting system (RLDatix) to regularly review and triage safety events for appropriate site and department follow‑up and resolution
• Verifies initial event data, reviews for escalated criteria, charts and documents that need to be escalated
• Reviews all documentation of the department and site level reviews, assesses preventability and severity For event closures, codes events according to the Optum national required standards
• Monitors, analyzes and evaluates data to identify safety event trends and researches problem areas identified
• Interacts and consults with department and site leadership to gain an understanding of factors that affect the data and possible sources of variation
• Provides recommendations in the planning of a systematic organization‑wide approach to continuous patient safety improvement
• Works with clinical sites to plan, coordinate and evaluate corrective action plans recommended by internal committee, the Senior Manager Risk Management and or the Director Risk and Quality Management
• Collects, evaluates and distributes relevant data concerning patient injuries aggregate data summaries monthly quarterly trends provides aggregate analysis of risk data and trending of losses etc
• Assists daily in the initiation of patient safety related strategies to ensure the delivery of high‑quality care within the organization
• Identifies and reviews all PCEs follows all recommended reporting requirements and hands off all incidents for a Quality Peer Review as identified
• Complies with health and safety requirements and with regulatory agencies such as DPH MSDS BORIM BORIN FDA etc
• Complies with established organizational policies departmental policies procedures and objectives
• Collaborates with the Senior Manager Risk Management and the Director Risk and Quality Management to proactively identify risk reduction opportunities and to design and implement risk mitigation interventions
• Facilitates Root Cause Analyses and supports multidisciplinary teams to address identified vulnerabilities within the system of care
• Designs and presents effective patient safety education programs and performance improvement projects for staff and clinicians based on the needs of the site as needed to educate provide awareness influence and enhance a culture of safety in the ambulatory setting
• Participate in Risk Management site visits
• Analyzes trends in safety metric performance and identifies opportunities for improvement
• Participates in internal organizational meetings representing the Risk Management Department
• Appropriately create or revise new or existing policies and procedures to reduce the frequency of future occurrences recommends ways to minimize risks through system changes reviews and revises facility policies as appropriate to maintain adherence to current standards and requirements
• Assist in the revision of and development of new department specific and organizational consent forms
• Enhances professional growth and development through educational programs seminars certifications etc
• Attends a variety of meetings conferences and seminars as required or directed
• Regularly exercises independent judgment and decision making on allocation of time and resources to perform job duties
• Performs other duties as assigned by Senior Manager Risk Management and or the Director Risk and Quality Management

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 3+ years of healthcare experience
• EMR experience
• Ability to review and synthesize data and present data and strategy to a large group of diverse individuals
• Demonstrated ability to conduct moderate level statistical analysis
• Proficiency with Microsoft Office software((Microsoft Word, Excel, PowerPoint and Access)
• Ability to travel up 10% within MA
• Driver's license and access to reliable transportation
  

Preferred Qualifications:

• 3+ years of healthcare risk management experience
• Healthcare risk and quality improvement and patient safety experience
• Epic experience
• Electronic event reporting experience
• Basic command of RCA, FMEA and other risk management and quality improvement techniques
• Demonstrated ability to formulate data correlations to determine drivers of healthcare risk

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.