Sr Risk Management Specialist

Purpose:
Under the supervision of the Senior Manager, Corporate Risk Management, the function of the position is systematic management of potential as well as actual claims. Clinical data will by analyzed to determine areas of potential liability. Corrective actions will be developed with the assistance of clinical teams. The position will develop loss prevention programs in the area of professional liability to improve the quality of patient care while controlling liability exposure. This position requires critical thinking skills and the ability to provide direction. Must be able to collaborate with UPMC leadership in coordinating and managing individual projects.

Responsibilities:

• Develop relationships within the management structure to facilitate investigation and feedback. Monitor occurrence reports, investigation, and resolution of significant events. Evaluate educational programs of UPMC Health System facilities and mobilize resources for developing specific programs to address the needs of the clinical and management staff.
  Establish a working relationship with staff of managed care organization and office site staff to facilitate integration of practice plans into the insurance program. Serve as liaison between Risk Management and non-Faculty physicians. Identify specific needs of the hospital and/or office practices and develop Risk Management strategies to address those needs and act as resource for physicians and staff regarding medical legal issues.
  Act as a resource/consultant for staff and affiliates for questions and concerns regarding professional liability issues. Provide twenty-four-hour day coverage according to the department on-call schedule.
• Monitor occurrence-reporting system by analyzing and identifying trends and developing corrective action plans in conjunction with appropriate management and staff. Conduct high quality in-depth multi-disciplinary investigations of occurrences, which present significant risks in the area of professional liability and share information with appropriate management and staff