The Seattle Cancer Care Alliance (SCCA), located in Seattle, Washington, is part of a dynamic collaboration among three organizations known nationally and internationally for their patient care and research: Fred Hutchinson Cancer Research Center, University of Washington, and Seattle Children's. Over the past 25 years, these institutions have worked together to support their mission of adult and pediatric oncology patient care services, research and education.
The Risk Management Associate position is responsible, under the guidance of the Risk Manager, for providing risk management services to Seattle Cancer Care Alliance ("SCCA"). The Risk Management Associate exercises flexibility and independence in performing assigned duties and responsibilities. The Risk Management Associate strives to carry out the essential position accountabilities in a timely manner in response to client needs.
The Risk Management Associate is responsible for managing medical malpractice lawsuits, claims, and potential claims and interfacing with outside legal counsel as necessary. The Risk Management Associate is responsible for identifying and evaluating liability exposure and mitigation coordination. Further, the Risk Management Associate serves as the resource for providers and staff regarding risk management issues. The Risk Management Associate collaborates with colleagues regarding analysis of potential and filed claims and coordinating with SCCA's affiliated institutions. A successful Risk Management Associate in this role will keep current and up to date regarding trends in enterprise risk management and help to shape a robust Risk Management program at SCCA.
The Risk Management Associate works to foster and maintain a team focused approach to the delivery of risk management services for SCCA.
The Risk Management Associate is supervised by the Director of Corporate Risk Management who helps in coordinating, directing and providing services.
Regularly interacts with all levels of the organization, developing and maintaining effective working relationships to provide the best advice.
Accountable for organizing and structuring effective approaches to coordinating diverse opinions and complex variables across a broad portfolio of initiatives resulting in the completion of planning and implementation activities in a fast-paced environment on time and within budget.
The successful incumbent works together with a diversity of leaders and staff within SCCA's operations and administrative teams, representatives of partner organizations in a team-oriented approach to planning and execution risk management and mitigation strategies.
Work situations are varied and challenging, requiring strong skills in diplomacy, problem solving, and team building
This position requires the development of trusting, critical relationships and broad ranging contacts to support accomplishment of strategic and operational objectives and partnerships.
Job Summary and Scope of Responsibilities:
Supports Risk Management department and operational owners to successfully complete large scale, highly complex, and highly visible initiatives working with numerous stakeholders while meeting performance, time, and budget requirements
Maintains clear communication with Risk Manager and other stakeholders including but not limited to meeting scheduling/management, facilitation, notes and action item tracking, document archive organization, development of materials, use of standard reporting tools, etc.
Develops, and in some cases, executes on the implementation plans for assigned projects, programs, and initiatives based on the guidance of Director of Corporate Risk Management
Learns, facilitates, and tracks issues, and risks, identifying potential impacts of decisions and collaborating with relevant parties to ensure resolution
Management of all types of potential claims, claims, and lawsuits including determination of coverage, establishing accurate reserves, and coordinating settlement authority as appropriate.
Serve as a resource and partner with providers, staff, and leadership regarding risk management issues
Proactively identify and evaluate risk areas and mitigate/escalate appropriately
Partner with Risk Manager to identify and develop risk mitigation strategies
Manage (investigation, evaluation, and response) complaints with potential liability exposure
Facilitate and coordinate all claims and manage files to ensure matters are proceeding towards a prompt, fair and equitable settlement/resolution.
Review patient safety reports and other data to identify trends and recommend mitigation strategies
Continuously assesses systems/processes as organizational direction changes for impacts to existing processes/mitigation efforts
Assist in managing insurance portfolio, claims administration, and litigation through benchmarking, loss analysis and general performance measurement reports to ensure adherence to best practices as well as company specific claim program goals, directives, initiatives, policies and procedures.
Help SCCA maintain legal and regulatory compliance by monitoring changes and identifying strategies for SCCA to maintain compliance
Alert leadership about matters with potential liability exposure in timely and thorough manner and keep leadership informed as appropriate with periodic reports
Regularly interact and partner with a diverse audience including: SCCA senior management, outside counsel, University of Washington, Seattle Children's Hospital, and Fred Hutchinson
Manage policies owned by risk management and Partner with stakeholders and other staff to ensure policies/process improvements fulfill operational and regulatory requirements
Act as a resource and consultant on risk related matters including but not limited to regulatory and policy changes, informed consent, documentation, disclosure of errors, patients with disruptive behaviors, risk related policy matters
Create and deliver risk management education/presentations to providers; staff; and committees to effectively convey complex concepts in a manner that is quickly and intuitively grasped by a diversity of audiences
Design and manage standard data reporting for senior management and the Board
BA/BS or equivalent experience
Minimum of 5 to 7 years previous experience in risk management/related field in healthcare delivery
Demonstrated ability to manage ambiguity and use strong critical thinking and problem-solving skills to set priorities and resolve issues.
Able to effectively communicate and synthesize information to develop and deliver communications that convey complex situations in a clear and concise manner to a broad audience
Proficiency in vendor management, project, and/or program management
Demonstrated ability for sophisticated written and verbal communication for complex and nuanced issues
Demonstrated ability to apply systems thinking in solving problems
Ability to remain objective in complex highly charged situations/environment
Experience with internal investigations, audits, and regulatory reporting requirements
Experience in claims management, litigation, and/or medical malpractice
Interest in process improvement
Detail oriented, conscientious, consultative, and collaborative
Able to be effective while working independently with limited direction and as a part of a team
Excellent: verbal and written communication; presentation design and delivery; negotiation; creating and delivering training; meeting facilitation; and relationship and rapport building
Experience with risk management tools/techniques including qualitative and quantitative assessment and metric design
Experience working with senior management, Boards of Directors, front-line staff and patients.
Ability to deal with a variety of personalities.
Ability to handle difficult situations, including upset claimants in a courteous and professional manner.
Candidate must be both service and results driven, highly analytical and detail-oriented with the ability to make timely and appropriate decisions.
Ability to accept new challenges in a continued changing business environment required.
Knowledge of the healthcare environment
Knowledge of insurance principles and practices
Proven ability to work effectively and collaboratively with patients, providers, leadership and staff.
Excellent verbal, written, and interpersonal communication skills
Ability to create and deliver polished presentations to diverse audiences
Excellent judgment, analytical, assessment, negotiation, and problem-solving skills.
Ability to set priorities in complex and fast paced environment
Demonstrated ability to build relationships and create positive change
Demonstrated ability to build relationships and create positive change
Fluent in medical terminology
Proficiency in basic computer skills
Strong knowledge of MS Excel and MS Visio
Experience with databases and data analysis
Experience with claims administration, legal principles, risk mitigation strategies
Understanding of human resources standards and practices
Healthcare Clinical Degree
CPHRM (Certified Professional in Healthcare Risk Management)
The Seattle Cancer Care Alliance was incorporated in 1998 as a separate, jointly governed non-profit that included the cancer programs of three partners. Seattle Cancer Care Alliance is a cancer treatment center that unites doctors from Fred Hutchison Cancer Research Center, University of Washington Medical Center, and Seattle Children’s. The purpose of this organization is to provide state-of the-art patient and family centered care; support the conduct of cancer clinical research and education; enhance access to improved cancer interventions; and advance the standard of cancer care regionally and beyond. The Seattle Cancer Care Alliance is the only NCI-designated comprehensive cancer center in the Northwest, and according to the National Cancer Data Base, Seattle Cancer Care Alliance patients in general have better survival rates than patients treated at other cancer treatment centers.