Banner Health · 17 hours ago
Senior Risk Program Manager
Tucson, AZ
Full-time
Hybrid
Senior Level
6+ years expBanner Health is a nationally-recognized healthcare leader committed to fostering an inclusive culture. In this role, you will investigate and manage patient events, assess harm and liability, and collaborate with corporate teams for process improvement to enhance patient safety and quality of care.
Health CareInsuranceNon Profit
Responsibilities
Has full responsibility for operations of the risk management program that may include an enterprise liability approach to exposures. Plans and implements a program for both loss prevention and loss control at assigned entities, and a comprehensive orientation program; those programs will be directed to all current and future employees, physicians, and residents to advise them of their responsibilities, obligations, and part in the facility’s risk management program. Maintains awareness of legislative activities that may affect risk management programs in assigned entities and participates in the legislative process
Develops, implements and monitors risk management plans for assigned entities. Develops and monitors progress on annual entity-specific risk management goals. Conducts systems analyses to uncover and identify patterns that could result in compensable events. Designs and implements risk management surveys and studies; conducts surveys, studies, and special projects to assist in long-term planning and changes to facility policies and systems that reduce risk and losses. Participates in new business development activities by providing due diligence on new ventures/acquisitions
Assumes an active role in planning and decision making efforts through membership in various entity committees: hospital, clinic, and ambulatory. Provides consultative advice to senior management, administrators, physicians, relevant internal department, nurses, and other personnel regarding patient safety and risk management issues. Works with Medical Staff Services to develop and maintain risk management profiles on physicians and integrates that information into the credentialing process in compliance with state and federal agencies, TJC and/or other accrediting bodies, and institutional requirements
Informs service line and department directors of occurrences, issues, findings and risk management recommendations; provides feedback to directors at all levels in an effort to eliminate risks; assists clinical chairs and department heads in designing risk management programs within their departments. Works in conjunction with the patient safety officer, service excellence, and management in the investigation of potential or actual events/concerns. Participates in root cause analysis investigation and reporting of adverse drug events and sentinel events to the appropriate parties. Provides assistance to departments in complying with TJC or other accrediting agencies, regarding risk management related standards
Directs loss control/loss prevention activities and reports results to senior administration. Supervises the statistical trending of losses and analyzes patterns. Provides analysis of risk data for all levels of management. Participates in Case Reviews to identify emerging issues in the defense of claims
Responds to professional liability and facility liability questions posed by physicians, nurses, and other personnel. Leads development of organization-wide approach on disclosure of medical errors and obtains physician support. Answers inquiries of physicians, nurses, and administrators regarding emergent patient care issues to minimize risk and control loss. Assist in resolving treatment issues, including patient decisions made against medical advice (AMA), refusals of treatment, and consent issues; initiates court orders as appropriate via in-house and outside legal counsel. Responsible for being on call as scheduled
Recommends appropriate revisions to 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. In litigated claims, assists Banner Health Claims team and legal counsel in accessing facility records and personnel. Directs and coordinates release of records and information in response to subpoenas, court orders, attorney requests, state and federal agency investigations, and other inquiries from outside sources
Analyzes the risk of loss versus cost of reducing risk. Supervises accumulation of risk management cost data for budgetary and historical purposes: prepares budgets for departmental operations for approval by Regional Risk Manager
Internal customers include senior management at assigned entities, patients and their families, administrators, physicians, relevant department heads, all types of employees, Business Health area claims managers, regional leaders, and the organization as a whole. External customers include federal agencies, the legal system such as the judiciary, outside legal counsel; state agencies, various professional boards; state and local law enforcement agencies; physicians and other health care providers
Qualification
Required
Must possess a knowledge of risk management as normally obtained through a bachelor's degree in nursing or related field
ARM, CPHRM, DFASHRM, CPCU. CPHRM is required within one year of hire
Requires 6 – 9 years in Risk Management or equivalent experience
Must demonstrate and apply knowledge of federal and state statutes specific to health care, medical terminology and hospital or department policies, procedures and practices
Must possess strong written and oral communications skills, presentation skills, team player, ability to influence change without direct authority, and negotiation skills
Requires ability to manage and negotiate in emotional and confrontational situations, with sensitivity to operations and culture of facilities and organization as a whole
Preferred
RN preferred
ARM, CPHRM, DFASHRM, CPCU
Additional Related Education And/or Experience Preferred
Company
Banner Health
Banner Health operates as a nonprofit health care system in the United States. The company offers hospital care, home care, hospice care,
10001+ employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Diane and Bruce Halle Foundation
2025-10-24Grant
Leadership Team
Andy Kramer Petersen
President & CEO Banner Health Foundation
Brian P. Kellar
Chief Executive Officer
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