Senior Risk Management Specialist

Position Summary The Senior Risk Management Specialist provides leadership in risk management by promoting the highest level of quality care to patients, ensuring regulatory compliance, and mitigating malpractice risk through loss prevention. This hybrid position requires onsite presence three days a week and on‑call coverage each month. Essential Responsibilities / Duties Collaborates with QPS leadership, the Chief Quality Officer, the Director of Risk Management, and the Director of Patient Safety to support the Quality and Patient Safety Program by being a resource for error detection, prevention, and facilitating Root Cause Analysis (RCA) projects. Participates in ongoing regulatory readiness activities and serves on the onsite survey management team during regulatory surveys by the Department of Public Health (DPH) and the Centers for Medicare and Medicaid Services (CMS). Investigates and analyzes potential patient/visitor safety events (near‑misses) for improvement opportunities and potential legal action, including chart review, staff/provider interviews, policy review, best‑practice research, and observation. Coordinates risk and safety management training for providers, managers, and staff to enhance awareness of their role in patient safety, risk reduction, and safety event reporting. Provides immediate consultation, recommendations, and mitigation to hospital staff during adverse events through the on‑call system. Utilizes an electronic database to track patient safety events and identifies trends and improvement opportunities. Facilitates case management of the incident reporting system and collaborates with Quality and Patient Safety staff to mitigate local and organizational trends. Collaborates with the Claims Department to minimize legal/financial liability. Interacts with a wide variety of personnel across the organization, including administration, clinicians, staff, senior management, and Department Chairpersons. Participates in clinical case review and case learning committees and facilitates committee operations as assigned. Drafts reports for regulatory agencies. Mentors Risk Management Specialists in all aspects of work responsibilities. Ensures compliance with codes, laws, rules, and regulations concerning patient care, including state, federal, and Joint Commission standards. Stays current on legislative and regulatory activities related to patient safety and health care risk management. Assists in developing, maintaining, and revising policies and procedures to improve patient safety and minimize loss exposure, ensuring all meet regulatory and accreditation requirements. Develops and presents educational sessions on patient safety and professional liability risk reduction to physicians and management. Supports clinical chairs and department chiefs in designing patient safety and risk management programs for their areas. Reports on risk management matters and prepares reports for quality committees and boards. Ensures necessary information for claim defense is collected, maintained, and reported in a timely manner. Provides consultation to Patient/Family Relations (PFR) to mitigate risk associated with patient/family complaints. Supports Manager, Risk Management in regulatory activities tied to the Patient Care Assessment Plan and Serious Reportable Events for DPH and the Board of Registration in Medicine (BORM). Performs additional duties as assigned by Manager, Risk Management or Executive leadership in Quality and Patient Safety. Education • Bachelor’s degree required. • Advanced degree (JD, master’s) preferred. • Concentration in nursing, science, or another health‑care related field required. Certificates, Licenses, Registrations CPHRM preferred at hire; required within two years; CPPS and/or CPHQ preferred. RN preferred. Experience With CPHRM or RN certification: seven years of clinical care/health‑care experience. Minimum three years in risk management, patient safety, or quality improvement. Without certification: ten years of clinical care/health‑care experience and experience in risk management or patient safety. Minimum seven years of relevant work experience in risk management in lieu of a degree or license. Knowledge, Skills & Abilities Risk management or related experience in a health‑care setting, knowledge of medical malpractice, health‑care law, and terminology. Strong interpersonal skills for effective collaboration with administrative and clinical leadership, staff, chairs, and other professionals. Ability to interview individuals and groups from diverse backgrounds. Capacity to maintain confidentiality and handle sensitive matters. Ability to collect event information and organize it into a coherent narrative. Highly self‑motivated with the capacity to manage multiple projects simultaneously and meet deadlines. Ability to inspire trust and provide support and assistance. Excellent verbal and written communication skills. Excellent presentation skills, including speaking before large audiences and preparing presentations. Proficient computer skills, including Microsoft Office and new applications such as adverse event reporting software (RL Solutions). Willingness to work irregular or additional hours for on‑call purposes. Demonstrates flexibility and adaptability as the role may evolve in a changing environment. Compensation Range $97,500.00 – $141,500.00. This range is an estimate based on minimum job qualifications. Base pay is determined by education, experience, skills, certifications, and other factors. Total compensation includes benefits such as medical, dental, vision, pharmacy, discretionary bonuses, merit increases, Flexible Spending Accounts, 403(b) savings match, paid time off, career advancement opportunities, and resources to support employee and family well‑being. The range is based on Boston‑area data and may be modified for other geographic locations. Equal Opportunity Employer / Disabled / Veterans Boston Medical Center Health System is an equal‑opportunity employer. We provide equal employment opportunities to all employees and applicants, including those with disabilities and veterans, in compliance with federal, state, and local law. Application Process All applications are received through our website. We do not request or require downloads of any job application, or the use of text messages or social media for hiring. We do not ask individuals to purchase equipment prior to employment. #J-18808-Ljbffr