Chief Risk Officer / Legal Affairs / Full-time / Days at Children's Hospital Los Angeles Los An[...]

Chief Risk Officer

Los Angeles, California (100% on-site)

Overview

The CRO of CHLA is responsible for providing strategic and operational leadership to the hospital in the assessment and mitigation of significant and developing enterprise risks. This pivotal leadership role is directly accountable for contributing to audit functions, business continuity, claims management, insurance, physical security, integrated risk management and all other active and emergent risks facing CHLA.

The role requires a senior leader with enterprise‑wide reach, who currently leads or influences a team of diverse talents and has a proven record of ensuring optimal performance, collaboration and efficiency. The candidate must effectively lead other senior leaders across a large organization by influence, and have current accountabilities for directing and delivering on enterprise‑wide risk strategies alongside other senior leaders.

The role also requires extensive experience managing large‑exposure, complex claims and a deep understanding of market and industry dynamics related to claims and overall enterprise risk. A background in managing a large portfolio of insurance assets to maximize benefit and a current experience in analytical and data‑driven risk management are requirements.

This position reports to the General Counsel and maintains key relationships with the board of directors, the executive leadership team, and all other levels of leadership across CHLA. It collaborates closely with the Chief Compliance Officer and the compliance team to implement and operationalize strategies to address enterprise risk issues.

Key Responsibilities

• Managing and/or influencing a talented, diverse and expert team across identified areas, including recruitment, training, development, engagement, and retention.
• Providing support, guidance, leadership and motivation to promote maximum performance and accountability across teams.
• Establishing and executing a strategic framework for evaluating and mitigating risk‑related issues across CHLA.
• Achieving optimal outcomes on enterprise risk issues facing CHLA.
• Educating and advising stakeholders across CHLA, including the board and executive leadership, on risk‑related issues.
• Ensuring independence and oversight for internal audit activities and high‑level investigations, where appropriate.
• Creating and developing analytic, and otherwise innovation‑driven strategies to address risk issues.
• Collaborating with the Office of the General Counsel to calibrate legal engagement, including the propriety of protected/privileged approaches to specified issues to mitigate risk.
• Leading the following areas and functions:
• Risk Management
  • Aligning risk management strategies with organizational priorities and objectives and collaborating with compliance to ensure industry standards are met throughout CHLA.
  • Sustaining mechanisms for ongoing risk assessment and prioritization of enterprise risks.
  • Communicating risk priorities and mitigation activities to all leader levels in the organization.
  • Evaluating the system’s facility exposure to risk (legal, medical, financial, security, operational, etc.) and recommending and executing strategies for risk mitigation with business leaders.
  • Educating and advising executive leadership and the board on organizational risks and recommended mitigation strategies and solutions.
  • Coordinating and collaborating on risk strategies which includes risk partners in compliance, legal, quality, patient safety, clinical risk, claims, etc.
  • Collaborating with management and risk partners to identify and recommend risk management approaches for CHLA Claims Management.
  • Overseeing and optimizing claim investigation, reserving and resolution of claims at an appropriate total cost.
  • Collaborating with strategic risk finance, risk, operational finance and actuaries on reserving and financial controls.
  • Overseeing appropriate authority matrix implementation for the handling and resolution of claims against CHLA.
  • Collaborating with appropriate business partners on the review of organizational policies and approaches to determine potential sources of risk generally, liability and claims.
  • Collaborating with risk and business partners to mitigate risk given organizational trends and claim history and external landscape, e.g., tort and antitrust environment.
• Insurance Management / Risk Financing
  • Managing current insurance portfolio.
  • Managing relationships with insurance brokers and other vendors to ensure CHLA is obtaining value for the contracts that it has entered.
  • Ensuring that CHLA is obtaining the benefits of the insurance contracts it negotiated for through commercial resolutions and/or litigation.
  • Maintaining and recommending appropriate insurance products for CHLA.
• Audit Management – Collaboration
  • Assisting with the development and enhancing CHLA’s internal and external audit functions and capabilities across the entire system relative to enterprise risk.
  • Preparing and executing audit framework and work plans, including the scope and timing of audits and reviews, the extent of testing required, and the content of audit/consulting reports related to enterprise risk.
  • Assessing and prioritizing emerging risk issues and the efficacy of audit requests to address these issues.
• Business Continuity, Investigations
  • Identifying and mitigating with appropriate risk and business owners, potential enterprise‑wide risks and threats.
  • Creating, implementing and executing plans proactively and in response to threats and other emergent and complex situations.
  • Leading the management of internal investigations to respond to active and emerging risk issues, including collaborating with other leaders at CHLA to calibrate investigations involving overlapping areas of responsibility.
• Integrity and Compliance
  • Collaborating with the chief compliance officer and the compliance team to ensure an integrated and cohesive approach to risk management and the maintenance of an ethical and compliant culture.
  • Ensuring that organizational policies, procedures and the CHLA Code of Conduct address risk‑related issues facing CHLA.
  • Partnering with compliance to identify strategic opportunities for mitigating risk based on compliance‑related issues and trends.
• Senior leadership experience in healthcare, risk management, claims management, insurance and/or other relevant areas of expertise.
• Extensive experience in insurance‑related products, insurance laws and regulations, complex claim handling and litigation and insurance coverage litigation.
• Strategic and operational leadership capabilities at a senior level in a given organization or company.
• A collaborative spirit and willingness to partner with other executives in resolving issues with enterprise‑wide impact and multiple stakeholders.
• A financial, analytics and data‑driven approach to leadership and management.
• Excellent negotiation skills and courage and tenacity at resolving large complex issues.
• Excellent written and oral communication skills.
• Ideally experience in healthcare operations.

Qualifications

Minimum Qualifications / Work Experience

• Required: 10+ years’ risk management experience.
• Preferred: Pediatric nursing experience, prior management experience.

Education / Licensure / Certification

• Required: Bachelor’s degree or equivalent combination of related education and work experience. JD and/or RN.
• Preferred: Advanced degree in healthcare or related field. CPHRM.

Pay Scale Information

USD $199,056.00 - USD $322,483.00

CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.

Equal Employment Opportunity

CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance. Qualified applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process. Our various experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA.