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Executive Director, Legal, Regulatory and UHealth Risk Management

Employer
University of Miami
Location
Miami, FL

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Executive Administration Jobs
C-Level & Executive Directors
Administrative Jobs
Institutional & Business Affairs, Business & Financial Management, Legal Affairs
Employment Type
Full Time
Institution Type
Four-Year Institution

Job Details

Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.

The Executive Director, Legal, Regulatory and UHealth Risk Management works with legal and regulatory risk analysis and claims/litigation activities, self-insurance, and excess insurance programs, as well as other related legal and regulatory issues related to the UHealth clinical enterprise. Reporting directly to the UHealth Chief Risk Officer & Patient Safety Officer and Senior Counsel, this position also implements and directs enterprise risk management efforts, including collaboration with executives in risk, compliance, strategy, governance, management, and health care operations, to achieve desired goals and results.

CORE JOB FUNCTIONS

  • Serves under the general oversight of the UHealth Chief Risk Officer (CRO) and acts in the CRO’s absence with the authority of the CRO to fulfil the responsibilities that fall under the CRO.
  • Advises University officials, administrators, and staff on legal and regulatory matters and implications of business and policy decisions.
  • Works collaboratively with Risk, Legal, Billing and Regulatory Compliance, Accreditation, and Regulatory Affairs leadership to comply with state and national norms of legal and regulatory health care compliance.
  • Leads and leverages cross-functional teams to develop solutions through partnership with key business resources in the support of risk mitigation strategies, identification, quantification, and management of risks.
  • Participate in UHealth leadership meetings and develop a collaborative relationship throughout the organization to leverage resources to advance risk prevention and claims and litigation/professional liability lessons-learned programs.
  • Recommends appropriate revisions to new or existing policies, procedures, and forms to reduce the frequency of future occurrences; recommends ways to minimize risks through system changes; reviews and revises facility policies, bylaws, rules and regulations as appropriate to maintain adherence to current standards and requirements.
  • Evaluates regulatory compliance concerns and makes recommendations for improvement to ensure that safety/regulatory recommendations are implemented in accordance with accreditation standards and guidelines.
  • Ensures compliance with state and federal laws, regulations, accreditation requirements and UHealth policies concerning patient safety.
  • Designs and implements controls and processes to ensure compliance with federal and state laws, regulations, accreditation requirements and UHealth policies concerning patient safety.
  • Remains informed regarding emerging threats to ensure that risks are well known and understood.
  • Serves as subject matter expert and briefs highest levels of organization effectively.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

  • Juris Doctor degree.
  • Florida Bar License or Authorized House Counsel.
  • Minimum 5 years of relevant experience in healthcare law and/or regulatory compliance.

Knowledge, Skills and Attitudes:

  • Ability to maintain effective interpersonal relationships.
  • Commitment to the University’s core values.
  • Ability to direct, manage, implement, and evaluate department operations.
  • Ability to establish department goals and objectives that support the strategic plan.
  • Ability to effectively plan, delegate and/or supervise the work of others.
  • Ability to lead, motivate, develop and train others.
  • Ability to recognize, analyze, and solve a variety of problems.
  • Ability to exercise sound judgment in making critical decisions.
  • Ability to maintain the highest levels of integrity, professionalism and confidentiality.
  • Ability to think strategically.
  • Ability to maintain effective interpersonal relationships.
  • Ability to work on multiple projects simultaneously.
  • Superior verbal, written, presentation, diplomatic and conflict resolution skills. Ability to express complex issues both orally and in writing for a range of audiences.
  • Must possess strong leadership skills and be an effective facilitator

Department Specific Functions

  • Cooperates with the staff of the Chief Medical Officer(s), Quality Officer(s), Chief Compliance Officer and Enterprise Risk Management teams in the development of interrelated programs and the development of shared staff resources for coverage of primary and satellite facilities and implement cross-training and education for their staff regarding the interplay of medical enterprise risk management, healthcare law and regulation risk, and compliance principles and programs.
  • Establish event investigation and reporting criteria and supervise the overall investigative process, including assuring appropriate documentation systems/tools, procedures, and a comprehensive corrective action process.
  • Collaboration with senior medical leadership and human resources staff to design and implement prompt clinical education and training intended to use lessons learned from grievance, risk, quality, claims and litigation investigation to effectuate real-time systemic adjustments.
  • Collaboration with departmental and hospital personnel regarding the development of appropriate processes for confidential and effective medical case review, peer review, and potential claims review.
  • Collaboration with Executive Director of Medical Risk Management and with the Executive Director of Patient Safety in establishing effective risk management and patient safety programs in all functional areas of the health care organization.
  • Collaboration with Executive Director of Claims and Litigation and keep claims and risk professionals up to date on emerging issues and trends relating to health law, insurance coverage, and related litigation.
  • Works collaboratively with Legal, Billing and Regulatory Compliance, Accreditation, and Regulatory Affairs leadership to comply with state and national norms of legal and regulatory health care compliance.
  • Assists risk management and claims and litigation personnel to partner effectively with patient safety and quality staff to effect UHealth patient safety and quality goals and programs.
  • Assist risk management personnel to interact and collaborate effectively with the UHealth Patient Experience and Patient Access personnel in extending risk prevention, claims reduction, and prompt resolution strategies to all aspects of the patient care process.
  • Informs directors of service and department heads regarding occurrences, issues, findings, and risk management suggestions; provides feedback to directors at all levels in the effort to eliminate risks; assists clinical chairs and department heads in designing risk prevention programs within their departments.
  • Provides consultative guidance and advice to hospital and medical staff leadership. Works in close alignment with internal patient safety, patient experience, clinical quality excellence, compliance, legal services, and treasury and finance departments.
  • Stays up-to-date on changes in law and legal climate. Inform UHealth leadership and medical staff of legislative updates and new statutes/guidelines.
  • Develop rapport and trust with physicians, nurses, other clinical staff, patients and families.
  • Partner effectively with other leaders to assess and proactively manage risk profiles/requirements of the federal acts/regulations affecting the health system through policy development, guidance, or education, such as: Americans with Disabilities Act (ADA), Centers for Medicare and Medicaid Services (CMS) Regulations; Office of Inspector General (OIG) audits, guidelines, and advisory opinions; Emergency Medical Treatment and Active Labor Act (EMTALA/COBRA), Food and Drug Administration (FDA), Health and Human Services (HHS), Health Care Quality Improvement Act (HCQIA), Health Insurance Portability and Accountability Act (HIPAA), Health Resources and Services Administration (HRSA), National Practitioner Data Bank (NPDB), Occupational Safety and Health Administration (OSHA), Patient Self-Determination Act (PSDA), Safe Medical Device Act (SMDA), Fraud and Abuse Legislation and Regulation; Sunshine Act Disclosures and Conflict of Interest guidelines.
  • Promote compliance with ERM related legislation and regulation through policy development, guidance, or education.
  • Promote compliance with state and federal reporting requirements through policy development, guidance, or education.
  • Develops statistical and qualitative medical enterprise risk management reports.
  • Ensure public health processes and programs are in place (e.g., Advance Directives, cultural sensitivity, organ donation).
  • Assist in the development of responses to inquiries from regulatory and licensing agencies.
  • Available during off-hours to respond to urgent events.
  • Perform other related duties, as assigned.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:

Full time

Employee Type:

Staff

Pay Grade:

H21

Organization

The University of Miami is one of America's top research universities located in one of the most dynamic and multicultural cities in the world.

A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System (“UHealth”) have rapidly progressed to become one of the nation’s top research universities and academic medical centers in the nation. The mission of the University of Miami is to transform lives through education, research, innovation, and service

The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs. Visit welcome.miami.edu/about-um to learn more about our points of pride.

Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults. Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019. With more than $413 million in research and sponsored program expenditures annually, the University of Miami is a member of the prestigious Association of American Universities (AAU). Only 3 percent of four-year institutions in the nation are invited to join the AAU, which recognizes breadth and quality of research and scholarship. While the majority of this work is housed at the Miller School of Medicine, investigators conduct hundreds of studies in other areas, including marine science, engineering, education, and psychology.

The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022.

Transforming lives

With more than 17,000 faculty and staff, the University strives for excellence and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe.

The University is committed to fostering a culture of belonging, where everyone feels valued and has the opportunity to add value. Through values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity, and Teamwork (DIRECCT) the U community works together to create an environment driven by purpose, excellence, community, and service.

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