Risk Management Director - Healthcare jobs in Santa Ana, CA

The City of Santa Ana is looking for individuals who are results-oriented, possess great attitude, demonstrate creativity and innovation, work efficiently, show a record of success and have a passion for public service. Having highly talented employees provides the best service to our community.   

Performs advanced, responsible, and complex technical, analytical, professional, and confidential duties in the administration of programs and activities of the Risk Management Division within the Human Resources Department, including general liability, workers’ compensation, insurance renewal, and procurement.

• Assists in Risk Management Division functions, programs, and activities, including developing, implementing, administering, and overseeing short and long-term division goals, objectives, policies, procedures, strategies, and priorities.
• Reviews and communicates with third-party administrators (TPA); oversees TPA handling of worker’s compensation and liability claims against the City; and consults with management and legal counsel to determine proper actions regarding worker’s compensation and tort claims.
• Works with the Finance and Management Services Department to ensure reserves are accurately budgeted and to address potential claim payment issues; reconciles claim payments against budgeted loss balance; and monitors TPA account balances and loss reserves for adequacy.
• Coordinates and participates in interactive and return-to-work processes with employees, supervisors, vendors, and the Employee Relations Division.
• Provides highly technical assistance with other division and department programs and activities, including assisting with the City’s annual insurance renewal program, procuring City special event and instructor insurance, handling City loss recovery and subrogation claims, and evaluating potential City risks and methods of risk transfer, avoidance, and/or mitigation.
• Assists in the development and implementation of City rules, programs, policies, and procedures in compliance with state, federal, and other regulatory agency rules, regulations, provisions, policies, and procedures.
• Conducts research, analyzes data, and prepares written reports for a variety of administrative, operational, and policy matters; analyzes alternatives and makes recommendations; discusses findings with management; and oversees and assists in the implementation of recommendations.
• Assists in the administration of assigned program budgets, including forecasting of funds for staffing, services, equipment, materials, and supplies; helps monitor expenditures; assists with invoice processing; and recommends adjustments, as necessary.
• Oversees the preparation and administration of requests for proposals and contracts for a variety of professional and contract services; participates in vendor selection processes; assists in the submission of reports required for City Council approval; and administers and tracks approved contracts.
• Assigns, directs, coordinates, and reviews work activities and projects; monitors work flow; reviews and evaluates work products, methods, and procedures; and works with staff to identify and resolve problems.
• Provides information and assistance to City staff, the public, and outside agencies and organizations regarding division programs, activities, rules, policies, and procedures; serves as a liaison between the Risk Management Division and third-party vendors.
• Conducts legal research; monitors trends and developments; monitors and responds to changes in relevant regulations; consults with legal staff when needed; coordinates appropriate legal action; appears and testifies as an expert witness at administrative hearings and in court; and may attend and represent the City at settlement conferences and/or small claims court.
• Provides complex professional staff assistance to management staff; participates on a variety of committees and boards; prepares staff reports and other correspondence; and makes presentations.
• May select, train, deploy, supervise, motivate, and evaluate assigned personnel; may provide and/or coordinate staff training; may work with employees to correct deficiencies; and may assist with implementing discipline procedures.
• May participate and represent the City in risk insurance joint powers authority meetings.
• Performs other duties as assigned.

Four (4) years of progressively responsible professional experience in risk management administration, including one (1) year of lead or supervisory experience, preferably in a government agency. Bachelor’s degree from an accredited college or university with major course work in risk management, public administration, business administration, or a related field. Minimum qualifications may be met via an equivalent combination of experience and education sufficient to perform the essential job functions. Experience and education must provide the knowledge, skills, and abilities listed below.

KNOWLEDGE, SKILLS, AND ABILITIES

Knowledge of: Principles and practices of risk management in a public agency setting; policies, procedures, functions, practices, and methods associated with adjusting, analyzing, investigating, and resolving workers' compensation and liability claims; applicable federal, state, and local public sector laws, codes, and regulations; program development and administration; principles and practices of contract development, administration, and management; methods and techniques of complex research and analysis; mathematical calculations; principles and practices of budget development and administration; principles and practices of data collection, business letter writing, and report and correspondence preparation; data and records management principles and procedures; proper English usage, grammar, and punctuation; effective customer service techniques; principles of communication and public speaking; safety practices and procedures, including safe driving practices; principles of supervision, training, and performance management; and modern office practices, procedures, methods, and equipment.

Skill in: The use of personal computers and business software applications, including Microsoft Word, PowerPoint, Outlook, and Excel; iVos and/or other risk management claims software applications; and the operation of modern office equipment.

Ability to: Assist in the day-to-day operations of risk management programs and activities; understand, interpret, apply, explain, enforce, and follow Citywide and departmental codes, policies, and procedures, and applicable federal, state, and local policies, laws, and regulations, as applicable to worker’s compensation and liability claims handling; plan, organize, and carry out assignments from management staff with minimal supervision and within established guidelines; recommend, implement, and evaluate goals, objectives, programs, projects, policies, and procedures; select, supervise, train, and evaluate staff; promote safety conscious behaviors and practices; review insurance documents for completeness and accuracy; process, file, and maintain worker’s compensation and liability claim information; collect, analyze, and maintain complex data; perform mathematical calculations accurately; conduct complex research projects; make sound recommendations and implement appropriate courses of action; prepare clear and concise staff reports, correspondence, policies, procedures, and other written materials; maintain confidentiality of private and sensitive information; communicate tactfully, clearly, and concisely, both orally and in writing; make effective oral presentations; participate in the preparation and administration of assigned budgets; oversee, track, and administer agreements and contracts; plan, organize, and prioritize a variety of work, projects, and multiple tasks in an effective and timely manner to meet deadlines; maintain appropriate, accurate, and effective recordkeeping in compliance with retention policies and procedures; and establish and maintain effective working relationships with other City employees, the public, other agencies, claimants, insurance companies, contractors, vendors, businesses, and those contacted in the scope of work.

SPECIAL REQUIREMENTS

Possession and retention of a valid California Class “C” Driver’s License is a condition of continued employment in this classification.

Must be willing and able to work evenings, nights, weekends, and holidays, as needed.

WORKING CONDITIONS

Environmental Conditions: Work is generally performed in standard office and, occasionally, field settings. Occasional travel to different sites is required. Incumbents may be exposed to fumes, odors and smells, loud and noisy conditions, indoor and outdoor lighting, dirt and dust, wind and pollen, and variable weather conditions.

Physical Conditions: Primary functions require sufficient physical ability and mobility to work in office and field settings; operate motor vehicles; stand or sit for prolonged periods of time; occasionally climb, stoop, bend, kneel, squat, reach, twist, and walk; lift and carry up to twenty (20) pounds; push and/or pull light to moderate amounts of weight; have dexterity of hands to grasp and manipulate objects; operate office equipment requiring repetitive hand movement and fine coordination, including the use of a computer keyboard; utilize sight, hearing, speaking, reading, writing, and math ability to exchange information; see with normal vision and visual range, with or without correction; and hear in the normal audio range, with or without correction.