Risk Project and Data Management Coordinator na Hospital for Special Surgery

How you move is why we’re here. ®
Now more than ever.

Get back to what you need and love to do.
The possibilities are endless...
 
Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success.
 
If this describes you then let’s talk!
 
HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.

Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.

Emp Status

Regular Full time

Work Shift

Day (United States of America)

Compensation Range

The base pay scale for this position is $30.77 - $46.84. In addition, this position will be eligible for additional benefits consistent with the role. The salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The hiring range listed is a good faith determination of potential compensation at the time of this job advertisement and may be modified in the future.

What you will be doing

Key Responsibilities:

Claims & Risk Data Management:

• Maintain and update medical malpractice loss run documentation in coordination with the Chief Risk Officer, the AVP of Risk Management, and the Clinical Risk Managers, exercising judgment in reconciling discrepancies and ensuring data integrity.

• Enter and manage claims and incident data in RLDatix or other designated risk/claims management systems, identifying irregularities that require escalation.

• Assist with internal reporting, data analysis, and audit preparation.

• Coordinate with Finance regarding litigation expenses; evaluate supporting documentation and determine applicability for internal reporting and Loss run.

Project & Operational Support:

• Collaborate with Risk Management leadership to develop and implement Risk and Liability focused projects arising from MIAC Board meetings with the goal of identifying improvement opportunities and reducing potential patient harm. Leads and support special projects by partnering with internal and external stakeholders to track milestones, compile documentation, and coordinate logistics.

•    Assist in preparing agendas, presentations, minutes and reports for committees, audits, and department meetings.

Settlement Management & CMS Reporting:
•    Prepare invoices for medical malpractice and general liability settlement checks, ensuring accuracy and appropriate documentation for Legal and Finance review.
•    Submit required reports of medical malpractice settlements to the Centers for Medicare & Medicaid Services (CMS) in compliance with Section 111 of the Medicare, Medicaid, and SCHIP Extension Act (MMSEA).

•    Coordinate with Risk Management leadership to ensure timely and accurate CMS reporting and follow-up.
•    Maintain secure records and a complete audit trail of all settlement-related activity and communications in support of annual MIAC audit
Financial & Administrative Operations:
•    Create, submit, and track purchase orders and vendor invoices using Workday.
•    Maintain organized documentation of vendor communication, invoice payments, and service agreements identifying variances for Risk Management leadership review.
•    Monitor departmental expenses, evaluate hospital collections lists and determine whether accounts receivable should be written off or billed to the patient, ensuring alignment with Risk Management service recovery efforts. 
•    Engage professionally and empathetically with patients and families regarding risk-related concerns, applying discretion in communication and documentation. 

Litigation Support:
•    Communicate with law firms, patients and/or physician offices regarding orthopedic hardware retrieval requests, determine if documentation meets requirements for release and facilitate and coordinate release.
Phone & Office Support:
•    Provide cross-coverage for incoming Risk Management phone lines, triage phone and exercising judgment when prioritizing and escalating messages.  

Qualifications:
•    Education:
o    Bachelor’s degree in Business Administration, Health Administration, Risk Management, or related field preferred.
o    Equivalent work experience in a healthcare, legal, or financial support role will be considered.
•    Experience:
o    3–5 years of administrative or operational experience in a healthcare, legal, or claims management setting.
o    Familiarity with CMS Section 111 reporting, RLDatix and Workday is a plus.
•    Skills & Competencies:
o    Strong attention to detail and organizational skills.
o    Analytical and problem-solving skills.
o    High proficiency in Microsoft Excel, Word, PowerPoint and Teams.  
o    Comfort in working with new and evolving technology and computer systems. (e.g. Palantir, RLDatix, Workday).
o    Excellent communication skills, written and verbal, with a professional and empathetic tone.
o    Ability to manage confidential and sensitive information with discretion.
o    Strong organizational and multitasking skills, with capacity to work independently. 
o    Ability to collaborate effectively with Risk Management leadership, and project managers in other departments and teams.

Non-Discrimination Policy
Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.

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