The University of Kansas Health System
The University of Kansas Health System
The University of Kansas Health System is a nonprofit healthcare provider that works with the University of Kansas Medical Center across patient care, research, and education. Its services span urgent care and specialized treatment, including cancer care at an NCI-designated center. The health system also supports residency and fellowship programs and promotes wellness for patients and healthcare professionals.

Director of Claims and Senior Counsel

Lead liability claims and risk mitigation for The University of Kansas Health System, overseeing regulatory exposure and claims resolution. Advise practitioners, executives, and legal teams across Kansas markets.

Tavsif

  • Identify and mitigate actual and potential risks to TUKHS, including UKHA facilities and providers.
  • Manage professional and general liability claims across Kansas City, Southwest Kansas City, Great Bend, and Liberty, with priority focus on community hospitals.
  • Support the Office of the General Counsel and coordinate clinical risk management programs.
  • Advise on potential liability, regulatory exposure, risk sources, and mitigation strategies.
  • Partner with compliance, risk, regulatory, patient safety, quality, patient relations, medical staff, government, and regulatory agencies.
  • Monitor and assess patient safety events, and educate practitioners about claims and risk reduction.
  • Report, review, investigate, track, respond to, and resolve claims through TUKHS’s Communication and Resolution Program.
  • Join crisis management teams and claims committees.
  • Develop defense strategies with senior leaders and legal counsel.
  • Maintain working relationships with brokers, captive managers, third-party administrators, carriers, reinsurers, the HCSF, and defense firms.
  • Support root cause analysis meetings and investigations.
  • Assist with licensure and credentialing applications, patient warnings, discharge and termination letters, complaints, demands, and incident reports.
  • Work with Human Resources on documentation and corrective actions.
  • Notify the HCSF about potentially compensable events, claims, and lawsuits.
  • Support trial preparation, litigation holds, discovery, mediations, and trials.
  • Request medical records and bills, seek bill holds, and recommend bill waivers.
  • Provide practitioners with pre-claim support and investigate potential risk issues.
  • Help respond to regulatory findings, licensure board complaints, insurance grievances, peer review matters, information requests, and subpoenas.
  • Assess policies, programs, agreements, and relationships for risk.
  • Analyze accident, incident, claim, and occurrence data; prepare reports and recommend corrective actions to leadership and the Board of Directors.

Talablar

  • At least five years’ experience as a claims manager in a healthcare setting or with medical professional liability insurers.
  • Ability to manage claims end to end, including confirming coverage, timely reporting, evaluating liability, negotiating settlements, attending mediations, and pursuing prompt, fair resolutions.
  • In-depth knowledge of HIPAA.
  • Read, write, and speak English.
  • Knowledge of regulatory codes, legal requirements, and healthcare law affecting enterprise and practitioner risk.
  • Strong presentation skills and persuasive communication.
  • Ability to work independently with minimal supervision.
  • Ability to manage stress under pressure.
  • Ability to work effectively with Board members, medical staff, senior leaders, attorneys, accountants, actuaries, brokers, and underwriters.
  • Demonstrated ability to plan strategically, implement programs, and evaluate their effectiveness.
  • Knowledge of clinical and non-clinical loss control and claims administration.
  • Ability to prioritize work while keeping the broader picture in view.
  • Ability to delegate and recognize when assistance is needed.
  • Ability to develop creative, innovative ways to prevent or reduce risk.
  • Juris Doctor preferred.
  • Ten or more years’ claims management experience with integrated health systems or medical professional liability insurers preferred.
  • Law license or state bar membership preferred.
  • Active bar membership in Kansas and/or Missouri is a plus.
  • CPHRM, CPCU, RPLU, ARM, and/or AIC certification preferred.
  • Litigation experience preferred.

Imtiyozlar

  • Equal opportunity employer.
  • Reasonable accommodations are available to qualified individuals with disabilities.
  • Employment is contingent on participating in the health system’s dispute-resolution program.

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