Chief Risk & Technology Officer

The Chief Risk & Technology Officer (CRTO) will spearhead the integration of advanced technologies and compliance strategies to ensure regulatory adherence and robust risk management within our healthcare organizations. This role demands a visionary leader with extensive experience in healthcare technology, risk management, and regulatory compliance. The CRTO will prioritize and manage risks effectively, balancing opportunity costs with potential risks, and incorporating real-world experience into the risk program to enhance client care and drive innovation. The role will oversee the Office of Risk Management which includes Compliance, Privacy & Risk, Contracts Management, Quality & Internal Audit.

Core Responsibilities & Essential Job Functions

Ethics and Culture:

• Foster a culture of ethics and compliance throughout the organization, promoting transparency, accountability, and continuous improvement.
• Drive thoughtful and sustainable innovation through technology and process efficiency.
• Provide training and education to staff on compliance and ethical practices on an ongoing basis staying up to date on best practices and industry trends.

Strategic Leadership:

• Develop and implement a comprehensive compliance strategy which includes technology oversight and advancement aligned with the organization’s purpose and goals.
• Real-world experience integration:
  • Practical Insights: Leverage real-world experience to enhance the risk program. This includes applying lessons learned from past projects and industry best practices to current risk management strategies.
  • Continuous Improvement: Foster a culture of continuous improvement by regularly updating risk management practices based on real-world feedback and evolving industry standards.
  • Next Generation Practices:  Lead the ideation and execution of integration of cutting edge technology and solutions (e.g. AI).
• Oversee and optimize the governance structure across the Family of Companies. Conduct a thorough review of technology spending initiatives and ensure responsibilities, as defined by the approved structure, are executed appropriately to manage risks effectively.
• Partner with the senior leadership to help oversee and manage spend and planning through input to business owners, organizational guidance, and portfolio oversight.
• Support enterprise applications & contracts providing guidance on risks and opportunities to meet the business goals.

Compliance Management:

• Prioritization and Effective Management:
  • Risk Prioritization: Develop a framework for prioritizing risks based on their potential impact and likelihood. This helps in focusing resources on the most critical areas.
  • Resource Allocation: Efficiently allocate resources to manage prioritized risks, ensuring that the organization can respond effectively to potential threats.
  • Resource Efficiency: Utilize advanced technologies such as AI and data analytics to enhance risk management processes, making them more efficient and effective.
• Ensure the organization adheres to all federal, state, and local healthcare regulations, including HIPAA, FDA, and CMS guidelines.
• Develop and maintain policies and procedures to ensure compliance with regulatory requirements and industry standards.

Risk Management:

• Opportunity Cost with Risks:
  • Risk Assessment and Management: Evaluate and manage the opportunity costs associated with various risks and opportunities. This involves balancing potential benefits against potential downsides to make informed decisions.
  • Strategic Planning: Integrate risk management into strategic planning to ensure that opportunities are pursued in a way that aligns with the organization's risk appetite.
• Identify, assess, and mitigate risks related to technology and compliance, including data breaches, regulatory changes, and operational disruptions.
• Implement proactive risk management strategies with executive leadership and conduct regular audits to ensure ongoing compliance and risk mitigation.
• Ensure robust cybersecurity measures are in place to protect client data and comply with HIPAA and other relevant regulations.

Innovation and Improvement:

• Drive innovation by staying abreast of emerging technologies and regulatory trends in the healthcare industry.
• Collaborate with senior leaders to identify opportunities for process improvements and enhancements.
• Manage the portfolio of technology spend and performance expectations with our IT partner Xolv.

Qualifications

Minimum Education, Experience & Training Equivalent to:

• Minimum of 10-15 years