Director of Insurance Operations & Risk Management

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Department

Job Summary

The Director Insurance & Risk Management provides enterprise-wide strategic leadership for Denver Healths clinical and non-clinical risk management programs and oversees the organizations property and casualty insurance portfolio. This role will collaborate closely with executive and operational leaders internal stakeholders insurance partners and external regulatory bodies to direct the systems insurance program clinical risk management and claims governance to safeguard Denver Healths patients workforce and assets.

Essential Functions:

• Provide leadership and strategic direction for Denver Healths risk management programs establishing systemwide priorities and long-range strategies to reduce exposure and strengthen organizational resilience. Lead support and develop a high-performing risk management team clinically and administratively to ensure effective workforce planning talent development performance management and leadership coaching at scale. Provide on-call support and timely consultation on risk-related issues for staff and providers. (30%)
• Oversee the procurement of Denver Healths enterprise property & casualty insurance portfolio ensuring optimal coverage financial stewardship and alignment with organizational risk tolerance. Redevelop and maintain the risk management information systems to track and produce detailed timely and accurate reports of key indicators and data for loss trending actuarial data reporting exposure analytics and integration of risk insights into leadership decision-making. Ensure compliance with state insurance and regulatory requirements including regulatory filings captive governance activities and formal interactions with regulatory agencies and auditors. Continuously evaluate emerging industry trends to strengthen risk posture. (20%)
• Provide oversight of claims management including litigation management reserves incident evaluation and insurer/broker/actuary partnerships to support prompt cost-efficient resolution of claims. 20%)
• Direct clinical risk management operations including adverse event investigations Root Cause Analysis (RCA) regulatory reporting and executive-level communication of findings and system-level mitigation strategies. (20%)
• Partner with Corporate Finance and Legal leadership to ensure accurate financial planning reserve management recordkeeping contract review and support for commercial and captive insurance operations. Respond to credentialing inquiries and requests for insurance documentation. (10%)

Education:

• Bachelors Degree in Risk Management Insurance Finance Business Nursing or related field or graduation from an accredited law school with a Juris Doctorate (Required)

Work Experience:

• 10 years of progressively responsible risk management insurance or risk finance experience (Required)
• 6 years in leadership roles at the departmental or system level (Required)

Licenses and Certifications:

• CPCU ARM RPLU CPHRM RN (Preferred)

Knowledge Skills and Abilities:

• Material experience with captive insurance programs is preferred.
• Demonstrated success overseeing enterprise insurance portfolios claims operations regulatory compliance and risk finance.
• Experience partnering with and influencing executive leaders stakeholders insurers brokers actuaries and regulators.
• Proven ability to lead large complex projects and manage departmental or program budgets.
• Advanced proficiency in Microsoft Office and risk information systems.
• Excellent written and oral communication skills including the ability to present complex risk concepts to senior leadership and governing bodies and influence internal/external stakeholders.
• Innovative and critical thinker.
• Advanced knowledge of risk finance risk mitigation strategies and healthcare risk management.
• Deep expertise in insurance program structure underwriting and negotiation
• Executive-level claims and litigation management experience.
• Advanced analytical and data interpretation and data-driven decision making skills (advanced excel proficiency loss trending actuarial concepts risk information systems/platforms)
• Knowledge of state and federal insurance regulations commercial insurance programs and captive insurance governance
• Strategic leadership systems thinking and enterprise planning.
• Complex problem-solving and decision-making skills.
• High-level communication facilitation and presentation skills.
• Strong organizational prioritization and project management capabilities

Shift

Work Type

Salary

Benefits

• Outstanding benefits including up to 27 paid days off per year immediate retirement plan employer contribution up to 9.5% and generous medical plans

• Free RTD EcoPass (public transportation)

• On-site employee fitness center and wellness classes

• Childcare discount programs & exclusive perks on large brands travel and more

• Tuition reimbursement & assistance

• Education & development opportunities including career pathways and coaching

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer free student loan coaching and assistance navigating the PSLF program

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

• Respect

• Belonging

• Accountability

• Transparency

All job applicants for safety-sensitive positions must pass a pre-employment drug test once a conditional offer of employment has been made.

Denver Health is an integrated high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center a 555-bed acute care medical center Denvers 911 emergency medical response system 10 family health centers 19 school-based health centers Rocky Mountain Poison & Drug Safety a Public Health Institute an HMO and The Denver Health Foundation.

As Colorados primary and essential safety-net institution Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community focusing on hiring and purchasing locally as applicable serving as a pillar for community needs and caring for more than 185000 individuals and 67000 children a year.

Located near downtown Denver Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas talents and contributions reflective of the needs of our community.

Applicants will be considered until the position is filled.