Director, Insurance Services

Sutter Health•Sacramento, CA

About The Position

Develops, implements, and maintains all the insurances services for Sutter Health, with the overall goal of identifying and mitigating risk to the organization. Directs the strategic advancement and upkeep of the risk financing portfolio for Sutter Health, manages all claims and litigation, and serves as an advisor to senior leadership on risk mitigation related to insurance services. Partners with Sutter Health’s captive insurance management and board to align strategic risk financing decisions, optimize coverage structures, and ensure governance and oversight of captive operations. Designs and coordinates an integrated clinical risk management program for Sutter Health, including identification and coordination of clinical loss prevention initiatives, and comprehensive loss prevention education program across the organization. Ensures compliance with applicable state and federal statutes and regulations, as well as with accreditation standards for safety and risk management. Provides expert insurance coverage analysis and assessments of risk/exposures for existing and potential insurance coverage agreements and indemnification clauses. The successful candidate will live within the Sutter footprint.

Requirements

Bachelor's: Business, Healthcare Administration/ Management, or related field
12 years recent relevant experience
Ability to work within a complex ambulatory setting and physician driven organization with a comprehensive understanding of healthcare business processes, organization, and workflows.
Advanced knowledge of contract provisions as related to indemnification clauses and insurance contracts.
In-depth working knowledge of the current best practices, guidelines, industry standards, accreditation requirements, and applicable insurance-related state and federal regulations.
Expertise in building cross-functional team, fostering consensus, resolving conflicts, and managing risk, in addition to being an effective decision maker and expert delegator.
Well-developed organizational skills with an understanding of team building and organizational dynamics, including creative problem identification and resolution, conceptualization, and contingency thinking skills.
Superior business acumen and exceptional leadership skills to provide innovative solutions to complex problems and leveraging appropriate internal/external resources to meet corporate objectives.
Attention to detail, superior problem solving and strategic planning skills the ability to analyze data, identify trends, provide insights to staff and affiliates, and recommend creative and actionable solutions in challenging situations.
Proven project management skills, including the ability to initiate, plan, execute, and control activities to meet requirements and timelines of regional and system-wide initiatives or projects potentially impacted by new or changing regulations.
Verbal and written communication, interpersonal, and presentation skills with the ability to present regulatory requirements, insurance plans, and legal concepts clearly and professionally to diverse audiences and all levels of internal and external constituencies
Work independently as well as collaboratively within all levels of the Organization, including physicians, employees and management staff.
Manage people, cross-functional teams, and organizational dynamics while overseeing and prioritizing multiple projects simultaneously in a a dynamic and challenging environment while affecting change and achieving overall program success.
Develop cross-functional teams, foster consensus, resolve conflicts, and manage risk, in addition to being an effective decision maker and expert delegator.
Foster an environment of collaboration at all levels of the organization, including engaging influencing individuals or groups exhibiting/using non-compliant behavior or processes, building consensus, and then enlisting cooperation without direct control/authority.
Protect confidential information; understanding when and to whom has a specific business need to have information shared.
Build collaborative relationships with peers, other departments, stakeholders, agencies, consultants, and vendors to ensure adequate insurance coverage and to manage risk efficiently and cost effectively.

Responsibilities

Develops, implements, and maintains all the insurances services for Sutter Health, with the overall goal of identifying and mitigating risk to the organization.
Directs the strategic advancement and upkeep of the risk financing portfolio for Sutter Health, manages all claims and litigation, and serves as an advisor to senior leadership on risk mitigation related to insurance services.
Partners with Sutter Health’s captive insurance management and board to align strategic risk financing decisions, optimize coverage structures, and ensure governance and oversight of captive operations.
Designs and coordinates an integrated clinical risk management program for Sutter Health, including identification and coordination of clinical loss prevention initiatives, and comprehensive loss prevention education program across the organization.
Ensures compliance with applicable state and federal statutes and regulations, as well as with accreditation standards for safety and risk management.
Provides expert insurance coverage analysis and assessments of risk/exposures for existing and potential insurance coverage agreements and indemnification clauses.