Sutter Health

Director, Insurance Services

Sutter Health$165K — $300K *
Healthcare
11 - 15 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Business, Healthcare Administration/Management, or related field (or equivalent experience)
  • 12 years of recent relevant experience
  • Advanced knowledge of insurance contracts and indemnification clauses
  • Strong understanding of healthcare business processes and organizational workflows
  • Expertise in project management and leading cross-functional teams
  • Exceptional verbal and written communication skills
  • In-depth knowledge of accreditation requirements and insurance-related regulations

Responsibilities

  • Develop and manage the insurance services portfolio for Sutter Health
  • Direct strategic risk financing decisions and optimize insurance coverage
  • Implement and oversee clinical risk management initiatives
  • Ensure compliance with state and federal regulations regarding safety and risk management
  • Provide assessments of risk exposures for insurance agreements
  • Advise senior leadership on best practices for risk mitigation and insurance services
  • Manage claims and litigations effectively, fostering teamwork across departments

Benefits

  • Comprehensive benefits package that supports employee well-being
  • Full-time schedule with Monday to Friday hours
  • Opportunities for ongoing professional development
  • Potential for involvement in strategic decision-making
  • Collaborative work environment with a focus on innovation
Full Job Description
Organization:
SHSO-Sutter Health System Office-Valley

Position Overview:
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.

Job Description:

EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.
  • Bachelor's: Business, Healthcare Administration/ Management, or related field


TYPICAL EXPERIENCE:
  • 12 years recent relevant experience


SKILLS AND KNOWLEDGE:
  • 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.


Job Shift:
Days

Schedule:
Full Time

Days of the Week:
Monday - Friday

Weekend Requirements:
As Needed

Benefits:
Yes

Unions:
No

Position Status:
Exempt

Weekly Hours:
40

Employee Status:
Regular

Pay Range is $165,339.20 to $264,555.20 / annual salary. Bay Area Pay Range is $187,886.00 to $300,622.00 / annual salary.

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

About Sutter Health

Sutter Health is a not-for-profit health system in Northern California, headquartered in Sacramento. It includes doctors, hospitals and other health care services in more than 100 Northern California cities and towns. Major service lines of Sutter Health-affiliated hospitals include cardiac care, women’s and children’s services, cancer care, orthopedics and advanced patient safety technology.
Learn more about Sutter Health
Size
58,000 employees
Industry
Founded
1981

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