Job Description
Job Title: Director of Risk Management
Location: Lakewood, NJ or Remote
Salary Range: $250k - $400k
Job Summary A healthcare organization is seeking a Director of Risk Management to oversee enterprise GL/PL insurance and risk financing strategy, build and manage a comprehensive claims analytics platform, and lead all general and professional liability case management. This role requires a strong strategic thinker with deep insurance expertise who can translate loss experience into program design, guide operational processes using data, and manage complex GL/PL matters through resolution.
Insurance Strategy & Risk Financing - Lead the design, evaluation, and placement of GL/PL insurance programs, including limits, deductibles, self-insured retentions, aggregates, and alternative risk structures.
- Analyze historical loss performance, modeled scenarios, and underwriting trends to determine the optimal insurance structure each year.
- Evaluate self-insurance, captives, and hybrid retention strategies using financial modeling, actuarial data, and long-term organizational goals.
- Oversee renewal strategy, underwriting submissions, applications, loss runs, actuarial reviews, and broker/carrier relationships.
- Assess year-over-year program cost, retention impact, and overall cost of risk to ensure alignment with financial and operational objectives.
- Serve as the primary internal resource for risk financing decisions, insurance structures, and GL/PL program performance.
Data, Analytics, and Operational Risk Management - Build and maintain a centralized database capturing incident reports, GL/PL claim details, venue characteristics, plaintiff counsel history, reserve changes, settlements, and defense costs.
- Analyze data by facility, provider, venue, and allegation type to identify trends, emerging risks, and key drivers of loss.
- Use analytics to guide reserve recommendations, risk financing decisions, settlement strategies, and long-term operational improvements.
- Develop dashboards tracking outcomes, cycle times, severity trends, and defense cost patterns for leadership review.
- Establish policies for incident reporting, documentation, investigations, and escalation protocols to strengthen defensibility and reduce exposure.
- Work with clinical and operations teams to improve documentation, record accuracy, and risk awareness at facility and corporate levels.
- Create pre-suit and post-suit strategy templates and jurisdictional playbooks that reflect venue risk, plaintiff counsel behavior, and historical outcomes.
Case Management & Litigation Oversight - Manage all GL/PL matters from incident through resolution, including intake, investigation, case strategy, and coordination with outside counsel.
- Directly negotiate settlements on matters handled in-house and provide strategic input on counsel-led negotiations.
- Evaluate reserves and settlement ranges based on exposure analysis, historical verdicts, venue risk, and insurer feedback.
- Participate in mediations, arbitrations, settlement conferences, and trials alongside outside counsel.
- Ensure consistent strategy and case handling across facilities, jurisdictions, and plaintiff firms.
- Provide concise reporting to senior leadership on major exposures, claim trends, and litigation outcomes.
Requirements - Extensive experience managing GL/PL claims in a healthcare environment, including reserve evaluation and settlement negotiation.
- Strong insurance strategy background with direct experience structuring GL/PL programs (SIRs, deductibles, aggregates, limits) and evaluating self-insurance or captive models.
- Experience working with carriers, brokers, actuaries, and underwriting teams on renewals, loss projections, and program design.
- Strong analytical skills with the ability to interpret large data sets and convert trends into insurance, operational, and litigation strategy.
- Deep understanding of healthcare liability, venue dynamics, and plaintiff firm behavior.
- Excellent collaboration skills with legal, clinical, and operational leaders and strong executive-level communication.
Job Tags
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