Health Insurance Operations Director jobs in Missouri

It's more than a career, it's a calling.

Worker Type:

Job Highlights:

PRIMARY RESPONSIBILITIES

• Oversees various aspects, including claims management, of a complex and growing insurance portfolio, which includes, but is not limited to, the following programs: Professional Liability/Medical Malpractice, General Liability, Auto, Aviation, Crime, Cyber, D&O, Environmental, Fiduciary, Property, Umbrella/Excess (including administration of a Captive Insurance Company and Self-Insured Trusts) and Worker’s Compensation.
• Designs and implements processes that identify risk exposure and classify, measure, and manage insurable risks. Provides risk finance expertise and creates insurance solutions to operational and strategic initiatives of the organization.
• Accountable for insurance and risk finance due diligence reviews for mergers & acquisitions and divestitures of the organization, as well as accountable for the timely and effective program implementation and integration of such acquisitions.
• Develops and completes full budget assumptions, in collaboration with the actuary, as needed, for all programs to effectively manage insurance costs and expenses for the organization. Advises system and ministry finance leaders of allocations needed to fund the insurance programs.
• Maintains a high level of knowledge, authority, and independence to serve as an enterprise and insurance risk subject matter expert and resource for the organization and senior management team. Responsible for keeping up to date on various risk response activities and compiling useful data and information about enterprise risks into substantial, valuable reports to senior leaders and appropriate board committees to inform strategic objectives and initiatives.
• Develops and leads the implementation of a risk management program that results in the identification, prioritization, and reduction of business-related risks. Advises and develops, as needed, risk management criteria including threats, vulnerabilities, likelihood, and impact. Conducts enterprise risk assessments to evaluate potential risk impacts. Defines organizational risk mitigation and remediation planning and activities.
• Manages the development and implementation of new and improved risk reporting tools to track key metrics, risk appetite thresholds, enterprise issues, and other relevant information on key business risks. Identifies metrics and actionable risk reporting appropriate for system and regional leaders. Develops and implements databases, data collection systems, data
• analytics and other strategies that optimize risk identification, analysis, response, and monitoring.
• Oversees the management, administration, and strategy of the Riskonnect (RMIS) application. Provides direct oversight, leadership, and management to the RMIS staff and ensures excellent customer service to the organization for all application functions.
• Works effectively as a team member in a dynamic environment and promotes teamwork within and across the organization by maintaining positive relationships and utilizing effective problem-solving skills. Manages activities related to staffing, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
• Performs other duties as assigned.

EDUCATION

• Bachelor’s degree

EXPERIENCE

• Ten years’ experience, with five years’ leadership

Named 150 Top Places to Work in Healthcare 2023 - Becker's Healthcare

Named One of America's Greatest Workplaces for Diversity 2023 - Newsweek

Named One of America's Greatest Workplaces for Women 2023 - Newsweek

SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. The organization’s 40,000 team members and more than 12,800 providers are committed to providing exceptional health care services and revealing God’s healing presence to everyone they serve.
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With care delivery sites in Illinois, Missouri, Oklahoma and Wisconsin, SSM Health includes 23 hospitals, more than 300 physician offices and other outpatient and virtual care services, 13 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves.

To request additional information, confidentially submit your interest, or nominate a fellow colleague, please contact:

Angela Jones

Executive Talent Acquisition

Angela.Jones1@ssmhealth.com

SSM Health is committed to equal employment opportunity based on race, color, religion, national origin, gender, sexual orientation, gender identity, pregnancy, age, physical or mental disability, veteran status, and all other statuses protected by law.

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Job Summary:

Job Responsibilities and Requirements:

Establishes, directs, and manages a system-wide enterprise and insurance risk management program. Responsible for the strategic and
operational leadership and management of the organization’s insurance and alternative risk finance program. Establishes and implements
an appropriate Enterprise Risk Management (ERM) framework including risk policies, metrics, reporting and monitoring and ensures
alignment of the ERM with corporate strategy. Develops and maintains collaborative relationships within the organization to support risk
identification, risk solutions and loss prevention initiatives.

Department:

Work Shift:

Scheduled Weekly Hours:

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.