[Hiring] Senior Director, Risk Management @Curana Health

Role Description

Reporting to the Chief Legal Officer, the Senior Director, Risk Management builds and leads the Company's risk management function, including accountability for:

• Insurance claims management
• Clinical risk management
• Oversight of the company’s insurance portfolio and coverage strategy

The Senior Director establishes the processes, technology, governance, and measures required to support progressively higher levels of retained risk. This is a strategic and hands-on leadership role supporting a national health care organization that includes:

• A medical group employing approximately 350 physicians and 1,250 advanced practice providers across more than thirty states
• Two multi-state Medicare ACOs
• A multi-state Medicare Advantage ISNP

The Senior Director leads the Company's claims management strategy from first notice through final resolution, including:

• Investigation
• Liability and damages evaluation
• Exposure assessment
• Reserve recommendations
• Panel counsel oversight
• Mediation and settlement strategy
• Trial posture

A core measure of success is demonstrated improvement in total cost of risk, including retained loss outcomes, defense spend, and insurance program economics.

Qualifications

• Deep expertise in medical professional liability claims management at both the individual-case and portfolio levels
• Practical fluency with AI tools and sound judgment about their value and risks
• Ability to establish credibility with physicians and advanced practice providers
• Working knowledge of health care risk frameworks
• Executive presence and ability to translate technical matters into concise recommendations for senior leadership

Requirements

• Bachelor's degree required; advanced degree preferred (e.g., Juris Doctor, Master of Health Administration, Master of Business Administration, Master of Science in Nursing)
• Professional credential preferred (e.g., CPHRM, AIC, ARM, CPCU, RPLU)
• Ten or more years of progressively responsible experience in risk management
• At least seven years of substantial direct experience managing health care professional liability claims
• Experience operating within a professional liability carrier or third-party administrator claims organization preferred
• Experience with large deductible or self-insured retention programs carrying per-claim retentions of $250,000 or greater preferred
• Experience building or substantially expanding a claims, risk management, or clinical risk program required
• Experience leading professional staff required

Benefits

• Opportunity to make a meaningful impact on the senior healthcare landscape
• Work with a passionate team dedicated to improving the health and dignity of older adults