VP of Litigation and Insurance

The Vice President, Litigation & Insurance is the senior legal executive responsible for enterprise leadership of the Health System’s litigation, claims, captive insurance, and commercial insurance programs. The Vice President serves as a principal advisor to the General Counsel, executive leadership, and governing bodies on significant litigation exposure, claims strategy, insurance coverage, risk financing, and emerging liability trends. The role establishes enterprise strategy and governance, ensures appropriate executive oversight of high-impact matters, and aligns legal, clinical, operational, and financial stakeholders around effective risk mitigation and resolution.

The Vice President leads all healthcare and commercial litigation matters; oversees medical malpractice, employment, and other significant claims; manages the Health System’s captive insurance company; and partners with Finance on the procurement, placement, administration, and optimization of the Health System’s commercial insurance portfolio.

• Develop and lead the Health System’s enterprise litigation strategy across healthcare, professional liability, employment, regulatory, managed care, medical staff, peer review, credentialing, commercial, contract, antitrust, class action, and other complex disputes.
• Provide executive oversight of significant investigations, subpoenas, discovery, settlement strategy, litigation avoidance, and matters with material financial, operational, reputational, or strategic impact.
• Advise the General Counsel and executive leaders on litigation posture, exposure, settlement authority, escalation, and resolution of high-risk matters; identify trends and opportunities to reduce recurring liability.

• Provide executive leadership and oversight for the professional liability and claims function, including medical malpractice and significant employment-related claims, while ensuring appropriate delegation of day-to-day claims administration to designated claims leadership and staff.
• Oversee strategy for significant and catastrophic claims, including investigation, evaluation, defense, resolution, and escalation; establish expectations for timely, consistent, and well-documented claims management.
• Partner closely with the Chief Quality Officer and quality and patient safety team, clinical leadership, Human Resources, Finance, and other stakeholders to identify systemic issues, strengthen prevention strategies, and incorporate claims learnings into organizational improvement.
• Partner with Finance and actuarial resources on reserve reviews, loss trends, and material exposure, ensuring legal strategy and financial planning remain aligned.

• Serve as the lead staff executive for the Health System’s captive insurance company and primary coordinator for captive governance, strategy, and executive decision support.
• Lead preparation for and coordination of captive governance activities, including regular captive meetings, monthly operating discussions, and bi-annual onshore risk education meetings; ensure decisions, accountabilities, and follow-up actions are clearly documented and advanced.
• Partner with Finance, actuarial advisors, brokers, external counsel, and other consultants on reserve adequacy, loss projections, funding requirements, reinsurance strategy, retention levels, and long-term risk financing.
• Lead enterprise evaluation of which insurance lines and exposures should be retained within the captive versus transferred through the commercial…