Director of Insurance Operations & Risk Management

We are recruiting for a motivated Director of Insurance Operations & Risk Management to join our team!

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Department

Job Summary

The Director, Insurance & Risk Management provides enterprise-wide strategic leadership for Denver Health's clinical and non-clinical risk management programs and oversees the organization's property and casualty insurance portfolio. This role will collaborate closely with executive and operational leaders, internal stakeholders, insurance partners, and external regulatory bodies to direct the system's insurance program, clinical risk management, and claims' governance to safeguard Denver Health's patients, workforce, and assets.

Essential Functions
:

• Provide leadership and strategic direction for Denver Health's risk management programs, establishing systemwide priorities and long-range strategies to reduce exposure and strengthen organizational resilience. Lead, support and develop a high-performing risk management team, clinically and administratively, to ensure effective workforce planning, talent development, performance management, and leadership coaching vide on-call support and timely consultation on risk-related issues for staff and providers.
  
  (30%)
• Oversee the procurement of Denver Health's enterprise property & casualty insurance portfolio, ensuring optimal coverage, financial stewardship, and alignment with organizational risk tolerance. Redevelop and maintain the risk management information systems to track and produce detailed, timely, and accurate reports of key indicators and data for loss trending, actuarial data reporting, exposure analytics, and integration of risk insights into leadership decision-making.
  
  Ensure compliance with state insurance and regulatory requirements, including regulatory filings, captive governance activities, and formal interactions with regulatory agencies and auditors. Continuously evaluate emerging industry trends to strengthen risk posture. (20%)
• Provide oversight of claims management, including litigation management, reserves, incident evaluation, and insurer/broker/actuary partnerships to support prompt, cost-efficient resolution of claims. 20%)
• Direct clinical risk management operations, including adverse event investigations, Root Cause Analysis (RCA), regulatory reporting, and executive-level communication of findings and system-level mitigation strategies. (20%)
• Partner with Corporate Finance and Legal leadership to ensure accurate financial planning, reserve management, recordkeeping, contract review, and support for commercial and captive insurance operations. Respond to credentialing inquiries and requests for insurance documentation. (10%)

Education
:

• Bachelor's Degree in Risk Management, Insurance, Finance, Business, Nursing or related field or graduation from an accredited law school with a Juris Doctorate (Required)

Work Experience
:

• 10 + years of progressively responsible risk management, insurance, or risk finance experience (Required)
• 6+ years in leadership roles at the departmental or system level (Required)

Licenses and Certifications
:

• CPCU, ARM, RPLU, CPHRM, RN (Preferred)

Knowledge,

Skills and Abilities

:

• Material experience with captive insurance programs is preferred.
• Demonstrated success overseeing enterprise insurance portfolios, claims operations, regulatory compliance, and risk finance.
• Experience partnering with and influencing executive leaders, stakeholders, insurers, brokers, actuaries, and regulators.
• Proven ability to lead large, complex projects and manage departmental or program budgets.
• Advanced proficiency in Microsoft Office and risk information systems.
• Excellent written and oral communication skills, including the ability to present complex risk concepts to senior leadership and governing bodies and influence internal/external stakeholders.
• Innovative and critical thinker.
• Advanced knowledge of risk finance, risk mitigation strategies, and…