Director of Risk Management

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.