Insurance and Risk Management Director oversees an organization's overall insurance program to manage and minimize risk and costs. Manages strategic objectives and policies to ensure effective insurance coverage for the organization. Being an Insurance and Risk Management Director conducts regular policy reviews and research. Compiles loss trends and reviews actuarial estimations to make recommendations. Additionally, Insurance and Risk Management Director administers systems to collect data and generate meaningful models and reporting to support decisions. Creates processes that identify risk exposure and classify, measure, and manage insurable risks. Develops the appropriate mix of insurance coverage for the organization and negotiates policy pricing and terms with vendors. May review and approve policy renewals and applications. Requires a bachelor's degree. Typically reports to a director. The Insurance and Risk Management Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be an Insurance and Risk Management Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
The Director of Case Management provides leadership, management, oversight, and assessment of all aspects of clinical program management and is responsible for ensuring quality provision of member driven care continuum programs while ensuring delivery of essential services that address the total health care needs of The Health Plan members. The Director of Case Management works collaboratively with the VP of Clinical Services, Director of Utilization Management, AVP of Population Health and the Medical Directors, as well as other interdisciplinary team leaders to plan, organize, coordinate, develop the vision, perform implementation and measure the outcome of all population health driven, care continuum programs based on both governmental and non-governmental lines of business to ensure compliance to the requirements of all regulatory and accreditation bodies relevant to clinical management.
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0 Insurance and Risk Management Director jobs found in Morgantown, WV area