Medical Management Director jobs in Akron, OH

Description

POSITION SUMMARY:

The Director, Risk Management is responsible for managing client accounts, executing on risk strategies, and ensuring quality delivery of services to optimize our clients’ total cost of risk. The Director, Risk Management leads and develops a team of risk analysts as they partner with clients to implement strategies, complete the annual risk management processes, negotiate third party agreements, manage client documentation, and fulfill reporting requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Act as the day-to-day point of contact for all assigned clients to ensure the delivery of quality services to optimize total cost of risk
• Manage the tactical aspects of client engagements for large and complex clients
• Collaborate with and foster partnerships between clients, brokers, underwriters, internal claims management and risk management teams and other parties to manage the annual risk management process for large and complex clients
• Execute on defined risk strategies
• Ensure client reporting is completed in a timely manner and provides the type and level of information needed for quality decision making
• Lead and oversee due diligence and integration activities for mergers, acquisitions, and divestitures
• Expand risk management knowledge and skills by participating in thought leadership and/or deepening specialized knowledge about topics including, but not limited to, business continuity planning, captives, and enterprise risk management

• Lead and manage a team of senior risk analysts, and/or risk analysts to ensure quality control throughout their base of assigned clients
• Define team goals, track progress, and manage activities to achieve the goals
• Develop senior risk analyst and risk analyst skills and knowledge by educating and training them on the intent and process of completing tasks
• Delegate work in a manner that promotes increasing responsibility over time and a balanced workload across team members
• Set performance expectations, provide regular feedback, and conduct employee performance reviews
• Create a team-based environment that reinforces Risk International’s values of intelligence, integrity, consistency, energy, advocacy, service and respect

QUALIFICATIONS:

To perform the position, an individual must be able to satisfactorily perform each essential duty. The requirements listed below are representative of the knowledge, skill, and/or ability required.

EDUCATION AND/OR EXPERIENCE:

It is required that individuals have completed a bachelor’s degree, with a preference for a degree in risk management or related field. An advanced degree, with a specialization in business, risk management, mathematics, or another relevant field is helpful, but not required.

Individuals should have a minimum of five to seven years working in a risk analyst or similar capacity where experience included account management, identifying strategies for optimizing the cost of risk, leading and managing in a team-based environment, managing relationships with various partners in the insurance industry, and negotiating contracts.

CERTIFICATIONS/LICENSURE/REGISTRATIONS:

Preference will be given to individuals who have completed both the Associate in Risk Management (ARM) and/or equivalent certification and the Chartered Property Casualty Underwriter (CPCU) or equivalent certification.

COMPETENCIES:

The Director, Risk Management must have an advanced level of competency and be working towards developing expert competency levels in the following with an attitude of being a lifelong learner in the field of risk management, insurance and business:

Client and Personal Service Knowledge of principles and processes for providing client and personal services. This includes client needs assessment, meeting quality standards for services, and evaluation of client satisfaction.

Developing Objectives and Strategies Establishing long-range objectives and specifying the strategies and actions to achieve them.

Fluency of Ideas The ability to come up with several ideas about a topic (the number of ideas is important, not their quality, correctness, and creativity).

Sales and Marketing Knowledge of principles and methods for showing, promoting, and selling services. This includes sales strategy and tactics, services demonstration, and proposal writing.

Active Listening Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Systems Analysis Determining how a system should work and how changes in conditions, operations, and the environment will affect outcomes.

Systems Evaluation Identifying measures and indicators of system performance and the actions needed to improve and correct performance, relative to the goals of the system.

Problem Sensitivity The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.

Establishing and Maintaining Interpersonal Relationships Developing constructive and cooperative working relationships with others and maintaining them over time.

Communicating with Internal and External Partners Providing information to partners within and outside the organization by telephone, in written form, e-mail, and in person.

Oral Expression The ability to communicate information and ideas verbally so others will understand.

Risk Management Operations Knowledge of risk management functions, processes, partners, quality control, costs, and other techniques for maximizing the effective delivery of services.

Administration and Management Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, and coordination of people and resources.

Developing and Building Teams Encouraging and building mutual trust, respect, and cooperation among team members.

Law and Government Knowledge of laws, legal codes, and government regulations.

Evaluating Information to Determine Compliance with Standards Using relevant information and individual judgment to determine whether events and processes comply with laws, regulations, and standards.

Organization Prioritizing workflows based upon client needs, deadlines (internal and external) and available resources; being capable of managing multiple projects at one time.

Judgment and Decision Making Considering the relative costs and benefits of potential actions to choose the most appropriate one.

Critical Thinking Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions and approaches to problems.

Complex Problem Solving Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

Analyzing Data or Information Identifying the underlying principles, reasons, and facts of information by breaking down information and data into separate parts.

Inductive Reasoning The ability to combine pieces of information to form general rules and conclusions (includes finding a relationship among seemingly unrelated events).

Deductive Reasoning The ability to apply general rules to specific problems to produce answers that make sense.

Making Decisions and Solving Problems Analyzing information and evaluating results to choose the best solution and solve problems.

Updating and Using Relevant Knowledge Keeping up-to-date technically and applying new knowledge to your job.

Written Comprehension The ability to read and understand information and ideas presented in writing.

Written Expression The ability to communicate information and ideas in writing so others will understand.

Oral Comprehension The ability to listen to and understand information and ideas presented verbally.

Coordinating the Work and Activities of Others Getting members of a group to work together to accomplish tasks.

Monitoring Monitoring/Assessing performance of yourself, other individuals, and organizations to make improvements and take corrective action.

Mathematics Knowledge of arithmetic, algebra, statistics, and their applications.

Identifying Objects, Actions, and Events Identifying information by categorizing, estimating, recognizing differences and similarities, and detecting changes in circumstances and events.

Organizing, Planning, and Prioritizing Work Developing specific goals and plans to prioritize, organize, and accomplish your work.

COMPUTER SKILLS:

To perform this job successfully, an individual should have knowledge of all Microsoft Office products and be able to learn new systems within a reasonable time.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to stand, walk, use hands and fingers, talk, and hear. The employee is frequently required to sit and reach with hands and arms. The employee is occasionally required to climb or balance and stoop, kneel, crouch or crawl. The employee must regularly lift and/or move up to 10 pounds and occasionally lift and/or move 25 pounds or more. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The employee will work primarily in an office environment during typical office hours with occasional overtime; the office environment has moderate temperatures and minimal noise levels. Regular travel, of approximately 40-60%, by car and airplane may be required. The employee will occasionally tour client facilities that may be inside or outside and where climbing may be required, temperatures may be extreme, and dirt, vibration, and noise levels may be high.

ADDITIONAL COMMENTS:

This job description is not intended to be a complete list of all responsibilities, duties or skills required for the job and is subject to review and change at any time, with or without notice, in accordance with the needs of Risk International, Inc. Since no job description can detail all the duties and responsibilities that may be required from time to time in the performance of a job, duties and responsibilities that may be inherent in a job, reasonably required for its performance, or required due to the changing nature of the job shall also be considered part of the jobholder’s responsibility.

Qualifications