Director, Insurance Services

We are so glad you are interested in joining Sutter Health!

Organization:

Position Overview:

Job Description:

EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.

• Bachelor's: Business, Healthcare Administration/ Management, or related field

TYPICAL EXPERIENCE:

• 12 years recent relevant experience

SKILLS AND KNOWLEDGE:

• Ability to work within a complex ambulatory setting and physician driven organization with a comprehensive understanding of healthcare business processes, organization, and workflows.
• Advanced knowledge of contract provisions as related to indemnification clauses and insurance contracts.
• In-depth working knowledge of the current best practices, guidelines, industry standards, accreditation requirements, and applicable insurance-related state and federal regulations.
• Expertise in building cross-functional team, fostering consensus, resolving conflicts, and managing risk, in addition to being an effective decision maker and expert delegator.
• Well-developed organizational skills with an understanding of team building and organizational dynamics, including creative problem identification and resolution, conceptualization, and contingency thinking skills.
• Superior business acumen and exceptional leadership skills to provide innovative solutions to complex problems and leveraging appropriate internal/external resources to meet corporate objectives.
• Attention to detail, superior problem solving and strategic planning skills the ability to analyze data, identify trends, provide insights to staff and affiliates, and recommend creative and actionable solutions in challenging situations.
• Proven project management skills, including the ability to initiate, plan, execute, and control activities to meet requirements and timelines of regional and system-wide initiatives or projects potentially impacted by new or changing regulations.
• Verbal and written communication, interpersonal, and presentation skills with the ability to present regulatory requirements, insurance plans, and legal concepts clearly and professionally to diverse audiences and all levels of internal and external constituencies
• Work independently as well as collaboratively within all levels of the Organization, including physicians, employees and management staff.
• Manage people, cross-functional teams, and organizational dynamics while overseeing and prioritizing multiple projects simultaneously in a a dynamic and challenging environment while affecting change and achieving overall program success.
• Develop cross-functional teams, foster consensus, resolve conflicts, and manage risk, in addition to being an effective decision maker and expert delegator.
• Foster an environment of collaboration at all levels of the organization, including engaging influencing individuals or groups exhibiting/using non-compliant behavior or processes, building consensus, and then enlisting cooperation without direct control/authority.
• Protect confidential information; understanding when and to whom has a specific business need to have information shared.
• Build collaborative relationships with peers, other departments, stakeholders, agencies, consultants, and vendors to ensure adequate insurance coverage and to manage risk efficiently and cost effectively.

Job Shift:

Schedule:

Days of the Week:

Weekend Requirements:

Benefits:

Unions:

Position Status:

Weekly Hours:

Employee Status:

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.