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Director of Complex Claims and Counsel

Academy of Managed Care Pharmacy

POSITION SUMMARY

This role is mostly remote with some onsite/travel requirements. In this role, you will manage claims and litigation cases, proactively monitor and collaborate with outside defense counsel, and serve as in‑house counsel on risk management and claims matters. The position is responsible for cost‑effective and successful management of complex, potentially high‑exposure claims while providing legal counsel on risk management, claims and litigation matters across Banner Health (BH). The role combines advanced litigation and claims management expertise with legal acumen to manage complex and potentially high‑exposure professional liability claims, multi‑party litigation, and other areas of liability exposure to the organization. The primary focus is Hospital and Physician Professional Liability (HPL) claims, with additional management of General Liability (GL), Employment Practices (EPL) and Management Liability claims as assigned.

MINIMUM QUALIFICATIONS

4‑year undergraduate degree or equivalent related experience. Completion of a Juris Doctorate (J.D.) and admission to at least one state bar, and a minimum of eight to ten years medical professional liability management experience, either as an in‑house claims professional or outside counsel. Must gain admission to AZ bar through reciprocity or in‑house counsel provision. Strong negotiating skills and a working knowledge of medical terminology. Strong analytical skills, ability to organize and communicate information both orally and in writing with all levels of the organization. Initiative and ability to handle responsibility independently, and capability to deal with conflict in a non‑confrontational manner and handle sensitive situations and information in a calm, mature manner. Ability to meet deadlines and respond to shifting priorities. Comfortable operating in a collaborative, shared leadership environment. Ability to adapt to frequently changing work priorities and work under pressure. Must be able to travel to various BH sites or other locations for litigation management purposes up to 50% of the time.

PREFERRED QUALIFICATIONS

Nursing degree or other clinical background. Advanced knowledge of healthcare claims, risk management, insurance, quality management and performance improvement. Knowledge of in‑house liability claims management processes and procedures and related healthcare regulatory and litigation experience. Prior managerial experience within a healthcare system setting or other large multi‑operational, complex corporate environment. Will consider candidates in the following locations who are willing to travel to Arizona and Colorado periodically: Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, New Mexico, Missouri, Oklahoma, Oregon, Texas, Utah, Wyoming, Washington. Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package. #J-18808-Ljbffr Academy of Managed Care Pharmacy

Vacancy posted 3 days ago
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