Senior Director, Risk Management

Curana Health

. Build and lead the Company's risk management function .

Posted 9/24/2026full-timeRemote • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing complex medical professional liability claims and developing risk management strategies, utilizing AI tools for trend detection and claims analysis. Proven ability to influence stakeholders and establish governance protocols in a healthcare risk management environment.

Highest-signal resume keywords

Medical Professional Liability Claims ManagementAI Tools Evaluation and DeploymentRisk Management Program DevelopmentClaims Governance and DocumentationExecutive Leadership and Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ManagementRisk ManagementMedical-Record ReviewLiability EvaluationTrend DetectionSelf-Insurance RecommendationsRisk Register DevelopmentInsurance Portfolio StrategyClaims Triage and EscalationClinical Risk Management

Soft Skills

Influencing Without AuthorityExecutive PresenceCredibility with PhysiciansConcise Communication

Tools & Technologies

AI ToolsAnalytics ToolsRisk Management Information System

Certifications & Qualifications

CPHRMAICARMCPCURPLU

Industry Keywords

Health Care Risk FrameworksHCQIAPSQIANational Practitioner Data BankClinical Training

About the role

Key responsibilities & impact

Build and lead the Company's risk management function
Lead insurance claims management from first notice through final resolution
Manage complex medical professional liability claims, including investigation, medical-record review, liability and damages evaluation, reserves, counsel oversight, mediation, settlement, and trial preparation
Design and implement a clinical risk management program using claims, complaints, adverse events, and near-misses to identify trends and reduce risk
Establish claims governance, triage, escalation, documentation, authority protocols, metrics, and total-cost-of-risk reporting
Evaluate and deploy AI and analytics tools for claims intake, medical-record review, exposure analysis, trend detection, and defense-budget review
Oversee insurance portfolio strategy, broker relationships, renewals, coverage, pricing, limits, retentions, and risk financing
Develop recommendations regarding self-insurance, TPAs, fronted programs, and captive formation
Own the risk management AI roadmap and advise leadership on AI-related risk
Develop the risk management roadmap, budget, risk register, and risk management information system
Oversee insurance and claims diligence for acquisitions, joint ventures, and new market entry
Report to and advise the Chief Legal Officer, Chief Financial Officer, and executive leadership

Requirements

What you’ll need

Bachelor's degree required
Advanced degree preferred, including Juris Doctor, Master of Health Administration, Master of Business Administration, Master of Science in Nursing, or comparable degree
Professional credential preferred, such as CPHRM, AIC, ARM, CPCU, or RPLU
Deep expertise in medical professional liability claims management at individual-case and portfolio levels
Practical fluency with AI tools and judgment regarding value, risk, and human review
Ability to establish credibility with physicians and advanced practice providers and influence behavior without direct authority
Working knowledge of health care risk frameworks, including peer review and quality protections, HCQIA, PSQIA, National Practitioner Data Bank reporting, and protected investigations
Executive presence and ability to translate technical claims, insurance, and clinical risk matters into concise recommendations
Ten or more years of progressively responsible experience in risk management
At least seven years of substantial direct experience managing health care professional liability claims
Experience building or substantially expanding a claims, risk management, or clinical risk program required
Experience leading professional staff required
Clinical training or active clinical licensure is valued but not required
Must not require visa sponsorship; the company is unable to provide sponsorship for a visa

Benefits

Comp & perks

Equal Employment Opportunity commitment and nondiscrimination policy
No visa sponsorship is provided at this time