Director, Healthcare Claims & Risk Management

Baptist Memorial Health Care; Memphis (TN); On-site; USD 120,000 - 180,000; Full time

Job summary

Baptist Memorial Health Care offers a leadership role overseeing the system-wide claims program, including professional and general liability. You will coordinate with Legal Services, Risk Management, safety, and operations to support cost-effective claim management across Baptist sites.

The position emphasizes governance, data analysis, and collaboration with insurers, TPAs, and outside counsel to maintain robust risk controls and defensible outcomes.

Qualifications

• Bachelor's or Associate's degree in business, health care administration, risk management, human resources, insurance, legal studies, or related field is required.
• Minimum of five years of progressively responsible experience with a bachelor’s degree, or eight years with an associate’s degree, in claims/risk management or related fields preferred.
• Supervisory or project management experience preferred.

Responsibilities

• Oversee daily claims operations for professional and general liability across Baptist markets and sites of care.
• Coordinate claim intake, assignment, documentation, investigation, and follow-up to support timely resolution.
• Partner with legal, risk, operations, HR, safety, and external vendors to drive effective claim strategy.
• Serve as operational contact for TPAs, insurers, brokers, outside counsel, adjusters, and other vendors.
• Monitor reserves, expenses, litigation status, settlements, and closure plans for financial risk management.
• Maintain claim files, dashboards, and reports to aid leadership decisions and audit readiness.
• Use analytics to identify trends and provide data-driven recommendations for risk reduction.
• Assist with insurance renewals, reserve analyses, and premium reporting as requested.
• Promote standardized claims processes and training materials across the system.
• Ensure confidential handling of privileged information in compliance with laws and policies.

Skills

Claims management

Leadership

Risk management

Health care operations

Data analysis

Communication

Regulatory compliance

Education

Bachelor's or Associate's degree in related field

Tools

Claims management system

Spreadsheets

Dashboards

Job description

Baptist Memorial Health Care offers a leadership role overseeing the system-wide claims program, including professional and general liability. You will coordinate with Legal Services, Risk Management, safety, and operations to support cost-effective claim management across Baptist sites.

The position emphasizes governance, data analysis, and collaboration with insurers, TPAs, and outside counsel to maintain robust risk controls and defensible outcomes.