The Permanente Medical Group, Inc. (Kaiser Permanente Northern California)
Northern & Central California, California
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The Risk Management Program Administrator is responsible for planning, implementing and administering the day-to-day operations of a recognized organizational and/or significant departmental program. The Program Administrator has the authority to make independent decisions related to program administration and contributes to the strategic planning, design, development and implementation of program objectives, procedures, processes and standards.
What are the Primary Duties and Responsibilities?
Proposes, develops, coordinates, and organizes resources to meet program objectives.
Partners and collaborates with leadership and key stakeholders on the program's proposed scope and/or process changes. Responsible for developing or recommending process, improvement measures, coordinating program activities and timelines, and resolving if resources meet program objectives and needs.
Supports training needs and implements applicable education, training, on-boarding and/or mentorship pertaining to the program.
Researches, gathers, and summarizes data from various sources to evaluate program performance and/or program operations. Makes recommendations to management based on findings. May provide information to program participants, collaborators, and/or cross functional teams.
Identifies growth opportunities and efficiencies impacting the program and/or department's success
Proposes and/or creates plans to achieve program objectives.
Maintains data system integrity and ensures quality assurance measures are followed based on departmental and/or program standard operating procedures. May provide ad hoc reporting to support recommendations observed through trend analysis for future planning and enhancements.
Monitors program to ensure appropriate governance and program compliance with internal policies and procedures as well as with local, state and federal laws; accreditation, professional and regulatory agency standards and licensure requirements as appropriate.
Assists and coordinates with monitoring, communicating process or compliance changes, and implementing plans to update processes. May assist with, or take corrective actions, as needed.
Supports management with planning, monitoring and handling the program's fiscal budgets and financials
Identifies program participants and collaborators and leads cross-functional teams in the program's administration, maintenance or expansion.
Collaborates with internal and external groups to maintain and further develop program growth, community outreach activities, as well as relationship building and maintenance. Serves as the primary contact and resource for the program operations and administrative activities.
Contributes to the program's communication documents including reports, policies and procedures, and other program materials
May plan, lead, and/or assign program-related work to others.
Risk Management Responsibilities:
Manages day-to-day administration of the organization?s enterprise insurance portfolio, including health system and Foundation programs, select construction related coverages, and captive/risk transfer arrangements.
Coordinates the annual renewal cycle, ensuring timely completion of underwriting submissions, internal reviews/approvals, and carrier/broker deliverables through binding.
Collects, validates, and maintains exposure and supporting documentation for underwriting and premium audits; supports audit reconciliation and resolution of adjustments.
Maintains policy records and key coverage details; reviews issued policies for accuracy against binders/negotiated terms and coordinates endorsements, certificates, and coverage changes.
Processes insurance financial transactions and reporting in partnership with Finance, including invoices and broker fees, allocations/accruals/forecasting, and summaries of renewal outcomes and cost/claims trends for leadership.
Qualifications
Qualifications:
High School Diploma/GED (minimum).
Bachelor's Degree in Business Administration, Healthcare or related field preferred.
Three (3) years of project support experience required.
Insurance or risk management administration experience preferred.