Jackson Healthcare

VP, Claims

Alpharetta-Georgia · Vp · Contract

Sponsorship not specified$10k-$15kDetected 30 days ago

ForecastingPatient CareLeadershipActuarial Science

About the role

Headquartered in metro Atlanta, we're powered by more than 2,600 associates and over 20,000 clinician providers covering all 50 U.S. states.
Our mission is to improve the delivery of patient care and the lives of everyone we touch.
We're always looking to add new talent to our teams.

The VP, Claims will own the strategy and execution of our claims function across our 22 operating companies.
Manage the transition and ongoing relationship with our external claims administrator, ensuring continuity, knowledge transfer, and a smooth, respectful evolution toward a mostly self-administered model.
Own the financial performance of the claims program, including reserve adequacy, loss forecasting, and total cost of risk.

Establish and report on the metrics that matter - cycle time, severity, indemnity leakage, litigation outcomes, expense management, vendor performance - at the executive and Board levels.
Strengthen audit readiness, regulatory reporting (NPDB, MMSEA Section 111, state specific requirements), and compliance discipline across the program.
Undergraduate degree in a related field.
15 years of demonstrated success leading claims teams, managing third-party administrators and defense counsel, and partnering with executive leadership on high exposure decisions.
A Juris Doctor (JD) - bringing the legal acumen to engage substantively with defense counsel and shape litigation strategy across jurisdictions.
A Registered Nurse (RN) or comparable clinical credential - bringing the clinical fluency to engage credibly with physicians, advanced practice providers, and operating company leaders.
Experience standing up or substantially reimagining a self-administered claims function, including the transition from a third-party-administered model.

Partner closely with the Chief Risk Officer to set and execute the enterprise claims strategy across Medical Professional Liability (MPL), general liability, workers compensation, automobile, and cyber lines, aligning claims philosophy wi

Build constructive working relationships with operating-company presidents, medical staff services and HR leaders, defense counsel, brokers, and our captive insurance partners.

Comfort and curiosity with data, analytics, and technology — including the willingness to challenge analytic output, sponsor better tools, and lead a function in which insight from Origami and emerging AI is part of th

This listing is sourced directly from Jackson Healthcare's careers page and normalized into a canonical job model.