Insurance Analyst

Insurance Analyst

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

The Insurance Analyst role will serve as the strategic, logistical, and operational lead for managing the organization's relationships with the Louisiana Patient's Compensation Fund, as well as state Funds, both mandated and voluntary, in overseeing classification and surcharge analysis for all health care providers across the system. This role will also be responsible for the strategic placement and renewal of various insurance coverage lines, including Cyber, Directors & Officers (D&O), Management Liability, and FINPRO. Additionally, this role will act as the technical lead for the internally designed Salesforce platform.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

Education

• Required - High School Diploma

Work Experience

• Required - 7 years of property and casualty insurance and/or legal service experience

Knowledge Skills and Abilities (KSAs)

• Knowledge of insurance markets, stability, current and best practice trends in risk financing and loss control
• Ability to determine coverage for provider certificates of insurance with an ever changing and growing insurance portfolio and several certificates being issued every day
• Ability to perform basic mathematical skills and pro-rata calculations
• Proficiency in computers, Microsoft platforms, and Salesforce
• Effective verbal and written communication skills, ability to present complex info clearly and professionally
• Strong interpersonal skills and organizational skills with the ability to build efficient processes

Job Duties

• Lead the strategic and practical classification and surcharge analysis for a broader range of providers (physicians, APPs, and allied health) system wide.
• Manage additional complex insurance placements and renewals across multiple lines (e.g., Cyber, D&O, Management and FINPRO)
• Conduct reserve evaluations, actuarial support, and insurance program development in collaboration with brokers and carriers
• Provide data-driven insights to inform risk strategy and enterprise-wide insurance decisions
• Collaborates with Legal, Risk, Treasury, Finance and brokers for soundest risk profile across responsible coverage lines
• Super-user and department owner of insurance platform, Salesforce
• Responsible for Graduate Medical Education coverage on professional liability for all learners
• Key stakeholder in annual actuarial evaluation of our Self-Insurance Trust
• Performs other duties as assigned
• Complies with all policies and standards

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Sedentary Work- Exerting up to 10 pounds of force occasionally (occasionally means activity or conditions exist up to 1/3 of the work day), and/or, a negligible amount of force frequently (frequently means activity or condition exists from 1/3 to 2/3 of the work day) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent has no occupational risk for exposure to communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.