Job Title: Head of Managed Care Services

Agency/Platform: Wholesale & Specialty - Claims, Loss Control, and Insurance Services

Reporting to: Managing Partner Claims, Loss Control, and Insurance Services

Location: Multiple Potential Locations

About Acrisure:

Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help them protect and grow what matters, including Insurance, Reinsurance, Cyber Services, Mortgage Origination and more.  Acrisure employs over 17,000 entrepreneurial colleagues in 21 countries and have grown from $38 million to $4.3 billion in revenue in just over ten years. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win.

JOB DESCRIPTION

Summary/Objective

The Head of Managed Care Services will work with the Head of Claims, Loss Control, and Insurance Services and other management to establish goals, strategies, plans, and policies to build an industry-leading managed care division. They will oversee and manage the operations and strategic direction of managed care services within the organization. This role is critical to optimizing provider networks, driving cost containment strategies, improving care coordination, and enhancing claims outcomes. The ideal candidate will possess deep expertise in managed care programs, provider network management, claims cost reduction, and the integration of healthcare services within the insurance environment.

RESPONSIBILITIES

Business Strategy:Collaborate with the Head of Claims, Loss Control, and Insurance Services to develop and implement a comprehensive strategy for the managed care division that aligns with corporate goals and market opportunities.Identify emerging trends in managed care, insurance, and risk management to position the company as an industry leader while fostering innovation in managed care programs, including cost containment, provider network development, and claims management solutions.Growth and Business Development:Expand the company’s managed care market presence by identifying growth opportunities, developing strategic partnerships, and enhancing client relationships.Collaborate with sales and marketing teams to design and promote competitive managed care solutions tailored to client needs.Represent the company at industry events, conferences, and with key stakeholders to build the division's reputation and influence.Strategic Partnership:Contribute to the corporation’s strategic planning and decision-making as a key partner.Build and lead a high-performing team by fostering a culture of collaboration, accountability, and excellence, while mentoring and developing leadership talent within the division to ensure succession planning and professional growth.Advise on Long-Term Planning:Assess the impact of long-term plans, new strategies, and regulatory changes on the organization’s goals.Financial Strategy and Analysis:Manage budgets, forecasts, and financial performance of the division to meet or exceed profitability targets, while ensuring operational processes, systems, and technology effectively support business objectives.Define key performance indicators (KPIs) to measure success, monitor operational and financial results, and provide regular reports to executive leadership with insights, updates, and recommendations for continuous improvement.Policy Development & Implementation:Enhance and implement policies and systems to improve organizational efficiency and effectiveness.Mitigate risks by maintaining robust internal controls, audit processes, and compliance standards, while collaborating with legal and compliance teams to address regulatory changes and challenges.Problem Solving & Credibility:Establish credibility by developing solutions to business challenges throughout the organization.Effective Communication:Ensure clear communication with business partners, insureds, and internal teams.

Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Successful Candidate Requirements

Strong growth and business development orientationStrong technical aptitude – ability to utilize and leverage technology and systemsProven ability to think strategically and act tacticallyStrong organization skills/ability to manage multiple demands and prioritiesExcellent problem solving/problem resolution skillsProjects confidence and enthusiasm about the companyStrong leadership and relationship management skillsDemonstrates collaborative teamwork

Required Education and Experience

Bachelor’s degree in business, Healthcare Administration, Insurance, or a related field; MBA or equivalent advanced degree preferred.Minimum of 15 years of leadership experience in managed care, property and casualty insurance, or related industries.Proven track record in strategic planning, business development, and operational leadership.Deep understanding of managed care models, insurance claims processes, and provider networks.Exceptional leadership, communication, and negotiation skills.Strong analytical and problem-solving abilities, with a focus on delivering results.Proficiency in leveraging technology to drive operational efficiencies.

Position Type/Expected Hours of Work
This is a full-time position. Days and hours of work are Monday through Friday; based on business needs, additional hours will need to be worked. Travel will be required.

Benefits & Perks:

Competitive CompensationIndustry Leading HealthcareSavings and InvestmentsCharitable Giving Programs        Offering hybrid or remote work option  Opportunities for GrowthParental LeaveGenerous time away

Acrisure is committed to making an impact in our communities by giving back, with millions committed to children’s health with Helen Devos Children’s Hospital and UPMC Children's Hospital of Pittsburgh.

For more, visit www.Acrisure.com  or learn more here.  
 

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Equal Opportunity Employer, M/F/D/V

Acrisure is committed to employing a diverse workforce. All applicants will be considered for employment without attention to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran, or disability status.  California residents can learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy available at www.Acrisure.com/privacy/caapplicant.
 

To Executive Search Firms & Staffing Agencies: Acrisure does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered Acrisure’s property, and Acrisure will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting Acrisure’s Human Resources Talent Department.