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Assistant Vice President Insurance

Nashville, TN, United States

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SHIFT: No Weekends

SCHEDULE: Full-time

HCA, a Fortune 100 company with more than 200,000 employees, is one of the nation's leading providers of healthcare services, operating over 170 locally managed hospitals and over 100 freestanding surgery centers in 20 states and the United Kingdom. With its founding in 1968, HCA created a new model for hospital care in the United States, using combined resources to strengthen hospitals, deliver patient-focused care and improve the practice of medicine. HCA is a learning healthcare system that uses more than 27 million annual patient encounters to advance science, improve patient care and save lives. HCA has been named one of the world's most ethical companies for eight years in a row. At HCA, we are driven by a single goal: the care and improvement of human life.


This is a key leadership position within the Risk & Insurance Department, supervising directly or indirectly nine employees, and reporting directly to the VP – Risk & Insurance.  This individual is responsible for the design and maintenance of an efficient, effective, responsive and customer oriented insurance program protecting all the assets of HCA globally.  The AVP – Insurance understands and assesses the insurable risk of the organization and partners with external insurance brokers to evaluate commercial insurance products to protect those assets.  This position is also responsible for developing and promoting insurance programs responsive to local facility needs, particularly with regard to any employed, contracted or staff physician needs.  Additionally this AVP maintains regulatory insurance compliance in each state and country in which HCA operates.  


  • Investigate and understand the insurable risks associated with HCA’s business to be able to evaluate commercially available insurance products and their capacity to adequately and reasonably protect HCA assets.   
  • Procure and maintain insurance programs for all insurable risks and coverage lines at optimal cost and effectiveness.
  • Develop, maintain and nurture relationships with external insurance brokers and consultants that support the placement of insurance products and programs.

Manage the daily insurance operations and services provided by the Risk & Insurance Department, while maintaining excellent customer service.  Those services include:

    Policy issuance and historical maintenance

    Issuance of certificates of insurance

    Coverage analysis and determination

    Coverage verifications

    Consulting advice including contract reviews

•    Regulatory insurance compliance (rate and form filing, etc.)

Develop and manage comprehensive physician underwriting programs that is responsive to the needs of HCA’s Physician Services Group; maintain accurate historical records relating to the programs.  
Evaluate, develop and maintain unique and appropriate insurance programs for HCA’s partnerships and other ventures, etc. worldwide.
Assist facilities and other business units in evaluating any special insurance needs that may arise in the course of their business, and develop responses that harmonize with the Company’s consolidated insurance program
Directly oversee any claims, other than employee injury, malpractice and general liability (e.g. property, auto, director’s & officer’s, fiduciary, crime, cyber, etc.) and advocate on behalf of HCA for the best claim outcome.
Oversees evaluation of legal matters and/or demands to determine if insurance is applicable.
Other duties as assigned by the VP – Risk & Insurance.


Bachelor's Degree 


15+ years of experience in a leadership role. Insurance brokerage and/or underwriting is a plus

Chartered Property & Casualty Underwriter Designation (CPCU)

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Facility: HCA Healthcare
Job ID: 10201-28672
Category: Executive
Contract: Full-time
Shift: No Weekends
Job Class: Regular

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