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Manager, Risk Management Med Network

Royal Caribbean Group
Miami, FL Full Time
POSTED ON 4/27/2025
AVAILABLE BEFORE 5/25/2025

Journey with us! Combine your career goals and sense of adventure by joining our incredible team of employees at Royal Caribbean Group . We are proud to offer a competitive compensation and benefits package, and excellent career development opportunities, each offering unique ways to explore the world.

We are proud to be the vacation-industry leader with global brands - including Royal Caribbean International, Celebrity Cruises and Silversea Cruises - the most innovative fleet and private destinations, and the best people. Together, we are dedicated to turning the vacation of a lifetime into a lifetime of vacations for our guests.

Royal Caribbean Group's Risk Management Team has an exciting career opportunity for a full time Manager, Risk Management Med Network & Fin reporting to the AVP, Crew Health & Med Case Mg.

Position Summary

This position leads development and maintenance of a quality and cost-efficient global provider network that ensures proper, prompt and adequate access to care for RCG crew members.S / he will partner closely with the Risk Management and Medical Operations executive team to develop and actualize a comprehensive global network strategy and solutions. The incumbent will also support the Risk Management financial objectives and ensure compliance with GAAP and overall corporate policies and procedures, including Sarbanes Oxley.

Essential Duties and Responsibilities :

  • Negotiates health care fees, executes provider contracts and analyzes effectiveness of these, based on usual and customary international and domestic trends.
  • Develops and implements monitoring, analysis and reporting of utilization, cost and quality trends for providers in all ports of call and recruitment countries.
  • Manages the contracting of providers and / or medical networks including negotiating special financial terms as required.
  • Manages the analysis of the current performance of our medical networks to ascertain the financial and operational performance of each; make recommendations on how to optimize performance, ensuring high quality, cost effective, geographically appropriate networks across all healthcare services.
  • Negotiates healthcare-related logistics fees (transportation, lodging and meals, etc.), executes vendor contracts and analyzes effectiveness of these, based on usual and customary international and domestic trends.
  • Works with Finance, Port Operations, CAM and other internal stakeholders as needed to ensure all provider / vendor contracts are compliant with internal systems, processes and regulatory oversight requirements.
  • Together with our Risk Management Executive team, create and manage a comprehensive, global network solution for Royal Caribbean Cruises LTD.
  • Together with our Risk Management Executive team, create and manage a comprehensive, global network solution for Royal Caribbean Cruises LTD.
  • Provides leadership and acts as primary liaison with third party administrator, brokers / underwriters and outside consultants.
  • Performs other duties as required.

Financial Responsibilities :

  • Supports and reports on an annual claims and insurance budget of $200M.
  • Qualifications, Knowledge and Skills :

  • Bachelor's degree from an accredited University in Business, Accounting, Health Services Administration (MBA or advanced degree preferred).
  • Minimum of 7 years of overall relevant experience, provider contracting, health plan operations preferred
  • Strong knowledge of U.S. GAAP, Sarbanes-Oxley technical literature (PCAOB, SEC Guidance, etc.), internal control concepts and techniques.
  • Experience with global / international operations / organization a plus.
  • Associate member of the Casualty Actuarial Society (CAS) or Society of Actuaries (SOA) a plus
  • Limited travel expected, however, must be able to travel up to 25-300% of the time, including trips abroad
  • Project Management experience with complex and long-term projects
  • Ability to develop presentations and effectively present information to top management, public groups, and / or board of directors
  • Understanding of actuarial methods and calculations
  • Process oriented and able to lead and affect process change and improvements
  • Self-motivated, adaptive, proactive, quick learner, and work well with others with minimum supervision, in a fast-paced dynamic environment
  • Strong technical, analytic, problem solving and communication skills (both written and verbal)
  • Strong attention to detail, yet maintain a big-picture point of view
  • Excellent PC skills with proficiency in Word, Excel, PowerPoint, Visio, etc.
  • We know there's a lot to consider. As you go through the application process, our recruiters will be glad to provide guidance, and more relevant details to answer any additional questions. Thank you again for your interest in Royal Caribbean Group. We'll hope to see you onboard soon!

    It is the policy of the Company to ensure equal employment and promotion opportunity to qualified candidates without discrimination or harassment on the basis of race, color, religion, sex, age, national origin, disability, sexual orientation, sexuality, gender identity or expression, marital status, or any other characteristic protected by law. Royal Caribbean Group and each of its subsidiaries prohibit and will not tolerate discrimination or harassment.

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