Senior Associate General Counsel – Insurance and Litigation Management

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Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success.

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HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.

Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.

Emp Status

Regular Full time

Work Shift

Compensation Range

The base pay scale for this position is $223,500.00 - $340,500.00. In addition, this position will be eligible for additional benefits consistent with the role. The salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The hiring range listed is a good faith determination of potential compensation at the time of this job advertisement and may be modified in the future.

What you will be doing

THE ROLE

The Senior Associate General Counsel – Insurance and Litigation Management will be responsible for supporting and supplementing the services of the Senior Vice President, Chief Legal Officer with respect to the management of the Hospital-sponsored captive insurance company, Medical Indemnity Assurance Company (“MIAC”) Additionally the role will be responsible to the management and oversight of Hospital-wide litigation, reporting to the captive Board. The role will also have oversight of the insurance program, including strategy around insurance placements and renewals.

REPORTING

The Senior Associate General Counsel – Insurance and Litigation Management will report to the Senior Vice President, Chief Legal Officer. The Senior Associate General Counsel will be available to advise, and as may be requested from time-to-time, report to the Chief Executive Officer, Chief Financial Officer and Surgeon-in-Chief above, and will regularly interact with the Board of MIAC.

SPECIFIC DUTIES AND RESPONSIBILITIES

• Primary day to day oversight of the MIAC captive insurance company, reporting to the MIAC Board

• Primary contact for external stakeholders (insurance manager, auditors, actuaries)

• Prepare and lead bi-annual offshore captive Board meetings

• Prepare all documents related to the MIAC audit working with finance

• Together with Chief Legal Officer, set all initial case reserves and adjust reserves throughout litigation based on developments

• Prepare 4x per year Loss Runs for submission to actuaries and excess markets

• Chair 2x per year Claims Committee of the MIAC Board
• Oversee the Insurance Department

• Direct oversight of Director of Insurance

• Work with external brokers around renewal applications and insurance strategy and placements

• Responsible for placement of all other lines of insurance across the organization (e.g., EPL, D&O, Property, Cyber)

• Manage all malpractice and general liability litigation with AVP of Risk Management, including

• Oversight of outside counsel, review of all case reports, setting of case strategy

• Attending mediations and settlement conferences

• Negotiating cases directly with plaintiff’s counsel

• Attending and monitoring trials

• Navigate the post-Covid increase in litigation and worsening malpractice environment while maintaining strong captive financials

• Build strong trust and relationships across the Medical Staff leading to trust in the management of complex malpractice litigation

• undefined

• Placement of all excess malpractice and general liability insurance layers and Workers Compensation insurance program, working with the broker

• Multiple meetings with excess underwriters throughout the year to discuss HSS proactive risk and litigation management processes to position the organization for successful excess placements
• Report to Audit and Corporate Compliance Committee of the Board at least twice annually regarding Litigation Risk (financial and reputational)
• Work directly with business leaders to prepare for renewals and

• Report on insurance to Chair of Board Finance Committee annually

• Report all insurance claims to broker (Alliant) and carriers as warranted
• Assist Senior Leadership and Board Leadership as requested to manage challenging situations including around Medical Staff quality issues with reputational risk, reporting directly to Board members where applicable

• Coordinate with the AVP of Risk Management related to the Employee Safety and Workers’ Compensation programs, and related to day-to-day clinical risk issues

SCHEDULE AND LOCATION

This is a full-time position. It is presently filled under a hybrid model with the understanding that the demands of the position may require in-office presence more frequently and that the hybrid program is a pilot program subject to change. The Legal Department is currently located at 777 3rd Avenue, NY, NY.

OTHER LEADERSHIP ATTRIBUTES

The Senior Associate General Counsel – Insurance and Litigation Management will demonstrate excellent communication skills, as well as exceptional presence and judgment. This individual has the intellect, vision and judgment to contribute across the organization. The individual thrives in a highly collaborative, collegial but also immediate, results-oriented, and mission-driven culture, and is comfortable managing numerous projects and competing priorities. Further, this leader shares a passion and commitment to the overall mission and values of HSS.

Additionally, this individual will excel at building relationships and using influence to work effectively with others across the organization while demonstrating

a positive, professional, and collaborative demeanor and strong business acumen in order to gain the confidence, trust and reliance of colleagues at HSS.

EDUCATION AND WORK EXPERIENCE

Advanced degree (JD).

Minimum of 15 years in practice, preferably with litigation experience and with experience managing and directing the handling of medical malpractice and general liability insurance, either in-house or with a top insurance company. Knowledge and experience of captive insurance programs is also preferred. Knowledge and experience with other lines of insurance also preferred. Experience managing outside counsel, reviewing legal billing, and managing other external stakeholders also preferred. Experience that is consistent with or otherwise supportive of the candidate’s ability to fulfill the major

Non-Discrimination Policy
Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.

About Us

HSS is nationally ranked No. 1 in orthopedics (for the 17th year in a row) and No. 3 in rheumatology by U.S. News & World Report (2026-2027). Our guiding principles are helping us in our search for exceptional talent-candidates that align with our unique workplace culture and who want to maximize the abundant opportunity for growth and success. Not ready to apply? Click Introduce Yourself at the top of the screen to join our Talent Community.

Why work here?

Our patients say it best: We receive consistently high ratings from our patients for the quality of our doctors and our hospital. More than 3,000 have shared their experience in their own words.