Medical Director responsible for managing clinical operations and providing strategic advice at Elevance Health. Overseeing health services and ensuring quality and cost - effectiveness in care delivery.
About the role
- Lead the strategy and operations of Travelers Claim Medical initiatives focusing on healthcare impacts. Serve as the key enabler and facilitator for Travelers medical strategies and operations.
Responsibilities
- Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment impact Property & Casualty product lines.
- Serve as a thought leader and help develop critical areas for Travelers.
- Develop strategies and direction to advance Travelers medical capabilities.
- Develop medical management strategies that assist injured employees return to work as soon as medically appropriate.
- Ensure Travelers is prepared to incorporate new and emerging medical technology and practices into its strategies, practices and workflow.
- Conduct research and analysis related to medical and healthcare trends.
- Organize and coordinate Travelers' medical review functions.
- Provide overall program leadership as the organization’s lead physician.
- Serve as the key enabler and facilitator for the Travelers medical strategies.
- Oversee Medical Claim Product Research, Strategy and Innovation.
- Conduct industry research and analysis related to medical, healthcare and group health trends.
- Stay connected to industry and relevant external bodies to assess trends.
- Inform Product and Underwriting insights to manage trends.
- Attend external forums representing Travelers.
- Participate in the design and development of organizational design and workflows.
- Oversee engagement of Regional Medical Directors.
- Train and evaluate physician and non-physician medical review personnel.
Requirements
- Understanding of healthcare systems including Hospital Services, Pharmacy and Group Health insurance.
- Strong background in Occupational Medicine.
- Background in pain management or orthopedics a plus.
- Understanding of the psychological factors in achieving optimal medical outcomes a plus.
- Experience leading major projects or transformational initiatives from inception through implementation.
- Management experience.
- Proven ability to work in a team environment and collaborate on innovative projects.
- Demonstrated thought leadership.
- Strong research and project management skills.
- Ability to analyze business problems thoughtfully and draw conclusions in uncertain situations.
- Ability to communicate complex issues and connect with all levels of the organization.
- Direct and/or indirect leadership skills.
- Financial management and analysis skills.
- Licensed MD.
- 5 years clinical and utilization management experience.
- Certified by the American Board of Medical Specialties.
Benefits
- Health Insurance : Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.
- Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
- Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
- Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
- Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
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Degree requirement
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