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Hire.Monster

VP & Medical Director

Baton Rouge, Louisiana, US
ОфисДругоеДругое$$263k-$404k

Обязанности

  • Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment impact Property & Casualty product lines
  • This role will serve as a thought leader and help develop the following critical areas for Travelers: Develop strategies and direction to advance Travelers medical capabilities to keep Travelers at the leading edge of the P&C industry
  • Develop medical management strategies that help 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 where appropriate
  • Conduct research and analysis related to medical and healthcare trends
  • This includes the physical and psychological influences which can impact claim outcomes
  • Organize and coordinate Travelers' medical review functions
  • This includes interpreting Federal and State regulations and medical guidelines to establish medical review policies
  • Works in close collaboration with the Claim leaders and in partnership with other Medical and Pharmacy professionals
  • Provide overall program leadership as the organization’s lead physician
  • Serve as the key enabler and facilitator for the Travelers medical strategies and represent the Travelers brand both internally and externally
  • This position will oversee the following key areas:
  • Medical Claim Product Research, Strategy and Innovation:
  • Design and direct innovative, outcome focused strategies and business plans for medical related product development and enhancements
  • Strategies may influence design, marketing, best practices, system development, vendor management, policies and procedures and response to legislative and regulatory issues
  • Conduct industry research and analysis related to medical, healthcare and group health trends and practices to keep Travelers at the leading edge of the P&C industry
  • Partner with stakeholders to develop and design projects and proofs of concept to improve business results
  • Stay connected to industry and relevant external bodies/associations to assess trends and coordinate Travelers medical position as appropriate
  • Inform Product and Underwriting insights as appropriate to anticipate, respond to and manage trends
  • Attend external forums representing Travelers
  • Function as a liaison and professional relations contact on a local and national level
  • May provide input and support medical vendor strategies including vendor selection, negotiation and contracting
  • Medical Direction and Oversight:
  • Participate in the design and development of organizational design and workflows that ensure effective implementation of medical strategies
  • Oversee engagement of Regional Medical Directors, Medical Consortiums and other medical resources as appropriate
  • Train and evaluate physician and non-physician medical review personnel and activities
  • Stay apprised of changes in medical technology and adjust review organizational design and workflows functions accordingly
  • Interpret regulations, statutes and guidelines to establish medical policies as necessary
  • Provide input into the investigation of new technology and the application for improving business process and increasing productivity
  • Claim Practices & Support:
  • Provide Medical guidance, support and direction as needed to the Claim Field organization
  • Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, respond to and manage medical trends
  • Partner with key stakeholders to assist in the review and monitoring of financial and qualitative operating results related to medical
  • Share accountability with business partners to achieve and sustain quality results
  • Partner with other medical and pharmacy experts on the development and design of training strategies, programs and curriculum

Perform other duties as assigned

Требования

  • Understanding of healthcare systems including Hospital Services, Pharmacy and Group Health insurance
  • Strong background in Occupational Medicine
  • Experience leading major projects or transformational initiatives from inception through implementation
  • 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

Условия

  • The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country
  • The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment

As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards $262,900.00 - $404,200.00

  • 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

Зарплата

$263'000-404'000

Опубликовано: 16.01.2026