Corporate Medical Director occupation at Accident Fund Holdings, Inc. in Lansing

Accident Fund Holdings, Inc. is presently looking of Corporate Medical Director on Wed, 30 Oct 2013 09:50:56 GMT. RESPONSIBILITIES/TASKS: * Owns and is responsible for specific strategic assignments focused on enterprise and/or individual operating unit needs that are focused on contributing to the development of a claim organization that provides a strategic advantage in the marketplace. * Assists in the selection, education and on going evaluation of Care Analytics providers and maintains positive...

Corporate Medical Director

Location: Lansing Michigan

Description: Accident Fund Holdings, Inc. is presently looking of Corporate Medical Director right now, this occupation will be placed in Michigan. More details about this occupation opportunity please read the description below. RESPONSIBILITIES/TASKS:

• Owns and is responsible for specific strategic assignments focused on enterprise and/or individual operating unit needs that are focus! ed on contributing to the development of a claim organization that provides a strategic advantage in the marketplace.
• Assists in the selection, education and on going evaluation of Care Analytics providers and maintains positive relationships as enterprise claims liaison to the medical community.
• Acts as medical consultant to the entire organization in such areas as medical and disability claim management and return to work programs.
• Assists in interpreting governmental regulatory matters relative to medical and disability management for effectiveness in the provision of services.
• Monitors and reports on changes in medical worker's compensation industry on a quarterly basis.
• As approved by AFHI Executive leadership, represents AFHI, Inc. in state and industry organizations, collaborating with corporate claims and operating units in the development of enterprise claims strategies around proposed and enacted regulatory changes.
• Provides expertise on review of data and reports to assi! st in developing and improving medical management strategies.
• Develops effective Medical Policies and Procedures around the administration of Enterprise Claims Outcome strategies such as surgical, diagnostic and other medical treatment; create and maintain database of policies and procedures for same.
• Provides Medical guidance on evaluation and selection of medical support tools such as UR software, IME software and medical treatment guidelines.
• As approved by AFHI Claims leadership, provides consultative reviews on claim by claim basis where needed.
• Develops and implements written policies focused upon appropriate use of cost containment programs such as utilization review and durable medical equipment, for examples.
• Develop cost containment strategy including medical education activity by nurses, overseeing credentials of medical personnel, assisting with regulatory compliance.
• Represent Accident Fund Holdings, Inc a p! ositive fashion to the community, locally and nationally.
• Report on status of clinical programs and their use to organization leadership. Support executive level positions with medical expertise as needed.
• Maintain positive communication to provider community.
• Represent AFHI, Inc. on external committees and advisory boards as requested and approved.

This position description identifies the responsibilities and tasks typically associated with the performance of the job. Other relevant essential functions may be required.EMPLOYMENT QUALIFICATIONS:

EDUCATION OR EQUIVALENT EXPERIENCE:
Medical degree (M.D., D.O.) required. Must possess license to practice medicine and obtain completion of Board Certification.EXPERIENCE:
With proper education credentials, ten years in workers compensation insurance administration or other relevant experience which provides the necessary skills, knowledge and abilities. Five years of Le! adership experience. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:

Extensive knowledge of workers compensation laws, regulatory authorities, compliance requirements, industry trends and their impact.

Ability to create and articulate a clear strategic vision for medical and disability management.

Ability to make decisions or recommendations significantly changing, interpreting or developing important policies or programs.

Ability to effectively exchange information clearly and concisely and to present ideas, report facts and other information and respond to questions as appropriate.

Candidate must possess strong organizational skills and be able to operate in a team environment.

Demonstrate leadership abilities.

Extensive knowledge of medical and legal terminology.

Excellent verbal and written communication skills are essential.

Must be results-oriented and be motivated to creatively problem solve.WORKING CONDITIONS:

Work is performed in an office envir! onment with minimal hazards. Travel may be required.The qualifications listed above are intended to represent the minimal skills and experience levels associated with performing the duties and responsibilities contained in this position description. The qualifications should not be viewed as absolute standards, but as general guidelines that should be considered with other position-related criteria.We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an 'at will' basis. Nothing herein is intended to create a contract.
The ideal candidate for this position will possess a Medical degree (M.D., D.O.), a license to practice medicine and have obtained completion of Board Certification. Candidate will also have at least 10 years of Workers Compensation experience and a background in Occupational Medicine is preferred. We are looking for someone with at! least five years of leadership experience who espouses and promotes ou! r leadership values, both while working with our team internally and while serving as a leader within the industry.
Provide visionary and anticipatory guidance on changes in clinical management environment. Interpret and report on resulting impact of new technology, treatments, medications and products. Provide strategic direction to the organization around medical and disability management with a special focus on improving quality of care while containing medical cost when possible. Conduct clinical liaison function to providers and program development on a national level.
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This occupation starts available on: Wed, 30 Oct 2013 09:50:56 GMT

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