Description
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected.
As a Medical Director, Occupational Health & Workers’ Compensation Managed Care, you will evaluate medical reports escalated due to deficient information utilizing evidence-based criteria. You will provide leadership within the dedicated team of clinicians and claim professionals in support of the dedicated program through training and implementation of medical best practices.
Responsibilities:
- Evaluate medical reports and provide recommendations
- Provide leadership and training to the team
- Support client-facing activities, including strategic partnerships and complex medical escalations
- Stay current on emerging medical trends and clinical strategy
- Travel 25-30%
Requirements:
- Medical Doctor (M.D.) degree required
- 10+ years of related experience, including 1-3 years of utilization review experience and 3 years of clinical quality control
- Knowledge of evidence-based guidelines, ADAA, FMLA, utilization review procedures, and clinical quality systems
- Excellent oral and written communication skills, including presentation skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Proven management/leadership skills
Benefits:
- Blended work environment
- Meaningful work that promotes critical thinking and problem-solving
- Ongoing learning and professional growth opportunities
- Comprehensive benefits package, including medical, dental, vision, 401k, and matching
- 4 weeks PTO in the first full year