What are the responsibilities and job description for the Director, Medical Cost Management position at SN Branding?
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This opportunity is in the Claims Department.
Our Claims department oversees both high-exposure workers’ compensation and liability claims. As an unbundled carrier, we work actively with third-party administrators (TPAs) and self-administered accounts to assist in guiding claims to a successful resolution. As an excess and large deductible carrier, the high exposure claims we handle keep our group challenged, but the uniqueness provides plenty of growth opportunities.
Role Description:
In the role of Director, Medical Cost Management you will be responsible for direct supervision and leadership of the Medical Cost Containment unit.
Your day-to-day responsibilities as Director, Medical Cost Management will include:
- Provide thought leadership in the evaluation and development of the medical cost containment program including structure, workflow, staffing, and vendor management.
- Engage with our internal and external business partners to build strong business partnerships and facilitate effective claims management of large and complex losses.
- Develop key performance indicators to evaluate and track program performance on a monthly, quarterly, and annual basis.
- Review select insureds and/or TPA medical bill review programs and contracts, where appropriate, to ensure appropriateness of process, accuracy, and charges/costs
- Identify opportunities for ongoing training and knowledge sharing with the Claims Department related to medical bill review, catastrophic or long-term care placements, home healthcare, and DME.
If this role describes you, apply today!
Qualifications:
Education:
- Bachelor’s Degree or equivalent preferred.
Required Qualifications:
- Ability to communicate technical medical information to non-medical audiences
- Must have strong organizational and analytical skills, as well as excellent written and oral communication skills
- Must be proficient with Excel, Work, and Microsoft Outlook applications
- Strong sense of customer service
Preferred Qualifications:
- Workers’ Compensation bill review and management experience required, five years preferred
- Workers’ Compensation claims handling experience preferred
Protect the confidentiality, integrity and availability of information and technology assets against unauthorized disclosure, destruction and/or alteration, in accordance with Safety National policies, standards, and procedures.
Safety National is committed to fair, transparent pay and we strive to provide competitive, market-based compensation. In our vision to be First with Co-Workers, compensation is only one piece of the comprehensive total rewards package we offer. The target salary range for this position is $111,000 to $179,000. Compensation for the successful candidate will consider the candidate’s particular combination of knowledge, skills, competencies, experience, and geographic location.
Safety National is a leading specialty insurance and reinsurance provider. Our culture is built upon relationships, which allow us to demonstrate our expertise gained through our rich 80-year history. As a wholly-owned subsidiary of Tokio Marine, Inc., we appreciate the benefits and support provided by our affiliation with one of the top 10 insurance companies in the world.
A Benefits Structure That Puts Employees First
Safety National’s approach to benefits reaches far beyond competitive fixed compensation. Instead, we construct a total rewards benefits package for each valued member of our team. Highlights include incentive award bonuses, an annual holiday bonus, and profit-sharing contributions. Other exceptional benefits include generous healthcare coverage, a 401(k) match, enhanced paid caregiver leave, and family-forming benefits for adoption, surrogacy, and fertility. We also promote balance by offering a hybrid working environment and several employee appreciation events throughout the year. Apply today to learn more about our total rewards approach.
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Salary : $111,000 - $179,000
