Advance your career at Liberty Mutual Insurance - A Fortune 100 Company!

The Regional Medical Director position is an opportunity to join our industry leading team at Liberty Mutual in Managed Care Workers Compensation Claims group, reporting to the National Medical Director. We are looking for a talented Medical Doctor to be responsible for the development of evidence-based medical treatment guidelines, quality assurance review, public affairs participation and to engage directly with customers and national organizations as a thought leader in workers compensation. Our department is aligned with injured worker advocacy and product innovation. This is a dynamic and highly ethical environment that supports the appropriate application of technology in medical management. Career mobility is encouraged, and performance is rewarded.

Responsibilities:

• Review medical treatments for complex claims referred by case management nurses, discuss claims management with treating MD where appropriate, advise LM RNs on appropriate action.
• Respond to daily Q&As submitted via iCase Manager and update archived library of Q&As to insure currency.
• Review external guidelines for use at LM and modify as appropriate. Develop and update LM guidelines and policies to meet specific needs as identified by National Medical Director.
• Ensure medical accuracy and quality by reviewing samples of peer reviews and IMEs provided by outside vendors, reviews performed by other LM medical directors, reviews by UM/CM nurses, and other internal QA activities as required by URAC and other accrediting bodies.
• Assist National Medical Director with oversight/review of clinical content for LM training programs and participate in training of new clinical personnel (MDs, RNs).
• Explore and disseminate significant updates/changes in LM medical policies to claims managers and CM nurses.
• Participate in and provide medical advice to LM committees with various missions, and task forces relating to specific issues/problems.
• Serve as a medical resource for a variety of activities at LM, including Legal, Public Affairs, Loss Prevention and Sales & Marketing.

Qualifications:

Collaborative and team skills are required - there is a significant amount of work involving cross-functional initiatives. Clinical experience as well as utilization management and/or insurance or population medicine experience is preferred. Strong interpersonal and telephonic communication skills and ability to be decisive and able to articulate reasoning supporting decisions. Strong computer skills are. Prefer knowledge of utilization management process, clinical protocols and diplomat status with the American Board of Quality Assurance and Utilization Review Physicians. Requires board certified, licensed, practicing physician (MD or DO) with at least five years of clinical practice experience. Will preferably be an Orthopedic Surgeon or have extensive experience with orthopedic injuries, Occupational medicine, primary care or pain management. Experience with workplace issues, short and long term disability, and workers compensation.

Benefits:

We value your hard work, integrity and commitment to positive change. In return for your service, it’s our privilege to offer you benefits and rewards that support your life and well-being. To learn more about our benefit offerings please visit: https://LMI.co/Benefits

Overview:

At Liberty Mutual, we give motivated, accomplished professionals the opportunity to help us redefine what insurance means; to work for a global leader with a deep sense of humanity and a focus on improving and protecting everyday lives. We create an inspired, collaborative environment, where people can take ownership of their work; push breakthrough ideas; and feel confident that their contributions will be valued and their growth championed.

We’re dedicated to doing the right thing for our employees, because we know that their fulfillment and success leads us to great places. Life. Happiness. Innovation. Impact. Advancement. Whatever their pursuit, talented people find their path at Liberty Mutual.

Liberty Mutual is an equal opportunity employer. We embrace an environment that is free from all discrimination in the workplace, in its business, or by its vendors. Liberty Mutual values diversity and the differences and similarities of our employees. We foster a diverse and inclusive work environment that leads to better ideas, stronger teams and more innovative products and services for our customers. Learn more