Clinical Product Manager - Managed Care

AmTrust Financial Services, Inc.•Southington, CT

60d•$92,000 - $120,000•Hybrid

About The Position

The Clinical Product Manager (CPM) shapes and optimizes ancillary healthcare services in workers' compensation, overseeing processes and vendors managing: DME, PT/OT, diagnostics/imaging, transportation/translation, home health, IME/peer review and other supporting vendors related to managed care medical spend. This cross-functional role blends strategy, clinical insight, and operational execution to improve outcomes, reduce costs, and enhance experiences for injured workers, adjusters, and clinical teams. Collaboration with vendors, stakeholders, and leadership is essential to drive measurable improvements and ensure program integrity. Amtrust is looking for a critical thinker who can bring structure and innovation to our workers' compensation managed care programs. In this role, you will own vendor performance and process management in a broad variety of areas - making sure the right partners are in place, performance stays strong, and programs deliver real value for injured workers and the carrier's work comp line of business.

Requirements

Bachelor's in Healthcare, Business, Analytics, or related field
5+ years in healthcare analytics or clinical operations
2+ years in Workers Compensation and associated ancillary services
Proven vendor management and workflow optimization experience
Proficiency with contracts, financial modeling, and business case development
Advanced Excel and analytical skills
Strong PowerPoint skills; Visio a plus
Excellent communication, both with AmTrust leadership and external parties

Nice To Haves

Master's degree or advanced learning degree
Familiarity with SQL /or advanced reporting and manipulation
Experience with multi-disciplinary healthcare vendors in the Workers' Compensation line of business.
Knowledge of workers' comp regulations, billing codes, and audit processes
Experience in vendor management of healthcare services

Responsibilities

Lead vendor strategy from selection to onboarding, aligning partnerships with clinical and financial goals.
Build strong relationships with both vendors and internal teams; serve as the go-to for performance, compliance, and problem-solving, while leading key objectives related to each ancillary service.
Monitor and improve outcomes by developing and tracking key metrics, addressing gaps, while driving continuous improvement.
Launch programs and pilots to assess ideas, streamline workflows, and enhance care delivery when appropriate.
Keep operations running smoothly through clear processes, smart technology integration, and initiative driven issue resolution.
Expert ability to work with data to drive outcomes, by developing reporting requirements in detail and ability to self-identify data needs.
Lead deep-dive analyses of contracts, data, and business processes to identify risks, inefficiencies, and opportunities for improvement
Protect financial integrity and outcomes by identifying billing issues, optimizing processes, and ensuring cost-effective solutions for transactions and the claim as a whole.
Champion/Audit compliance and quality- ensuring all services meet regulatory standards and clinical best practices across all states.
Educate and communicate-train teams, share updates, and align stakeholders on priorities.